A COUNTY VENEREAL DISEASES SCHEME.

A COUNTY VENEREAL DISEASES SCHEME.

1184 that such impulses are powerful, but we also know that they can be and are resisted. There is nothing new in that either. Mercier and many others...

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1184 that such impulses are powerful, but we also know that they can be and are resisted. There is nothing new in that either. Mercier and many others have was pointed it out. What" I wanted to emphasise that the doctrine of irresistible impulse " was of no value, for it could not properly be applied to any case that is not within the four corners of the existing law. I am, Sir, yours faithfully, DONALD CARSWELL. New-square, Jjhicohi’s Irm. May 2Gth, T)4. A

COUNTY VENEREAL DISEASES SCHEME.

THE TERM "HÆMOCHROMOGEN." 2’0 the Editor

of THE LANCET. in a joimt paper (Biochem.

SiR,—Some years ago Jour., xiii., 1919, 195), Dr. O. Rosenheim and I entered a protest against the continued use of the term haemochroniogen as a synonym for reduced haematin. The former word, introduced by HoppeSeyler, is illogical-for the substance is not a chromogen; and unnecessary-for Stokes’s original name correctly describes it. This simplification of nomenclature was originally suggested on behalf of students, but Prof. A. V. Hill’s lecture (THE LANCET, May 17th, p. 994), where he confuses it with hæmatoporphyrin, is a demonstration that these long words are perplexing to teachers also. Many who read the original lecture may not see the correction in your issue of to-day.-I am, Sir, yours faithfully, W. D. HALLIBURTON. ITALLIBURTON.

To the Editor of THE LANCET. SiR,,-Being interested in venereal diseases, and in charge of a municipal clinic, I read the article on this subject by Dr. J. J. Butterworth in your issue of May 24th. I was, however, surprised to find his laborious piece of statistical work lacking in important details, and so rendering his Tables II., III. (B) (C) Marylebone-road, London, N.W.. May 31st, 1924. Dr. Butterworth misleading and in part valueless. divides the attendances at the V.D. clinic into (1) those who complete the full course of treatment, VACCINE FOR ENCEPHALITIS LETHARGICA. and (2) those who ceased attending before completion To theEditor of THE LANCET. of treatment. Unfortunately, he does not give the whether SIR,—It may be still open to question slightest indication of what " the full course of " meningitis, treatment " is. Does he mean one course of eight or or no encephalitis is simply ’’ influenzal ten injections or does he mean several ? In the but one clinical fact that makes me believe this that in the one instance in which I used an headings of his tables he speaks of final tests as to is cure," and " persons discharged from the clinic after "influenza" compound vaccine, out of three‘’ cases under direct observation since 1918, the apparent" completion of treatment and observation." What my does this mean in dealing with syphilis and soft result was very striking, and the patient made a good chancre ?P How long has he kept the patients under recovery. The patient herself is convinced that the vaccine was the factor that turned the scale in her observation ? Take syphilis : When does lie havee complete favour. The formula was that used in the R.A.M.C. influenza " plague, and in the confidence " to discharge patients from the clinic " during the 1918 which is tantamount to discharging them as cured ? dearth of any other specific remedy it is surely worth Is he satisfied with a negative blood Wassermann for while trying this vaccine in other cases. I am, Sir, yours faithfully, 3, 6, 12 months or more ? How long does he keep J. PIRIE, Leamington Spa, May 27th, 192J:. PIRIE, M.D. Without some his soft sores under observation ? reasonable information on these points, some of his tables as they stand are, to my xnind, quite valueless TARTAR EMETIC IN BILHARZIASIS. to others, and I feel it is a pity he has spoiled part of his labours by neglecting what to me are essential To the Editor of THE LANCET. details in work of this kind. SiR,—Mr. J. E. R. McDonagh alleges inaccuracy I am, Sir, yours faithfully, in the footnote on p. 1071 (THE LANCET, May 24th). W. HERBERT BROWN. Glasgow, May 29th, 1924. There is none whatever. With regard to priority for first having given the injections, readers of MEDICAL TREATMENT OF CATARACT. THE LANCET interested in the matter are referred to the Journal of Tropical Medicine and Hygiene for To the Editor of THE LANCET. June 15th, 1923. In the article entitled the Antimony SiR,,-I have read with much interest the article Treatment of Bilharziasis will be found all I wish to Dr. on the above I as have Inglis subject, by Taylor write about my share in the discovery or re-discovery in been myself for several years the habit of using medical treatment for incipient senile cataract. of the remedy. I am, Sir, yours faithfully, Where the patient can come to me regularly I use J. .T. B. CHRISTOPHERSON. subconjunctival injections of cyanide of mercury, Devonshire-place, W., May 31st, 1924. 1 in 5000, with 4 per cent. solution of sodium chloride, injected about once a week for about three months. When the patient lives at a distance I prescribe a ST. MONICA HOME OF REST, BRISTOL. collyrium of pot. iod. and sod. iod. each 3iiss. to To the Editor of THE LANCET. a pint of water to be used for five minutes twice a am anxious to bring to the notice of any be rubbed round the eyes SiB,—I day; vasogen of iodine to at bed-time. persons who may be described as gentlefolk in poor I hope to tabulate my results some day, but not circumstances the benefits which are intended for having time to do so just now I will give briefly the them by my late husband, Mr. H. H. Wills, the result of my first case treated by the subconjunctival founder of this institution, and should be very method, the result of this case being typical of many grateful if you would enable me to do this through the medium of your columns. others and being apparently permanent. The object of the St. Monica Home ofRest, WestMrs. T., aged 50, consulted me on April 27th, 1918, complaining that the sight of her left eye had been failing for bury-on-Trym, Bristol, is to receive as inmates. a year. Vision was 6/12 (2), not improved by glasses. Exami- gentlefolk who are members of the Church of England, nation revealed an incipient cortical cataract. I gave her suffering from certain chronic or incurable ailments,. a subconjunctival injection once a week. By June 12th in needy circumstances and having led honourvision had improved to 6/9 (4), and by August 28th, when I being able lives. The council of the home have also power ceased injecting, it was (5), improved to 6/5 (3) by -0-50 to give financial assistance to a limited number of spher. Now, after nearly six years, the vision remains the persons who cannot be accepted as inmates. Prefersarme. With the pot. iod. treatment the results were good, ence will be given, in both cases, to those having but not so striking as with the subconjunctival family or residential associations with the city of Bristol or the counties of Somerset, Gloucester, and injections.-I am, Sir, yours faithfully, Wilts. Persons mentally afflicted, epileptics, sufferers SEAGHAN P. MACENRI. MACENRT. an infectious or contagious complaint, or from from 1924. May 27th, Galway, Averard, "

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