the position of the medical profession
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Revenue would indorse the age of matured spirit by meansof certificates attached to the labels. The authorities mustknow from the books of the distillers that the whisky is ofthe age that it is represented to be. Such a system of controlneed not be feared by the grain spirit industry, since theyare confident in their view that grain spirit or a blend
of whisky and grain spirit is preferred by the public or
is held by them to be more wholesome than an all-malt
spirit. Oddly enough, however, the dealer in grain spirittrembles at the idea of such an innovation, judging fromthe views expressed by writers in the trade journals.We can never understand why vendors have such an
objection to describe their goods accurately when they holdat the same time that they supply these goods in accord-ance with the demands or the preference of the consumer.In the same way, however, margarine is often maintained
to be a better food than butter and yet the temptationcannot be resisted at times to label it butter. We still
maintain that the consumer should have some guarantee ofthe nature, substance, and quality of the beverage which heis drinking as well as of the food which he is eating ; andin accordance with this principle, the morality of which
nobody can honestly gainsay, some plan is called for whichshall help him to gain the genuine article. Surely it is nottoo much to maintain that the Government should take the
lofty view in this manner and encourage honest dealing.Honest dealing is open to everybody and therefore it is
absurd to say that by adopting a system of Government
guarantee an unfair monopoly would be created.
BACTERIAL LIGHT.
A TELEGRAM through Reuter’s Agency was published inthe daily papers on March 16th announcing the discoveryby a professor in Prague of a lamp lighted by means of
bacteria. We suppose that the discovery amounts to an im-proved method of feeding photogenic bacteria, the existenceof which has been known for some years. In THE LANCETof Oct. 13th, 1900, p. 1087, for example, we published par-ticulars which would enable anyone to demonstrate for him-self the properties of phosphorescent bacteria. The experi-ment is quite simple and easily succeeds. All that is
necessary is to place the flesh of fresh haddocks or herringsin a 2 or 3 per cent. solution of common salt, keepingthe mixture at a temperature of about 70 C. above
freezing point. After a few days it will be found that notmerely the flesh of the fish but also the whole of the liquidin which it is immersed gives off a pale greenish light whichbecomes much more brilliant if a little sugar is added.We remarked at the time of writing these particulars that" it is not possible to say whether the culture will ever becarried to such a pitch that the vessel containing it may beused with advantage as a street lamp or a lamp uponour tables, or as a Chinese lantern at our garden parties."Doubtless by paying attention to the needs of these specificbacteria-by employing, for example, highly stimulating food-more intense light than was hitherto the case has beenobtained. It is even suggested that the bacterial light mightafford a safety lamp for the miner.
THE POSITION OF THE MEDICAL PROFESSION.
A WRITER in Baily’s Maga--ine of Sports and Pastimes-anunexpected quarter, by the bye, for serious treatment of aprofessional question-discourses in the February numberupon the position of the medical profession in this countryand the modes of entering it." As to the latter portion of
this subject the writer merely details, as might be expected,the various universities and examining bodies, giving someadditional information as to length of curriculum and suchmatters in the various instances. In his estimation of the
position of our profession, however, this writer lays himself
open to controversy, although in the main we agree with hisconclusions. No one can deny that, politically speaking, themedical profession in Great Britain is non-existent. The few
individual Members of Parliament who are also medical mencombine the qualities by mere coincidence. As medicalmen their position in Parliament is no different from thatof any other Member. As a political force, in fact, the
medical profession does not count. Medicine has no
Minister and the medical profession as a professionis unrepresented in the councils of the State. Comparethis state of matters with that which obtains in the
professions of the ecclesiastic and the lawyer. Practicallyever since there was a Parliament in England the Archbishopof Canterbury and the Lord Chancellor have sat in that
Parliament. Moreover, besides the Lord Chancellor there areother law officers of the Crown. But as to social position wedo not agree with the idea of the writer. In our opinion thesocial position of the medical profession is not, <*6?’M
various, as a rule, lower than that of members of either ofbhe other two learned professions. With the suggestionsEor the raising of the status of the profession which9.re laid down in the article before us we cannot alto-
gether concur. The one-portal system-i.e., an examinationin addition to the examinations held by the universitiesind other bodies and analogous to the State examina-tion " of foreign countries-may come-some day. It wouldsolve many practical and professional difficulties and is thereform for which all interested in British medicine should
work. There is certainly room for greater State encourage-ment of scientific research, but we cannot understand how:t practitioner is to be debarred from dispensing his ownmedicines or restricted in his midwifery practice.
DRAINAGE OF THE PERICARDIUM.
THE first suggestion to evacuate the fluid in a case of
pericardial effusion was made more than 250 years ago, forRiolan in 1648 in his Eucheiridium Anatomicum " advo-ated tapping the pericardium through a trephine opening injhe sternum. The recommendation was repeated 100 years.ater by Senac, though he advised that the opening should:)e made to the left of the sternum where the left pleura.eaves a vacant space. In spite of repeated suggestions thataracentesis or incision of the pericardium should be made.n cases of serous or purulent effusion it does not appearjhat any surgeon ventured to put into practice any of;he procedures advised until, in 1798, Desault endeavouredo incise the pericardium in a case which had been dia-gnosed as pericarditis with effusion, but unfortunately it
proved to be a localised pleurisy situated in front of thepericardium. The first successful incision of the pericardiumappears to have been performed by Romero of Barcelona inL819. He made an incision between the fifth and sixth ribsm the left side opposite the junction of the ribs and
cartilage, but as he does not seem to have wounded thepleura some have doubted whether the effusion was reallypericardial. For serious effusion the use of a trocar or
ispirator is usually sufficient and this operation has now3een performed a large number of times. Incision is seldom
-esorted to now unless the fluid is purulent or it is desiredo drain the pericardial sac. A very important case of
irainage of the pericardium was recorded by Dr. SamuelWest in 1883. In this case over 80 ounces of pus escapedi,nd recovery ensued. At the present time there is a lack)f unanimity as to the best route by which to approachhe pericardium. Usually the fourth or fifth space is
hosen for the incision and a portion of the fifth rib
may or may not be resected. In the present number ofrHE LANCET a case is reported from St. George’s Hospitalwhich was under the care of Dr. Arthur Latham and Mr.H. S. Pendlebury in which the pericardial cavity was greatly