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MEDICAL STRIKE IN PARIS.
121
extending from the costal margin to the iliac crest. It was seat of fermentative changes. Inflammation follows as a firm, dull, and moved with respiration. Intussusception was natural consequence. In this comprehensive and moderate suspected and laparotomy performed. The mass was found statement we shall probably find the nearest approach to of a malady the clinical aspect of which is, as a to be an accessory lobe of the liver. The intestines and periDeath were occurred next toneum healthy. morning. Only rule, sufficiently obscure. was which took allowed, place forty hours partial necropsy
explanation
The middle third of the pancreas and its immediate surroundings were found deeply infiltrated with blood. Microscopic examination disclosed nothing more, as the organ was so much decomposed. Bacteriological examination showed the presence of only one form, a bacillus resembling those of the proteus group. The bacillus coli communis was carefully sought for. after death.
MEDICAL STRIKE IN PARIS.
__
"THE LANCET" RELIEF FUND.
THE Application Form"of THE LANCET Relief Fund will be found in our present issue, and can be readily detached should occasion arise for its use. We again take the opportunity of asking those of our readers who may have occasion to employ the form or to sign one of the required accompanying certificates to carefully note the conditions on which applicants become entitled to a participation in the benefits of the Fund. All applications should be made to the Secretary, Mr. Edward Davies, THE LANCET Offices, 423, Strand, London.
THERE is a "doctors’ strike"in Paris which opens out the whole question of fees for attending the poor and indigent. The Prefecture of Police had established what was called a A NEW THEORY OF CANCER. night medical service, and certain practitioners appointed A CORRESPONDENT sends us a. pamphlet printed at Glasgow for this purpose were to hold themselves ready to go out at night whenever called upon for some emergency. As this entitled, " A New Theory of Cancer, with its probable Cause service was to be rendered only to poor people the and Cure ; or, the Answer to a Twelve Years’ Prayer." This medical officers were to receive a fee of 10 francs from the effusion, which is, we believe, written by Mr. Coyle, municipality. The authorities, however, did not calculate L.F.P.S. Glasg., is a compound of some medical knowledge intermixed with passages of the sort of stuff we find in on the great number of poor who dwell in Paris and on the frequency with which these emergencies arise. Thus "Dreams"" or " The Book of Mormon." As Mr. Coyle is, we it has been found that these 10 franc fees amount in all fancy, the defendant in an action in which the statements to a very large sum, and the Prefect proposes to replace contained in the pamphlet in question are to be brought them by a regular income. This has been fixed at 600 francs, forward we must at present refrain from any further comment. or £24, per annum, a sum which is quite sufficient for the medical men who live in wealthy districts, where there DEATH FOLLOWING VACCINATION. are not many poor people who would require their services. THE post hoe ergo propter hoe fallacy has never been more In the eleventh arrondissement, however, this would reduce than in alleged deaths from vaccinao the medical fee from 10 francs to an average of 3 francs and I abundantly exemplified tion. Again and again inquiry has shown that the real the four medical officers of this district have given in their cause of the death of an infant has not the remotest conresignations rather than submit to be constantly called out nexion with a vaccination which has been performed at a at night for a fee which is little less than half-a-crown. The date more or less approximate to the fatal illness. On the Prefect laughs at this strike, for he thinks that for one other hand, it is well to recognise that injuries are caused medical man who resigns there are scores of others who and that this operation, trivial as it may will only be too glad to take up the position. It remains to by vaccination, never be undertaken in a weakly subject or should be seen, however, what the Paris Medical Syndicate, with its appear, without every safeguard. A case was recently investigated 600 members and its seventy provincial branches, will have a coroner’s jury at Southampton where a child five to say on thematter. Perhaps, in spite of this syndicate, by months of age died on Dec. 21st after a brief illness from the medical men will be defeated ; but, whether they win or what the medical evidence showed was lose, the incident will in any case teach them the value of The infant had been vaccinated on Dec. septic poisoning. 9th, having six organisation. weeks previously suffered from bronchitis. There was no inflammation of the arm, but the site of vaccination became THE CAUSES OF APPENDICITIS. discoloured, and the medical witness who made the post. SOME points of interest in connexion with the pathogeny mortem examination considered that this was the cause of of appendicitis were discussed at a recent meeting of the the septicaemia. We are bound to say that there is very little French Societe de Chirurgie. The view of M. Dieulafoy,evidence to support this theory, especially as there was proof that the disease is a consequence of constriction with closureof exposure to inhalation of sewer air. of the appendix and the consequent retention of morbid material within it, did not find much favour. On the RAPIDLY GROWING OVARIAN CYST. contrary, several speakers referred to the frequent existence A rozrrT of great interest in the case of ovarian cyst detailed of this condition without appendicitis, and at the same 1 time mentioned cases in which they had found a by Mr. Butler-Smythe in another column is the evidence perfectly permeable appendix to be the seat of in-which it affords as to the rapid growth of an ovarian cyst. At flammation. The general opinion of those who took tthe earlier operation the right ovary was taken into the hand part in the discussion was that appendicitis is usually aand carefully examined and nothing was then seen to be v with it ; and fourteen months later, when the patient only the local expression of a more or less general entero-wrong colitis. The theory of M. Reclus is worth quoting as a more was v confined, the ovary was still apparently normal, for though detailed statement of these opinions. According to him the aa small cyst might easily have escaped notice unless the problem of causation is capable of a double solution-(I) as aabdomen had been specially examined, yet a large cyst being related to the presence of an actual foreign body in the ccould not possibly have been overlooked. About ten weeks appendix, a condition of course hostile to spontaneous aafter this the tumour had attained a size sufficient to hold recovery, and (2) as explained by a "theory of stagnation." t] thirty pints of fluid. We are so little acquainted with the This view regards the appendix and in a less degree the laws 11 governing the secretion of liquid in cystic tumours that cacum as diverticula which readily allow the accumulation we are utterly unable to say why in one case a cyst may be within them of organic fluids, these in turn becoming the s
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extending from the costal margin to the iliac crest. It was seat of fermentative changes. Inflammation follows as a firm, dull, and moved with respiration. Intussusception was natural consequence. In this comprehensive and moderate suspected and laparotomy performed. The mass was found statement we shall probably find the nearest approach to of a malady the clinical aspect of which is, as a to be an accessory lobe of the liver. The intestines and periDeath were occurred next toneum healthy. morning. Only rule, sufficiently obscure. was which took allowed, place forty hours partial necropsy
explanation
The middle third of the pancreas and its immediate surroundings were found deeply infiltrated with blood. Microscopic examination disclosed nothing more, as the organ was so much decomposed. Bacteriological examination showed the presence of only one form, a bacillus resembling those of the proteus group. The bacillus coli communis was carefully sought for. after death.
MEDICAL STRIKE IN PARIS.
__
"THE LANCET" RELIEF FUND.
THE Application Form"of THE LANCET Relief Fund will be found in our present issue, and can be readily detached should occasion arise for its use. We again take the opportunity of asking those of our readers who may have occasion to employ the form or to sign one of the required accompanying certificates to carefully note the conditions on which applicants become entitled to a participation in the benefits of the Fund. All applications should be made to the Secretary, Mr. Edward Davies, THE LANCET Offices, 423, Strand, London.
THERE is a "doctors’ strike"in Paris which opens out the whole question of fees for attending the poor and indigent. The Prefecture of Police had established what was called a A NEW THEORY OF CANCER. night medical service, and certain practitioners appointed A CORRESPONDENT sends us a. pamphlet printed at Glasgow for this purpose were to hold themselves ready to go out at night whenever called upon for some emergency. As this entitled, " A New Theory of Cancer, with its probable Cause service was to be rendered only to poor people the and Cure ; or, the Answer to a Twelve Years’ Prayer." This medical officers were to receive a fee of 10 francs from the effusion, which is, we believe, written by Mr. Coyle, municipality. The authorities, however, did not calculate L.F.P.S. Glasg., is a compound of some medical knowledge intermixed with passages of the sort of stuff we find in on the great number of poor who dwell in Paris and on the frequency with which these emergencies arise. Thus "Dreams"" or " The Book of Mormon." As Mr. Coyle is, we it has been found that these 10 franc fees amount in all fancy, the defendant in an action in which the statements to a very large sum, and the Prefect proposes to replace contained in the pamphlet in question are to be brought them by a regular income. This has been fixed at 600 francs, forward we must at present refrain from any further comment. or £24, per annum, a sum which is quite sufficient for the medical men who live in wealthy districts, where there DEATH FOLLOWING VACCINATION. are not many poor people who would require their services. THE post hoe ergo propter hoe fallacy has never been more In the eleventh arrondissement, however, this would reduce than in alleged deaths from vaccinao the medical fee from 10 francs to an average of 3 francs and I abundantly exemplified tion. Again and again inquiry has shown that the real the four medical officers of this district have given in their cause of the death of an infant has not the remotest conresignations rather than submit to be constantly called out nexion with a vaccination which has been performed at a at night for a fee which is little less than half-a-crown. The date more or less approximate to the fatal illness. On the Prefect laughs at this strike, for he thinks that for one other hand, it is well to recognise that injuries are caused medical man who resigns there are scores of others who and that this operation, trivial as it may will only be too glad to take up the position. It remains to by vaccination, never be undertaken in a weakly subject or should be seen, however, what the Paris Medical Syndicate, with its appear, without every safeguard. A case was recently investigated 600 members and its seventy provincial branches, will have a coroner’s jury at Southampton where a child five to say on thematter. Perhaps, in spite of this syndicate, by months of age died on Dec. 21st after a brief illness from the medical men will be defeated ; but, whether they win or what the medical evidence showed was lose, the incident will in any case teach them the value of The infant had been vaccinated on Dec. septic poisoning. 9th, having six organisation. weeks previously suffered from bronchitis. There was no inflammation of the arm, but the site of vaccination became THE CAUSES OF APPENDICITIS. discoloured, and the medical witness who made the post. SOME points of interest in connexion with the pathogeny mortem examination considered that this was the cause of of appendicitis were discussed at a recent meeting of the the septicaemia. We are bound to say that there is very little French Societe de Chirurgie. The view of M. Dieulafoy,evidence to support this theory, especially as there was proof that the disease is a consequence of constriction with closureof exposure to inhalation of sewer air. of the appendix and the consequent retention of morbid material within it, did not find much favour. On the RAPIDLY GROWING OVARIAN CYST. contrary, several speakers referred to the frequent existence A rozrrT of great interest in the case of ovarian cyst detailed of this condition without appendicitis, and at the same 1 time mentioned cases in which they had found a by Mr. Butler-Smythe in another column is the evidence perfectly permeable appendix to be the seat of in-which it affords as to the rapid growth of an ovarian cyst. At flammation. The general opinion of those who took tthe earlier operation the right ovary was taken into the hand part in the discussion was that appendicitis is usually aand carefully examined and nothing was then seen to be v with it ; and fourteen months later, when the patient only the local expression of a more or less general entero-wrong colitis. The theory of M. Reclus is worth quoting as a more was v confined, the ovary was still apparently normal, for though detailed statement of these opinions. According to him the aa small cyst might easily have escaped notice unless the problem of causation is capable of a double solution-(I) as aabdomen had been specially examined, yet a large cyst being related to the presence of an actual foreign body in the ccould not possibly have been overlooked. About ten weeks appendix, a condition of course hostile to spontaneous aafter this the tumour had attained a size sufficient to hold recovery, and (2) as explained by a "theory of stagnation." t] thirty pints of fluid. We are so little acquainted with the This view regards the appendix and in a less degree the laws 11 governing the secretion of liquid in cystic tumours that cacum as diverticula which readily allow the accumulation we are utterly unable to say why in one case a cyst may be within them of organic fluids, these in turn becoming the s
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