medical diary for the ensuing week

1
1374 METEOROLOGICAL READINGS. (Taken daily at 8.30 a.m. by Steward’s Instruments.) THE LANCET Office, Dec. 10th, 1891. Medical Diary for the ensuing Week. Monday, December 14. ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.80 P.M., and on Tuesday Wednesday, Friday, and Saturday at the same hour. ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS. - Operations daily at 10 A.M. ’ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.—Operations, 1.80 P.M., and each day at the same hour. CHELSEA HOSPITAL FOR WOMEN.—Operations, 2.80 P.M.! Thursday, 2.80. HOSPITAL FOR WOMEN, SOHO-SQUARE. - Operations, 2 P.M., and on Thursday at the same hour. METROPOLITAN FREE HOSPITAL.-Operations, 2 P.M. ROYAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M. CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, II P.M., and each day in the week at the same hour. UNIVERSITY COLLEGE HOSPITAL.-Ear and Throat Department, 9 A.M.; Thursday, 9 A.M SOCIETY OF ARTS.-8 P.M. Mr. A. P. Laurie : The Pigments and Vehicles of the Old Masters. (Cantor Lecture.) MEDICAL SOCIETY OF LONDON.-8.30 P.M. Adjourned Debate on Influ. enza. Tuesday, December 15. KING’S COLLEGE HOSPITAL.—Operations, 2 P.M. ; Fridays and Saturdays at the same hour. CkBY’s HOSPITAL.-Operations, 1.80 P.M., and on Friday at same hour Ophthalmic Operations on Monday at 1.30 and Thursday at 2 P.M. ST. THOMAS’S HOSPITAL.-Ophthalmic operations, t P.M.; Friday, 2P.M. ST. MARK’S HOSPITAL.-Operations, 2 P.M. CANCER HOSPITAL, BROMPTON.-Operations, 2 P.M. Saturday, 2 P.M. WESTMINSTER HOSPITAL.-Operations, 2 P.M. WEST LONDON HOSPITAL.-Operations, 2.30 P.M. ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monda?. 2.30 P.M. Skin Department, Monday and Thursday. 9.30 A.M, Throat Department, Tuesdays and Fridays, 1.80 P.M. Electro- therapeutics. same dav. 3 P.M. LABORATORIES, VICTORIA EMBANKMENT.W.—5 P.M. Dr. Armand Ruffer : Results of Researches carried out at the Laboratories. PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Mr. J. J. Clarke: Large Fibroma in Small Omentum.-Mr. Raymond Johnson : Patho- logical condition in the Mamma associated with Carcinoma.-Mr. C. F. Beadles : Some Histological Changes in the Breast found in association with Carcinoma.-Mr. Herbert Larder: Specimens from a case of Leprosy.-Dr. E. T. Wynne : Subdural Haemorrhage (a series of Specimens and Drawings).—Dr. H. D. Rolleston : Sarcoma of Duodenum. Card Specimens :—Dr. E. T. Wynne : (1) Diphtheritic Dysentery; (2) Polypi of Colon. Wednesday, December 16. NATIONAL ORTHOPEDIC HOSPITAL.-Operations. 10 A.M. MIDDLESEX HOSPITAL.-Operations, 1.30 P.M.; Saturdays, 2 P.M. Ob- stetrical Operations, Thursdays, 2 P.M. CHARING-CROSS HOSPITAL.—Operations, 8 P.M., and on Thursday and Friday at the same hour. ST. THOMAS’S HOSPITAL.-Operations, 1.80 P.M. ; Saturday, same hour. LONDON HOSPITAL.-Operations, 2 P.M. Thursday & Saturday, same hour. ’ST. PETER’S HOSPITAL, COVENT-GARDEN.-Operations, 2 P.M. SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operationr, 2.30 P.M. GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M. UNIVERSITY COLLEGE HOSPITAL.-Operations, 1.30 P.M. ; Skin Depart. ment, 1.45 P.M.; Saturday, 9.15 A M. ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday. CHILDREN’S HOSPITAL. GREAT ORMOND-STREET.—Operations, 9.80 A.M. Surgical Visits on Wednesday and Saturday at 9.15 A.M EPIDEMIOLOGICAL SOCIETY OF LONDON. -8 P.M. Sir W. J. Moore: Famine, the Results and Relief. ROYAL MICROSCOPICAL SOCIETY.-8 P.M. The Hon. J. G. P. Vereker : On the Resolution of Podura. SOCIETY OF ARTS.-8 P.M. General Pitt Rivers: Typological Museums, as exemplified by the Pitt Rivers Museum at Oxford. Thursday, December 17. ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. Surgical Consultationti, Wednesday, 1.30 P.M. Ophthalmic Operations, Friday, 1.30 P.M. ’UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.; Ear and Throat department, o A.M. NEUROLOGICAL SOCIETY or LONDON (National Hospitalfor the Paralysed and Epileptic, Queen-square).-8.30 P.M. Clinical Cases. NORTH LONDON MEDICAL AND CHIRURGICAL SOCIETY. - P.M. Ap- proval of Rules. Election of Officers. Address by Dr. Lauder Brunton. Friday, December 18- ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M. Saturday, December 19. UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P M. I and Skin Depart. ment, 9.16 A.M. Notes, Short Comments, & Answers to Correspondents. It is especially requested that early intelligence of local events having a medical interest, or which it is desirable to bring under the notice of the profession, may be sent direct to this Office. All communications relating to the editorial business of the journal must be addressed "To the Editors." Lectures, original articles, and reports should be written on one side only of the paper. Letters, whether intended,for insertion or for private informa. tion, must be authenticated by the names and addiressea 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 "To the Sub-Editor." Letters relating to the publication, sale, and advertising departments of THE LANCET to be addressed "To tlaa Publisher. " We cannot undertake to return MSS. not used. WINTER NEEDS OF POOR CHILDREN. Dtr. John Kirk, Secretary Ragged School Union, writes : "The readers of THE LANCET are well qualified to judge of the winter needs of the 60,000 poor children attending our 200 schools and missions. They are food, warm clothing, and very often attendance and care in sickness. For the latter we have often, and not vainly, relied upon our many friends in the medical profession. To meet all the com- bined wants of the children, money, gifts of non-perishable food, clothing, boots and shoes are required. We shall gladly welcome individual offerings, large or small; also collections from families, students, and others in practical sympathy with poor children. Readers of THE LANCET will kindly note that our offices, long at Exeter Hall, are now at 37, Norfolk street, Strand, W.C. ; also that the Poor Children’s Aid Society is now incorporated with this Union." B.-The case is not very clearly stated ; but we gather that the clientèle to which A. has been introduced includes families members of which belong to clubs attended by B. A. should not visit patients actually in the care of B. He is entitled to visit the families referred to, but should not visit patients under B.’s care, and should willingly come to an understanding with B. on the subject. Mr. G. Mathews.-We do not give medical advice. Our correspondent should consult his medical attendant. A COUNTY COURT CASE. To the Editors of THE LANCET. SIRS,-A case that has only just been settled, referring to attendance early in last year, has in it, I cannot help thinking, a few points of interest and instruction to general practitioners. The case was one of influenza attacking a man who had previously bad strong suggestions of organic changes for the worse in his nerve- centres-naturally therefore an anxious one, demanding close attention, evening visits for weeks together, two consultations, &c. Briefly, when the account was sent in at the beginning of this year, it was repudiated, I putting the matter into my lawyer’s hands and awaiting events. The amount was ,g42 15s., of which eventually .619 odd were paid into court, and I was left to sue for the balance. Each side had eminent counsel. Defendant called two medical men to say they would personally have been content with half the amount I had charged. The judge summed up very strongly in my favour, and the jury gave a verdict practically for the full amount. The rate of charge was 7s. 6d. a visit (including medicine), and 10s. an evening visit. The rent of defendant’s house (within a stone’s-throw of my own) was from ,g50 to ;C60. The two chief points of interest seem to me to be : (1) Against apparently hopeless difficulties a good fighting lawyer often succeeds ; (2) the verdict in my favour ought to be of service to general practitioners in this neighbourhood. During twenty- two years of general practice one has often bad to refer people to one’s solicitor ; but I may say that this is, I think, only the third time I have had to personally attend at the county court. I am, Sirs, your obedient servant, Crouch End, N., Dec. 2nd, 1891. F. ORTON, M.D. A QUERY. To the Editors of THE LANCET. SIRS,—Can any of your readers inform me of a home or suitable place for a very distressing case of epithelial cancer of the chest? The patient is a poor lady, but she could afford a small weekly payment. I am, Sirs, yours truly, Dec. 8th, 1891. SURGEON.

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Page 1: Medical Diary for the ensuing Week

1374

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

THE LANCET Office, Dec. 10th, 1891.

Medical Diary for the ensuing Week.Monday, December 14.

ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.80 P.M., and on TuesdayWednesday, Friday, and Saturday at the same hour.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS. - Operationsdaily at 10 A.M.

’ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.—Operations, 1.80 P.M.,and each day at the same hour.

CHELSEA HOSPITAL FOR WOMEN.—Operations, 2.80 P.M.! Thursday, 2.80.HOSPITAL FOR WOMEN, SOHO-SQUARE. - Operations, 2 P.M., and on

Thursday at the same hour.METROPOLITAN FREE HOSPITAL.-Operations, 2 P.M.ROYAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, II P.M., and

each day in the week at the same hour.UNIVERSITY COLLEGE HOSPITAL.-Ear and Throat Department, 9 A.M.;

Thursday, 9 A.MSOCIETY OF ARTS.-8 P.M. Mr. A. P. Laurie : The Pigments and Vehicles

of the Old Masters. (Cantor Lecture.)MEDICAL SOCIETY OF LONDON.-8.30 P.M. Adjourned Debate on Influ.

enza. Tuesday, December 15.KING’S COLLEGE HOSPITAL.—Operations, 2 P.M. ; Fridays and Saturdays

at the same hour.CkBY’s HOSPITAL.-Operations, 1.80 P.M., and on Friday at same hour

Ophthalmic Operations on Monday at 1.30 and Thursday at 2 P.M.ST. THOMAS’S HOSPITAL.-Ophthalmic operations, t P.M.; Friday, 2P.M.ST. MARK’S HOSPITAL.-Operations, 2 P.M.CANCER HOSPITAL, BROMPTON.-Operations, 2 P.M. Saturday, 2 P.M.WESTMINSTER HOSPITAL.-Operations, 2 P.M.WEST LONDON HOSPITAL.-Operations, 2.30 P.M.ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monda?.

2.30 P.M. Skin Department, Monday and Thursday. 9.30 A.M,Throat Department, Tuesdays and Fridays, 1.80 P.M. Electro-therapeutics. same dav. 3 P.M.

LABORATORIES, VICTORIA EMBANKMENT.W.—5 P.M. Dr. Armand Ruffer :Results of Researches carried out at the Laboratories.

PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Mr. J. J. Clarke: LargeFibroma in Small Omentum.-Mr. Raymond Johnson : Patho-logical condition in the Mamma associated with Carcinoma.-Mr.C. F. Beadles : Some Histological Changes in the Breast found inassociation with Carcinoma.-Mr. Herbert Larder: Specimens froma case of Leprosy.-Dr. E. T. Wynne : Subdural Haemorrhage (aseries of Specimens and Drawings).—Dr. H. D. Rolleston : Sarcomaof Duodenum. Card Specimens :—Dr. E. T. Wynne : (1) DiphtheriticDysentery; (2) Polypi of Colon.

Wednesday, December 16.NATIONAL ORTHOPEDIC HOSPITAL.-Operations. 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1.30 P.M.; Saturdays, 2 P.M. Ob-

stetrical Operations, Thursdays, 2 P.M.CHARING-CROSS HOSPITAL.—Operations, 8 P.M., and on Thursday and

Friday at the same hour.ST. THOMAS’S HOSPITAL.-Operations, 1.80 P.M. ; Saturday, same hour.LONDON HOSPITAL.-Operations, 2 P.M. Thursday & Saturday, same hour.’ST. PETER’S HOSPITAL, COVENT-GARDEN.-Operations, 2 P.M.SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operationr,

2.30 P.M.GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 1.30 P.M. ; Skin Depart.

ment, 1.45 P.M.; Saturday, 9.15 A M.ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday.CHILDREN’S HOSPITAL. GREAT ORMOND-STREET.—Operations, 9.80 A.M.

Surgical Visits on Wednesday and Saturday at 9.15 A.MEPIDEMIOLOGICAL SOCIETY OF LONDON. -8 P.M. Sir W. J. Moore:

Famine, the Results and Relief.ROYAL MICROSCOPICAL SOCIETY.-8 P.M. The Hon. J. G. P. Vereker :

On the Resolution of Podura.SOCIETY OF ARTS.-8 P.M. General Pitt Rivers: Typological Museums,

as exemplified by the Pitt Rivers Museum at Oxford.

Thursday, December 17.ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. Surgical Consultationti,

Wednesday, 1.30 P.M. Ophthalmic Operations, Friday, 1.30 P.M.’UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.; Ear and Throat

department, o A.M.NEUROLOGICAL SOCIETY or LONDON (National Hospitalfor the Paralysed

and Epileptic, Queen-square).-8.30 P.M. Clinical Cases.NORTH LONDON MEDICAL AND CHIRURGICAL SOCIETY. - P.M. Ap-

proval of Rules. Election of Officers. Address by Dr. LauderBrunton.

Friday, December 18-ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M.

Saturday, December 19.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P M. I and Skin Depart.

ment, 9.16 A.M.

Notes, Short Comments, & Answers toCorrespondents.

It is especially requested that early intelligence of localevents having a medical interest, or which it is desirableto bring under the notice of the profession, may be sentdirect to this Office.

All communications relating to the editorial business of thejournal must be addressed "To the Editors."

Lectures, original articles, and reports should be written onone side only of the paper.

Letters, whether intended,for insertion or for private informa.tion, must be authenticated by the names and addiresseaof their writers, not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports or news paragraphs should

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

departments of THE LANCET to be addressed "To tlaaPublisher. "

We cannot undertake to return MSS. not used.

WINTER NEEDS OF POOR CHILDREN.

Dtr. John Kirk, Secretary Ragged School Union, writes : "The readersof THE LANCET are well qualified to judge of the winter needs ofthe 60,000 poor children attending our 200 schools and missions.They are food, warm clothing, and very often attendance and care insickness. For the latter we have often, and not vainly, relied uponour many friends in the medical profession. To meet all the com-bined wants of the children, money, gifts of non-perishable food,clothing, boots and shoes are required. We shall gladly welcomeindividual offerings, large or small; also collections from families,students, and others in practical sympathy with poor children.Readers of THE LANCET will kindly note that our offices, long atExeter Hall, are now at 37, Norfolk street, Strand, W.C. ; also thatthe Poor Children’s Aid Society is now incorporated with this Union."

B.-The case is not very clearly stated ; but we gather that the clientèleto which A. has been introduced includes families members of which

belong to clubs attended by B. A. should not visit patients actuallyin the care of B. He is entitled to visit the families referred to, butshould not visit patients under B.’s care, and should willingly cometo an understanding with B. on the subject.

Mr. G. Mathews.-We do not give medical advice. Our correspondentshould consult his medical attendant.

A COUNTY COURT CASE.

To the Editors of THE LANCET.

SIRS,-A case that has only just been settled, referring to attendanceearly in last year, has in it, I cannot help thinking, a few points ofinterest and instruction to general practitioners.The case was one of influenza attacking a man who had previously

bad strong suggestions of organic changes for the worse in his nerve-centres-naturally therefore an anxious one, demanding close attention,evening visits for weeks together, two consultations, &c. Briefly, whenthe account was sent in at the beginning of this year, it was repudiated,I putting the matter into my lawyer’s hands and awaiting events. Theamount was ,g42 15s., of which eventually .619 odd were paid into court,and I was left to sue for the balance. Each side had eminent counsel.Defendant called two medical men to say they would personally havebeen content with half the amount I had charged. The judgesummed up very strongly in my favour, and the jury gave a

verdict practically for the full amount. The rate of charge was7s. 6d. a visit (including medicine), and 10s. an evening visit.The rent of defendant’s house (within a stone’s-throw of my own)was from ,g50 to ;C60. The two chief points of interest seem to meto be : (1) Against apparently hopeless difficulties a good fightinglawyer often succeeds ; (2) the verdict in my favour ought to be ofservice to general practitioners in this neighbourhood. During twenty-two years of general practice one has often bad to refer people to one’ssolicitor ; but I may say that this is, I think, only the third time Ihave had to personally attend at the county court.

I am, Sirs, your obedient servant,Crouch End, N., Dec. 2nd, 1891. F. ORTON, M.D.

A QUERY.To the Editors of THE LANCET.

SIRS,—Can any of your readers inform me of a home or suitableplace for a very distressing case of epithelial cancer of the chest? Thepatient is a poor lady, but she could afford a small weekly payment.

I am, Sirs, yours truly,Dec. 8th, 1891. SURGEON.