payment of hospital physicians and surgeons
TRANSCRIPT
320
You are of course aware, Sir, how the wonderful cures attri-buted to these amulets should be regarded. I need not tellyou that the generality of people are for ever tormented withthe propensity of worshipping some newly-devised super-natural powers; and that they will needs seek the assistanceof mysterious agencies, when they could be relieved moresimply by rational means, based upon practical experience.Who does not remember, that towards the end of the last
century, the so-called age of philosophy, crowds of all ranksflocked to the cemetery of St. Medard, at Paris, to witnessmiraculous cures of paralysis upon the tomb of a saint ?People were, however, soon undeceived, and the cemeterywas closed by order of the magistrates.We all know how glaringly the juggleries of mesmerism
were exposed in France by a scientific committee, presidedover by the celebrated Berthollet, after four years’ careful in-vestigation.
It is well known that homoeopathy, which has had so manyfoolish supporters throughout Europe, is dying away, destroyedby its own absurdities.The votaries of animal magnetism and clairvoyance still
find dupes here and there, though, especially in France, theyare daily brought before courts of law, and punished forswindling.In fine, no one is unacquainted with the fact, that the tenets
of phrenology have been exaggerated and disfigured; that theyhave come down to sleight-of-hand deception; and that theirvagaries have been confuted by sound logical reasoning, andthe ridicule which they richly deserve.
As, however, there are in the world a reat many peopleanxious to investigate for themselves, I shall present themwith the means of constructing, for a few pence, a littlevoltaic apparatus, which far surpasses all those I have namedabove, both by the constancy of its action and the simplicityof its construction. To this I have given the name of VOLTAICLEMON.This galvanic toy, the external and internal portions of
which already constitute three elements of the pile, decom-poses water like the chain, acts powerfully, but in a mediatemanner, on the magnetic needle, precipitates metals, acts onthe muscles and nerves of the eye, &c.; but its direct actionupon the body is extremely weak. The Voltaic Lemon isconstructed in accordance with theoretical laws: it containsin itself the elements of the pile, the exriting acid solution, andthe porous membrane formed by the internal skin of the fruit.The duration of its action depends on the quantity of citricacid fluid contained in the lemon, which fluid, owing to itsgreat abundance, will keep up the activity of the instrumentfor a long period. I may state, without exaggerating, thatthis apparatus offers 1000 times more advantage than thehydro-electric chain. ,
I remain, Sir, yours respectfully,Bentinck-street, Cavendish-square, CHEVALIER LE MOLT.
March, 1852.
PAYMENT OF HOSPITAL PHYSICIANS ANDSURGEONS.
To the Editor of THE LANCET.SIR,—There must have been an error, either in my manuscript
or in the printing of my letter in your number of March 6th.The sums put down as paid to the assistant physicians andsurgeons at St. Luke’s, London Fever Hospital, and Small-PoxHospital, should have been put down as paid to the seniorphysicians and surgeons ; also in the list of dispensaries, we shouldread physician and surgeon for assistant-physician and assistant-surgeon.The error, however, is immaterial, as the real question at issue
is, not how much certain hospitals pay, but what hospitals do notpay at all. In continuation of the list, I have to add-
The Lock Hospital and the Charing-cross Hospital have theunenviable notoriety of being added to the non-paying list.You are quite correct in your statement " that in some of the
institutions named in the second list, the medical officers divideamongst them the fees of students." This is the case also atSt. Bartholomew’s, Guy’s, St. Thomas’s; indeed, this practicemay be taken as the rule at all the metropolitan hospitals. Butit is most important-and I beg to urge this point strongly upon
you-to remember that in no one case do the assistant-physiciansand assistant-surgeons share in this division: only the seniors.Nor have the assistants any claim to a share. We see, therefore,that in the hospitals in the second list, the assistant physiciansand surgeons receive no remuneration in any shape or form. Inthe consideration of the subject, therefore, as respects theassistant physicians and surgeons, the pupils’ fees for hospitalattendance are not to be considered. Even with the full physiciansand surgeons, these fees ought not to be calculated upon, as theiramount varies annually ; indeed, it would add to the dignity ofthe staff if no such fees passed directly into their hands, but wereconsidered hospital property, and an equivalent salary given toboth seniors and assistants. There would be more independenceof feeling in both parties.When the time comes-and, sooner or later, come it will-that
all the hospitals and other charitable institutions shall pay theirmedical staff, arrangements must ensue between the seniors andjuniors; for of course the assistants cannot be paid directly fromthe funds, or any other fund, of the hospital, without the concur-rence of the seniors; but which of course would be at once grantedby the latter, and, therefore, any necessary arrangement on thispoint may be safely left to the parties principally concerned.
I see that there is already organized, in St. Mary’s Hospital, aninstitution which has not yet been one entire year in workingorder, a " Clerical Endowment Fund." I have no invidious
feeling on this matter, and I disclaim all desire to contrast’ spiritual with medical advice given in hospitals; but I cannot. forget that those institutions were, and are, not established for the
former, but essentially for the latter purpose; therefore, à fortiori,the medical staff deserve remuneration ; and we can only
i attribute the previous neglect of the public to an imperfect know-ledge of the facts.
I am, Sir, your obedient servant,r SPES.
THE TORY ADMIRALTY AND NAVAL-ASSISTANTSURGEONS.
To the Editor of THE LANCET.SIR,—I have, with great regret, perused in THE LANCET of
March 13, a letter on the subject of the Assistant-Surgeons ofthe Royal Navy, by a correspondent who styles himself" Amicus Justitise." Were the writer really what his signa-ture implies, he would be aware that he has no right to pre.judge a cause, especially when the party accused has hadneither time nor opportunity for reply. It is, to say the veryleast, an extremely ill-timed production, and one calculatedgreatly to injure the question he appears to have at heart.None of the present Admiralty have ever given an officialopinion on the subject; and until that has been heard, wemust not condemn them.Much, in my humble opinion, may be expected from the
new Board, which is generally acknowledged by all, except" Amicus Justitise," to be one of the most efficient of moderntimes. The Duke of Northumberland, the First Lord, is wellknown as a most liberal-minded nobleman, of high acquire-ments, and a patron of literature and science. AdmiralParker is universally allowed to be one of the most active-minded and indefatigable officers in the service, and certainlylittle deserving of the ungenerous, little-minded allusions tohis bodily infirmities, contained in the letter; and none of theother new members of the Board have ever, as far as I amaware, done anything to prejudice naval medical officersagainst them. I am certain that I am uttering the deliberateopinion of a large majority of those most immediately con-cerned, when I say that our prospects are a hundredfoldbetter under the present, than they were under the lateadmiralty.
In conclusion, I wish, for a moment, to advert to the ex-tremely injudicious behaviour of many, who in their headlongand intemperate zeal for attaining their end, never for amoment reflect whether the means they are employing becreditable or advisable. I am constrained to speak thusstrongly,from the great mischief I have myself seen effectedby such conduct. I have met some fiery enthusiasts whobreathe nothing but fire and sword, not only against thosewho differ from them in opinion,-which they never allow tobe done conscientiously,-but even against more temperatepersons, who will not proceed to the same lengths as themselves.
’ Others make use of unguarded language; introduce the subjecton all occasions, and into all societies, and make not onlythemselves to be regarded as nuisances, but likewise bringgreat discredit on the whole of the body to which theybelong. The cause which we all believe in, and adhere to,
will never be advanced by such persons; on the contrary, it is