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THE METROPOLITAN WATER-SUPPLY,
THE MURIATE OF CALCIUM.-COTTON-WOOL TAMPONS.
336 medical officer
tannin, perchloride of iron, diluted acetic acid, &c.,
it has a continued contracting effect on the relaxed parts. It has occurred to me that there is a want, of a cheap and practical tampon.holding instrument, by which every woman, whatever be the amount of her nervous irritability, or however unskilled her hands, would be able to introduce, without the slightest difficulty, a tampon to the laquear vaginas, touching the os uteri. An instrument is manufactured in France, after my design, in olive-wood, which I have employed for years in my practice, and which, I believe, fulfils the above conditions. Believing it might prove useful to my English c(,lleagues, I have given the model during my stay in Manchester, where I assisted at the meetings of the British Medical Association, to Messrs. Wood and Co., surgical instrument makers, King-street, Manchester. I am, Sir, your obedient servant, HENRY LIPPERT, M.D. Nice, France, August 27th, 1877.
incentive to duty. You must preach the for truth, in the lapse of time, is apt to be forgotten. Your ideas have, in many parts of England, become realities, and we have now the groundwork for a national system of hospitals, which may be made of incalculable service to medical science and humanity. It remains for the medical officers themselves to elevate their position; they have it in their power to do so hy casting aside old traditions, working on the newer and higher motives you have pointed out, and remembering that though they may not immediately receive their reward, they are acting like tbe husbandman who plants trees for the benefit of a future age. same
tenets
as an
again,
Yours, &c., August 27th, 1877.
A WoRKHOUSE MEDICAL OFFICER.
THE MURIATE OF CALCIUM. To ihe Editor of THE LANCET. SIR,-Dr. Bell, of Glasgow, contributes to THE LANCET of August 25th a paper on the muriate of calcium as a therapeutic agent. I quite agree with Dr. Bell in the high estimate which he has formed of the value of that drug, but I think he might have credited his predecessors in the medical profession with having laid down clearly the principles which should regulate its administration. In 1871 or 1872 Dr. Warburton Begbie read an exhaustive paper upon the subject to the Edinburgh Medico-Chirurgical Society, in which he showed that the drug was one of old and well-established reputation, which had been temporarily laid aside on the introduction of cod-liver oil, iodine, and other new remedies for strumous and similar diathetic disorders. The discussion which followed the reading of Dr. Begbie’s paper showed that the older Edinburgh practi. tioners were fully cognisant of the great value of the chloride of calcium, so that Dr. Bell’s opening remarks that the drug is " a salt which has been till quite recently thought of such little value in the treatment of disease," &c., is not an accurate statement of the facts. If the muriate of calcium is not to be found as a therapeutic agent in the more recent text-books on Materia Medica, it is fully considered in the older works, such as "Christison’s Dispensatory," and in 11 Neligan," who speaks of the former frequency of its employment and the recent neglect of it. As Dr. Bell’s own name is the only one which appears in his paper, perhaps you will think I have been justified not only in confirming his remarks as to the value of chloride of calcium, but in giving to the drug a still further recommendation by adducing evidence that distinguished physicians have long been convinced of its value. Dr. Warburton B?gbie’s paper was published in the Edinburgh Medical Journal. I am, Sir, your obedient servant, ROBERT LAWSON, M.B. Middlesex County Luratic Asylum, Banstead I Downs, near Sutton, August 27th, 1877.
COTTON-WOOL TAMPONS. To
the Editor
" SIR,-It has occurred to
of THE LANCET.
during my recent visit to of the London hospitals, department Gynaecological that in the treatment of uterine displacements, congestions, and vaginal catarrhs, the use of cotton-wool tampons is not so general as, in my opinion, it deserves to be. Intrame
the
uterine stems, pessaries in all their various forms, &c., often prove irritating, and, instead of subduing, frequently increase the congestion of the surrounding mucous membrane. Injections, notwithstanding their beneficial effect, are mostly insufficient through the shortness of contact of the injected liquid with the diseased parts. The regular use of cotton-wool tampons, on the contrary, secures a more effective treatment through the following two advantages :-1. The tampon forms a support sufficient to keep up the womb without exercising any undue pressure 2. When dipped on the vagina, os uteri, bladder, or colon. in an astringent solution, such as chlorate of potash, alum,
THE METROPOLITAN WATER-SUPPLY, To the Editor
of THE LANCET.
your issue of the 18th the above subject reference is specially made to the " novelty " of the scheme proposed in the conjoint report of Sir J. Bazalgatte and Messrs. Bramwell and Easton for obtaining an efficient supply of water for the metropolis. Will you kindly permit me to draw attention to my report on the health of Wands worth for the year 1866 (copy sent herewith, and marked at p.18), in which it willbe seen that in that year the Metropolitan Board of Works issued a circular inviting the opinions of the several medical officers of health on the subject, and that my reply to that circular essentially contains the plan now suggested by the abovenamed engineers. I am, Sir, your obedient servant, GEORGE EDWARD NICHOLAS, M.D.,
SIR,-In the remarks contained in
inst.
on
Medical Officer of Health for Wandsworth.
I
Church-row, Wandsworth, Aug. 24tb, 1877.
Obituary. DR. EV ASIO ADAMI. IT was our melancholy duty last week to record the death of Dr. Conneau, and this week we have the not less painful task of announcing the decease of another Court physician, Dr. Evasio Adami. This distinguished savant and citizen died after two months of a cruel malady at Turin in the early morning of Friday, the 24th ult. He was on the verge of his fiftieth year, but in point of mental and physical vitality might have been still younger. He was the son of a physician who had already earned the confidence of the Royal House of Savoy, and, on succeeding his father, he so enhanced the esteem he inherited that King Victor Emmanuel made him his first body physician, created him Commander of Saints Maurice and Lazarus, and honoured him with frequent appeals to his judgment in other questions than strictly professional ones. No sooner was his illness pronounced to be hopeless than His Majesty hurried to his bedside, and administered all the comfort which his brave and tender nature could command. Dr. Evasio Adami had few faults, and no enemies. His was one of those enviable idiosyncrasies which seem perfectly balanced, and (in the good sense) self-sufficient. In his profession he was a keen observer and a skilled prescriber; as a citizen he was eminently public-spirited, and an ardent promoter of the sciences, in a number of which he was proficient; as a husband and father he was truly exemplary. His services to the advancement of the profession by tongue and pen will, ere long, receive fitting record; and his memory will long be cherished by his compatriots of the sub-Alpine capital. His funeral took place on the evening of the day of his death. The cortège started from the Royal Palace, His Majesty King Victor Emmanuel having telegraphed that special honours should be rendered to one who was at once a support and an ornament of his royal household.
336 medical officer
tannin, perchloride of iron, diluted acetic acid, &c.,
it has a continued contracting effect on the relaxed parts. It has occurred to me that there is a want, of a cheap and practical tampon.holding instrument, by which every woman, whatever be the amount of her nervous irritability, or however unskilled her hands, would be able to introduce, without the slightest difficulty, a tampon to the laquear vaginas, touching the os uteri. An instrument is manufactured in France, after my design, in olive-wood, which I have employed for years in my practice, and which, I believe, fulfils the above conditions. Believing it might prove useful to my English c(,lleagues, I have given the model during my stay in Manchester, where I assisted at the meetings of the British Medical Association, to Messrs. Wood and Co., surgical instrument makers, King-street, Manchester. I am, Sir, your obedient servant, HENRY LIPPERT, M.D. Nice, France, August 27th, 1877.
incentive to duty. You must preach the for truth, in the lapse of time, is apt to be forgotten. Your ideas have, in many parts of England, become realities, and we have now the groundwork for a national system of hospitals, which may be made of incalculable service to medical science and humanity. It remains for the medical officers themselves to elevate their position; they have it in their power to do so hy casting aside old traditions, working on the newer and higher motives you have pointed out, and remembering that though they may not immediately receive their reward, they are acting like tbe husbandman who plants trees for the benefit of a future age. same
tenets
as an
again,
Yours, &c., August 27th, 1877.
A WoRKHOUSE MEDICAL OFFICER.
THE MURIATE OF CALCIUM. To ihe Editor of THE LANCET. SIR,-Dr. Bell, of Glasgow, contributes to THE LANCET of August 25th a paper on the muriate of calcium as a therapeutic agent. I quite agree with Dr. Bell in the high estimate which he has formed of the value of that drug, but I think he might have credited his predecessors in the medical profession with having laid down clearly the principles which should regulate its administration. In 1871 or 1872 Dr. Warburton Begbie read an exhaustive paper upon the subject to the Edinburgh Medico-Chirurgical Society, in which he showed that the drug was one of old and well-established reputation, which had been temporarily laid aside on the introduction of cod-liver oil, iodine, and other new remedies for strumous and similar diathetic disorders. The discussion which followed the reading of Dr. Begbie’s paper showed that the older Edinburgh practi. tioners were fully cognisant of the great value of the chloride of calcium, so that Dr. Bell’s opening remarks that the drug is " a salt which has been till quite recently thought of such little value in the treatment of disease," &c., is not an accurate statement of the facts. If the muriate of calcium is not to be found as a therapeutic agent in the more recent text-books on Materia Medica, it is fully considered in the older works, such as "Christison’s Dispensatory," and in 11 Neligan," who speaks of the former frequency of its employment and the recent neglect of it. As Dr. Bell’s own name is the only one which appears in his paper, perhaps you will think I have been justified not only in confirming his remarks as to the value of chloride of calcium, but in giving to the drug a still further recommendation by adducing evidence that distinguished physicians have long been convinced of its value. Dr. Warburton B?gbie’s paper was published in the Edinburgh Medical Journal. I am, Sir, your obedient servant, ROBERT LAWSON, M.B. Middlesex County Luratic Asylum, Banstead I Downs, near Sutton, August 27th, 1877.
COTTON-WOOL TAMPONS. To
the Editor
" SIR,-It has occurred to
of THE LANCET.
during my recent visit to of the London hospitals, department Gynaecological that in the treatment of uterine displacements, congestions, and vaginal catarrhs, the use of cotton-wool tampons is not so general as, in my opinion, it deserves to be. Intrame
the
uterine stems, pessaries in all their various forms, &c., often prove irritating, and, instead of subduing, frequently increase the congestion of the surrounding mucous membrane. Injections, notwithstanding their beneficial effect, are mostly insufficient through the shortness of contact of the injected liquid with the diseased parts. The regular use of cotton-wool tampons, on the contrary, secures a more effective treatment through the following two advantages :-1. The tampon forms a support sufficient to keep up the womb without exercising any undue pressure 2. When dipped on the vagina, os uteri, bladder, or colon. in an astringent solution, such as chlorate of potash, alum,
THE METROPOLITAN WATER-SUPPLY, To the Editor
of THE LANCET.
your issue of the 18th the above subject reference is specially made to the " novelty " of the scheme proposed in the conjoint report of Sir J. Bazalgatte and Messrs. Bramwell and Easton for obtaining an efficient supply of water for the metropolis. Will you kindly permit me to draw attention to my report on the health of Wands worth for the year 1866 (copy sent herewith, and marked at p.18), in which it willbe seen that in that year the Metropolitan Board of Works issued a circular inviting the opinions of the several medical officers of health on the subject, and that my reply to that circular essentially contains the plan now suggested by the abovenamed engineers. I am, Sir, your obedient servant, GEORGE EDWARD NICHOLAS, M.D.,
SIR,-In the remarks contained in
inst.
on
Medical Officer of Health for Wandsworth.
I
Church-row, Wandsworth, Aug. 24tb, 1877.
Obituary. DR. EV ASIO ADAMI. IT was our melancholy duty last week to record the death of Dr. Conneau, and this week we have the not less painful task of announcing the decease of another Court physician, Dr. Evasio Adami. This distinguished savant and citizen died after two months of a cruel malady at Turin in the early morning of Friday, the 24th ult. He was on the verge of his fiftieth year, but in point of mental and physical vitality might have been still younger. He was the son of a physician who had already earned the confidence of the Royal House of Savoy, and, on succeeding his father, he so enhanced the esteem he inherited that King Victor Emmanuel made him his first body physician, created him Commander of Saints Maurice and Lazarus, and honoured him with frequent appeals to his judgment in other questions than strictly professional ones. No sooner was his illness pronounced to be hopeless than His Majesty hurried to his bedside, and administered all the comfort which his brave and tender nature could command. Dr. Evasio Adami had few faults, and no enemies. His was one of those enviable idiosyncrasies which seem perfectly balanced, and (in the good sense) self-sufficient. In his profession he was a keen observer and a skilled prescriber; as a citizen he was eminently public-spirited, and an ardent promoter of the sciences, in a number of which he was proficient; as a husband and father he was truly exemplary. His services to the advancement of the profession by tongue and pen will, ere long, receive fitting record; and his memory will long be cherished by his compatriots of the sub-Alpine capital. His funeral took place on the evening of the day of his death. The cortège started from the Royal Palace, His Majesty King Victor Emmanuel having telegraphed that special honours should be rendered to one who was at once a support and an ornament of his royal household.