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. LEEDS INFECTIOUS DISEASES HOSPITAL, Seacroft.-Assistant ResidentMedical Officer. Salary E160 per annum, with board. lodging, andattendance.

LEEDS UNION INFIRMARY, Beckett-street.-Assistant Medical Officer,unmarried. Salary oC120 per annum, with board, washing, apart-ments, and attendance.

LENZIE, WOODILEE ASYLUM. Junior Assistant Medical Officer. SalaryE125 per annum, with board, washing, &c.

LINCOLN COUNTY I[IOSPITAL. -Junior House Surgeon, unmarried, forsix months. Salary .830. with board, residence, and washing.

LISTER INSTITUTE OF PREVENTIVE MEDICINE.-Jenner MemorialStudentship. Value oC150.

LIVERPOOL, ROYAL SOUTHERN HospiTAL. Resident Pathologist andRegistrar. Salary oClOO, with board and residence.

LmmoN HOSPITAL, Whitechapel, E.-Surgeon-Dentist.NEWPORT AND MONMOUTHSHIRE HospiTAL. Junior Resident Medical

Officer. Salary oCSO per annum, with board, residence, andlaundry.

NORFOLK AND NORWICH HOSPITAL.-House Surgeon. Salary .880 perannum, with board, lodging, and washing. Also Two AssistantHouse Surgeons for six months. Salary oC20, with board, lodging,and washing.

NORWICH, JENNY LIND INFIRMARY FOR CHILDREN, Unthank-road.-Resident Medical Officer (female). Salary E50 per annum, withboard, residence, and laundry.

OXFORD, RADCLIFFE INFIRMARY AND COUNTY HOSPITAL. -HouseSurgeon, also Junior House Surgeon, both for six months, andunmarried. Salaries at rate of .cSO and B40 per annum, withboard, &c.

PERTH ROYAL INFIRMARY.-House Surgeon. Salary .860, with board.PLYMOUTH, SOUTH DEVON AND EAST CORNWALL HOSPITAL. House

Physician for six months, renewable. Salary .650, with board,residence, and washing.

PRINCE OF WALES’s GENERAL HOSPITAL, Tottenham, N.-Honorary IAnaesthetist.

QUEEN CHARLOTTE’S LYING-IN HOSPITAL. Marylebone road, N.W.- Resident Medical Officer for four months. Salary at rate of .cOO perannum, with board, residence, and washing.

ROTHERAM HOSPITAL AND DISPENSARY.-Senior House Surgeon, alsoAssistant House Surgeon. Salary 2110 and .cSO per annum re-

spectively, with rooms, commons, and washing.ROYAL DENTAL HOSPITAL, Leicester-square, W.C.-Clinical Pathologist

and Demonstrator on Bacteriology. Stipend E75 a year.ROYAL EYE HOSPITAL, St. George’s-circus, S.E.-Refraction Assistant.

Salary 240 per annum. Also Clinical Assistants.ROYAL NATIONAL ORTHOPEDIC HosPITAL.-Honorary Assistant Anoes-

thetist.SALFORD UNION INFIRMARY, Hope, Pendleton.-Resident Medical

Officer. Salary B130 per annum, with apartments and attendance.STAFFORD, STAFFORDSHIRE COUNTY ASYLUM.-Assistant Medical

Officer, unmarried. Salary .8150, rising to .8200, with apartments,board, and washing.

STOCKPORT INFIRMARY.-Assistant House and Visiting Surgeon.Salary oCao per annum, with board, washing. and residence.

STOKE-ON-TRENT, NORTH STAFFORDSHIRE INFIRMARY AND EYEHc SPITAL, Hartshill.-Junior House Surgeon. Salary 250 perannum, with board, apartments, and washing.

SUNDERLAND INFIRMARY.-House Physician and Pathologist, alsoHouse Surgeon. Salary in each case -E80 per annum, with board,residence, and washing.

TAUNTON AND SOMERSET HosprTAL. Taunton.-House Surgeon. SalaryoC100 per annum, with board, lodging, and laundry.

TuNBBiDCrB WELLS GENERAL HOSPITAL.-House Surgeon, unmarried.Salary JE100 per annum, with board, apartments, gas, firing, andattendance.

WEST BROMWICH DISTRICT HOSPITAL.-Senior House Surgeon, un-married. Salary £ 110 per annum, with, board, residence, and laundry.Also Assistant House Surgeon, unmarried. Salary JE75 per annum,with board, residence, and laundry.

WEST HAM INFIRMARY, Whipps Cross-road, Leytonstone, N.E.-Medical Superintendent. Salary at rate of L700 per annum, withhouse, light, and coal.

WESTERN GENERAL DISPENSARY, Marylebone-road, N.W.-HonoraryAnaesthetist.

YORK DISPENSARY.-Resident Medical Officer, unmarried. Salary R120a year, with board, lodging, and attendance.

Births, Marriages, and Deaths.BIRTHS.

DAY.- On July 12th, at Wetherby, Yorkshire, the wife of W. F. L. Day,M.B., B.C., M.R.C.S., L.R.C.P., of a son.

KEEmNG.-Cn July 12th, at Market Bosworth, Nuneaton, the wife ofHugh N. Keeling, M.R.C.S. Eng., L.R.C.P. Lond., of a son.

NEwBOLT.-On July 16th, at 42, Catharine-street, Liverpool, the wifeof George Palmerston Newbolt, F.R.C.S., of a daughter.

THOMPsoN.-On July 16th. at 3, Park Place-gardens, Paddington, W.,the wife of Dr. Peter Thompson, King’s College, London, of a son.

MARRIAGE.GLANVILLE-BELL.-On July llth, at Hampstead Parish Church, by

the Rev. Maurice E. Hoets, vicar of Weston, Bath, uncle of thebride, assisted by the Rev. Brook Deedes, vicar of the parish,William M. G. Glanville, M.B., B.Ch. Oxon., of Guyon House,Hampstead, elder son of the late Rev. J. F. M. Glanville and ofMrs. Glanville of Bristol, to Muriel, eldest daughter of EdwardBell of The Mount, Hampstead.

DEATH.DUNSMuRE.-On July 15th, at Queen-street, Edinburgh, James

Dunsmure, M.D., LL.D., F.R.C.S E.

yjS. fee of 58. is charged for the insertion of Notices ofBirth8,Marriages, and eaths.

Notes, Short Comments, and Answersto Correspondents.HORSE v. OX TONGUE.

THE medical officer of health of Stepney, Mr. D. L. Thomas, drawsattention in a recent report to the fact that a horse’s tongue is hardlyever seen exposed for sale as cat’s meat. lIe asks, what happens toall the tongues of all the horses slaughtered in London every year.There should be no difficulty in distinguishing between the two, forthe tongue of the ox has a narrow end and a rough upper surface,while that of the horse has a broad end and a smooth uppersurface. In our opinion it is quite possible that many of the

tongues sold as ox tongues are really those of the horse.If a tongue be boiled, pickled, smoked, and the outer epi-thellal surface be removed by scraping we doubt whether any-one could tell if it were that of the horse or the ox. The differencein the shape of the ends is easily concealed by pressing and

rolling. We have never consciously eaten the tongue of a horse,but there is no reason why it should not be just as good as that ofthe ox, provided that both came from healthy animals. Substitutionin food is a common trade deception. Thus, so-called turbot is

frequently some other fish and in many cases the fish sold as whitingis really the whiting pout and not the silver whiting. The substi-tute is in this last case just as wholesome and of very nearly thesame flavour, but in the case of the turbot no other fish has thesame flavour. Nevertheless, the buyer should get what he asks for.

AN ETHICAL POINT.

To the Editors of THE LANCET.

SIRS,-I shall be glad if you will give me your ruling on this case,whether I acted in accordance with the ethical rule of the profession ornot. A lady sent her maid to see me a few weeks ago. She was anaemicand had a history of amenorrhoea extending over a period of sevenmonths. I asked if there was any chance of her being pregnant. Thisshe with great warmth denied. I gave an aperient iron mixture andwhen seeing her mistress did not mention my suspicion. I stated shewas being treated for the aneemia. Last week I was hurriedly sum-moned and found the lady from home and the maid in labour. Whentold her condition the maid said that it was quite impossible. I senther home and now the mistress says it was my duty to mention mysuspicion to her as she was paying the fee.

I am, Sirs, yours faithfully,July 14th, 1907. M.D.

** The duty of the medical man seems to us to be first towards hispatient. We know the difficulty which arises when applying thisrule in cases where an employer is the client and is paying thepatient’s fees, but we still consider that the rule holds good. Wethink M.D. would have been wrong to mention his suspicion.-ED.L.

A BLATANT ADVERTISEMENT.

WE have received from a medical correspondent a leaflet which he sayswas handed in at his house. This leaflet sets out, in the regularquack style, the accomplishments of a Mr. Halliday of Queen-street,Heckmondwike, thus: "Mr. H. being a Surgeon Accoucheur,Licentiate in Midwifery and Diseases of Women and Childran of theCoombe Lying-in Hospital, Dublin, Dispensing Chemist, &c., &c.,and having been engaged 38 years in the practice of Medicine byBotanic Remedies, is enabled to perform a cure in very many caseswhen all other treatment has failed." "Mr. H." then proceeds toask the usual questions of his kind about the symptoms of chronicdyspepsia. " Have you pain or wind on the stomach? Have youSickness, Headache, Dizziness, Sour Risings in the Mouth aftereating, with aching pains between the Shoulder Blades ? and soon. If Mr. Halliday is a Licentiate in Midwifery of the CoombeLying-in Hospital of Dublin, the authorities of that institution hadbetter point out to him that such advertisement is not suitable. Ifhe declines to alter his ways they might consider the advisability ofremoving his name from the register of the hospital.

THE HASTINGS, ST. LEONARDS, AND EAST SUSSEXHOSPITAL.

THERE has recently been a good deal of discussion between the staffand governors of the Hastings, St. Leonards, and East Sussex Hos-pital respecting the qualifications required for the office of physicianto the hospital. Until recently the rule regulating the appointmentran: "No person shall be elected to the office of physician usless hebe a Fellow, or Member by examination, of the Royal College ofPhysicians of London, Edinburgh, or Ireland, and be a graduate inmedicine of one of the Universities of the United Kingdom, andbe also duly registered under the Medical Acts."’ Until 1904the same rule applied to the assistant physician, but a difficultyhaving then arisen in filling that office it was agreed that a

medical degree of the United Kingdom should be made a sufficientqualification for it. The matter was recently revived by the resigna-tion of Dr. Frederick Bttgshawe after 35 years’ service, when there wasfound to be no active practitioner in the town with the necessaryqualification for the post of physician. The whole of the hospital

204

staff, with the exception of Dr. Bagshawe, was in favour of rescind-ing the " Membership" qualification, as was the general body ofpractitioners in the town, who opposed the introduction of anothermedical man for the sole purpose of filling a hospital post. On

July 4th an extraordinary meeting of governors was held at thehospital to consider the motion that in the above rule theword "or" should be substituted fo the word "and." Therewas a large attendance which was addressed by Mr. Cecil

Christopherson who proposed the motion and other members of thehospital staff and governing body who supported it. Dr. Bagshawe,Dr. Norman Moore, and Lieutenant-Colonel Whittle spoke againstit, arguing that the hospital would lose some of its status by the pro-posed alteration. The meeting was, however, thoroughly convincedby the arguments in favour of the change, the chief of which con-sisted in a citation of the arrangements at similar principal hos-pitals and its expediency in meeting the local professional condi-tions. It was agreed, moreover, that the hospital could he mostefficiently conducted by medical graduates at present practising inthe town. The motion was accordingly carried by a large majority.

COLOTOMY-CONSTIPATION.

To the Editors of THE LANCET.

SlES, Would any of your readers kindly suggest drugs or othertreatment for a colotomy case (the operation was not for malignantdisease) where the bowels are obstinately constipated and not respon-sive to even strong drugs-e.g., two-thirds of a grain each of aloin andjalapin at bed-time. The effect of cascara is uncertain and unsatis-

factory and calomel (one or two grains) followed by saline too purga-tive, producing liquid evacuations only. Dietarywith fruits, vegetables,and brown bread is useless for a daily move. What is required is a drugor treatment which will produce daily one or two pultaceous motionsbefore midday. Is it possible to adopt any treatment which wouldachieve this end ? The general health of the patient is fair.

I am, Sirs, yours faithfully,July 15th, 1907. THE SUFFERER (A MEDICAL MAN).

A GARBAGE MONGER HEAVILY FINED.

Ernest Henry Harrison, a butcher of Holbeach St. John’s, Lincoln-shire, was recently fined R20 at the Guildhall police court in respectof each of three carcasses of pigs consigned by him to the LondonCentral Meat Market. The evidence of Dr. W. Collingridge was thatwhen he saw the carcasses they were "obviously" unfit for human food,and even the defendant, who swore that he believed them to be soundadmitted that when he sent them he realised that they were not ofprime or first-class quality. The alternative of going to prison fora month was given him should he not pay the fines, amountingto R60 with B4 14s. 6d. costs, inflicted by Alderman Sir GeorgeSmallman who was informed before he passed sentence that thedefendant had been cautioned several times as to the doubtful

quality of meat which he had consigned to the market.

A PLEA FOR VENESECTION.

To the Editors of THE LANCET.

SIRS,-The painful incident, which has ,just occurred, of a Member’ssudden death in the House of Commons tragically draws attention tothe reluctance of the medical profession nowadays to practise vene-section. Quoting from the papers I learn that " Sir Alfred lookedvery flushed and that

" a hypodermic injection of ether was made.’Without doubt such a patient 80 years ago would have been bled

freely, and probably with benefit. The article under " LookingBack " in your journal of June 15th is instructive in comparison.

I am, Sirs, yours faithfully,July 10th, 1907. G. P.

A STUDENT’S COMPLAINT.

To the Editors of THE LANCET.

SIRS, In these times when the medical student has so much readingto do his labours are added to by many publishers putting books beforehim which are anything but a comfort to read. They use shiny paper,the type is too close together, is too faint and indistinct. The " thickdown-strokes and thin up-strokes " kind of letter is distinctly irritatingto the sight. Americans and Germans err more than we English butI am afraid the tendency is growing here to imitate their book faults.If your reviewer when noticing books in your columns would condemnall books sent to him which were not printed upon dull paper andwith good, square. heavy type he would do a great service to not onlythe reader but to the authors themselves whose labours are often

spoilt by the printing and paper of the books they write. Some thinkthat if a large type is used that is sufficient. It is not the size but the

shape of the letter which makes for distinctness. The idea seems to be

nowadays to cram as many letters into a line as possible.I am, Sirs, yours faithfully,

July 13th, 1907. SIGHT NORMAL.

*.* We sympathise with the criticisms of our correspondent, whowill find some remarks bearing upon the subject in THE LANCET ofOct. 20th, 19C6. The use of shiny paper is rendered necessary by thevery general employment of half-tone blocks for illustrations. Theseare much cheaper and in some cases more satisfactory than the oldline blocks, and there is a very considerable advantage to the readerin having the illustrations in the text. It is difficult therefore to

suggest a remedy, though every endeavour should be made to usethe more legible kinds of type, and in this respect, as our corre-spondent says, our books compare favourably with foreignpublications.-ED. L.

THE COST OF A UNIFORM FOR THE ARMY MEDICALRESERVE. .

To the Editors of THE LANCET.

SIRS, In answer to your correspondent’s query in THE LANCET-of June 29th, the articles required are : Khaki breeches and

tunic, one pair puttees, six collars for uniform, one pair brownboots with plain toe-caps (heavily nailed), forage cap, andSam Browne belt. The cost comes to under £ 10. No sword is

required, and to get one is merely wasting 23 5s. Officers should takedown their civilian evening dress and a lounge suit. If they do notspend much on outside amusements, such as tennis, boating, &c., theywill make a clear profit of about ,c24 on the two months besides havinga very good time. I am, Sirs, yours faithfully,July 15th, 1907. A. B. C.

SPEED VERSUS COMFORT ON RAILWAYS.

To the Editors of THE LANCET.

SiBS, Referring to a letter under this heading in THE LANCET ofJuly 6th, signed " An Occasional Traveller," and his reference to my24 hours’ drive at Brooklands, my drive was undertaken for thepurpose of making some interesting tests: first, as to whether one

person could give the necessary concentration to drive 60 m.p.h. for 24.hours continuously; and secondly, to prove that a British made motor-car could travel at a high rate of speed for a longer time continuouslythan any other vehicle had ever run during the history of the world.Both these points were proved, and I think it was no disadvantage to.the whole British motor industry that the drive was undertaken.Your correspondent’s statement that he could make a motor-car

travel a greater distance without a driver is interesting, and I shall bevery pleased to lend him a car similar to that which I used if he willundertake the test he suggests he can make forthwith. Personally, fdoubt his ability to make good what he suggests he can do.

I am, Sirs, yours faithfully,New Burlington-street, London, W., July 15th, 1907. S. F. EDGE.

0

Alpha.-We are sorry to be unable to construe the meaning of thefigures.

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

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (22nd).-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.), City Orthopedic (4 P.M.), Gt. Northern Central (2.30 P.M.),West London (2.30 P.M.), London Throat (9.30 A.M.), Royal Free(2 P.M.), Guy’s (1.30 P.M.), Children, Gt. Ormond-street (3 P.M.),St. Mark’s (2.30 P.M.).

TUESDAY (23rd).-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.), 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

1 (2.30 P.M.), Cancer (2 P.M.), Metropolitan (2.30 P.M.), London Throatj (9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat, Golden-

square (9.30 A.M.), Soho-square (2 P.M.), Chelsea (2 P.M.), CentralLondon Throat and Bar (2 P.M.), Children, Gt. Ormond-street(2 P.M.. Ophthalmic, 2.15 P.M.), Tottenham (2.30 P.M.).

WEDNESDAY (24th).-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 Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Gt. Northern Central (2.30 P.M.), West.minster (2 P.M.), Metropolitan (2.30 P.M.), London Throat (9.30 A.M.),Cancer (2 P.M.), Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.),Royal Ear (2 P.M.), Royal Orthopaedic (3 P.M.), Children, &t.Ormond-street (9.30 A.M., Dental, 2 P.M.), Tottenham (Ophthalmic.2.30 P.M.).

THURSDAY (25th).-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-WestLondon (2 P.M.), Gt. Northern Central (Gynaecological, 2.30 P.M.).Metropolitan (2.30 P.M.), London Throat (9.30 A.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Guy’s(1.30 P.M.), Royal Orthopaedic (9 A.M.), Royal Bar (2 P.M.), Children,Gt. Ormond-street (2.30 P.M.), Tottenham (Gynaecological, 2.30 P.M.).

FRIDAY (26th).-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.), CharingCross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’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 (9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.). Throat,Golden-square (9.30 A.M.), City Orthopaedic (2.30 P.M.). Soho-square(2 P.M.), Central London Throat and Ear (2 P.M.), Children. Gt.Ormond-street (9 A.M., Aural, 2 P.M.), Tottenham (2.30 P.M.),St. Peter’s (2 P.M.).

SATURDAY (27th).-Royal Free (9 A.M.), London (2 P.M.), Middlesex(1.30 P.M.), St. Thomas’s (2 P.M.), University College (.15 A.M.),Charing Cross (2 P.M.), St. George’s (1 P.M.), St Mary’s (10 P.M.),Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.), Children, Qt.Ormond-street (9.30 A.M.).