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A DEGREE IN MEDICINE FOR THE AVERAGE LONDON STUDENT.
1384 The members of this
will not be expected to the officers will be required to undertake the administration and the other ranks duties in various capacities of the home military hospitals in time of national emergency, thus enabling the officers and men of the Royal Army Medical Corps, who in time of peace are on duty at these establishments, to proceed at The following is the once to the field of operations. departmental committee of the ambulance department for the institution and development of a Military Home Hospitals Reserve : Chairman (ex officio):The Most Hon. the Marquis of Breadalbane, K.G., director, Ambulance Department. Vice-chairman (ex officio):Lieutenant-Colonel &bgr;ir Richard C. Temple, Bart., O.I.E., assistant director, I Ambulance Department. Members: Sir John Furley, C.B. ; ! Colonel Sir Herbert C. Perrott, Bart., C.B., chief secretary, ’I Ambulance Department; Mr. Edwin Freshfield, LL.D., Receiver-General of the Order; Colonel Sir Charles Moore Watson, K.C.M.G., C.B. ; Sir Dyce Duckworth, LL.D. ; Inspector-General Belgrave Ninnis, R.N., Chief Commissioner, St. John Ambulance Brigade; Surgeon-General Sir Alfred H. Keogh, K.C.B., Director-General, A.M.S. ; Surgeon-General Sir William Taylor, K.C.B., K.H.P., late Director-General, A.M.S. Honorary secretaries: Colonel Sir Herbert C. Perrott, Bart., C.B., and Surgeon-General Sir William Taylor, K.C.B., K. H. P.
ratings.
reserve
proceed on foreign service but
present Senate there will be no lowering of the standard. How, then, is the average medical student in London to a degree ? It seems possible in one of two ways: (1) by reciprocity in the matter of examinations between the London University and the universities of the provinces and colonies, or (2) by the adoption of the one-portal system, carrying with it a degree or the title of Doctor. I am, Sirs, yours faithfully,
obtain
London, May llth, 1907.
ERNEST W. WHITE.
LARGE VESICAL CALCULI. To the Editors of THE LANCET.
I!
SIRS,-In connexion with Mr. Littlewood’s letter I may mention that about eight years ago at the Ancoats Hospital, Manchester, I removed (suprapubically) a calculus weighing nine and a half ounces, flattened ovoid in form, and encysted in the trigone to about half its periphery. It was a case presenting great difficulties, but was removed without I seeing" the peritoneum and the man made a perfect and rapid recovery. He was only 22 years of age and had been at active work up to the day on which he presented himself to my out-patient room. Sir Thomas Smith’s operation, quoted by Mr. Littlewood, I well remember, as I was present at it; the man was a waiter and he, too, had been working He, I believe, had i almost up to the time of operation. ANTITYPHOID INOCULATION IN THE ARMY. ! had some hsematuria, my man had not. I have also in my The Journal of the Royal Army Medical Corps for May I possession a (double) prostatic calculus which weighed is a very good number and the three first papers, which 552 grains which I also extracted at the same hospital by deal with antityphoid inoculation in the army, are of median perineal section. I believe this to be nearly a record such an interesting and important nature as to call for weight for a prostatic calculus. If the Museum of the detailed consideration. This, however, we are for the Royal College of Surgeons of England cares to have these moment unable to accord to the subject and must con- specimens I shall be very pleased to forward them. I am, Sirs, vours faithfullv. sequently be content for the present to call special attenC. E RICHMOND, B.Sc. Vict., &c. tion to the articles in question. The first is by BrevetStockton Heath, Warrington, May 12th, 1907. Lieutenant-Colonel W. B. Leishman, R.A.M.C., on the Progress of Antityphoid Inoculation in the Army. This is followed by a Report on the Results of Experiments in Connexion with Antityphoid Vaccination, by Major W. S. Harrison, R.A.M.C., RECOVERY OF MEDICAL FEES. and by a Report on the Outbreak of Enteric Fever and the Effect of Antityphoid Inoculation among the 17th (FROM A LEGAL CORRESPONDENT.) Lancers, Meerut, India, by Lieutenant E. J. H. Luxmoore, R.A.M.C. Colonel Leishman gives a brief but lucid and EVERY registered under the Medical Acts is interesting, history of the system of protective inoculation entitled toperson medicine and surgery in any part of His practise against enteric fever in the army from its introduction by Sir Majesty’s dominions and to demand and to recover in any A. E. Wright in 1897 up to the present time, inclusive court of with full costs of suit, reasonable charges for law, of the facts connected with the occurrence of a severe aid, advice, and visits, and the cost of any epidemic of enteric fever in the 17th Lancers shortly professional medicines or other medical or surgical appliances rendered after their arrival at Meerut in 1905 as set forth by or supplied by him to his patients, but no person is entitled to the attached medical officer, Lieutenant Luxmoore. The recover any such charges in any court of law unless he can evidence afforded on this occasion as to the protective the trial that he is so registered. It is not, prove upon effect of the inoculations was of a striking and exceptional essential to entitle a medical man to maintain an however, kind and partook of the nature, and had consequently the action for attendances and medicine that he should be value, of a scientific experiment. The history of the subject, registered at the time when he gave such attendances and the progress of antityphoid inoculation, and the latest such medicine, it is enough if he appears to be duly observations in regard to it as set forth in the above papers supplied at the time of the trial, when he tenders proof of registered strike us as interesting and instructive, as well as indicative in evidence. Where a medical man is suing on a registration of the hopeful progress that is being made. promissory note, given in consideration of professional will be necessary for him to prove registration to i services, it entitle him to recover. Where the chief medical officer of a foreign ship lying in the Thames engaged a foreign medical practitioner, domiciled and practising in England but unregistered, to take charge of the sick soldiers and sailors of that vessel (some of whom "Audi alteram partem." were on board that vessel and some on shore) during his temporary absence abroad, at a fixed monthly sum, it was held A DEGREE IN MEDICINE FOR THE that the unregistered practitioner could not recover on such contract, for that the defendant, when he went abroad, was in AVERAGE LONDON STUDENT. the situation of an ordinary paymaster, and not the less so To the Editors of THE LANCET. because he happened to be a medical man, and although the the recent senatorial elections of the London contract was made on board a foreign ship, yet by whatever SIRS,-At University the Graduates’ Association carried by large law the contract was to be interpreted the remedy must be majorities four of the five contested vacancies and in the governed by the lex fori. other two instances its candidates were elected unopposed. A copy of the Medical Register for the time being, purIt must also be remembered that it won both seats which porting to be printed and published under the direction of fell vacant in October last. I was not returned last the General Medical Council, is evidence in all courts that the Tuesday but since I came out Sir Thomas Barlow has persons therein specified are registered according to the prorenounced, for a time at least, the concentration scheme visions of the Medical Acts. In the case, however, of any and the union has pledged itself to maintain the standard person whose name does not appear in such copy, a certified of the degrees. These were the two main planks of my copy under the hand of the registrar of the General Medical platform. Our object is therefore attained and I heartily Council, or of any branch council, of the entry of the name thank the 343 medical members of Convocation who sup- of such person in the general or local register is evidence ported me with their votes and influence. With the that such person is so registered.
F.R.C.S. Eng.,
Correspondence.
,
will not be expected to the officers will be required to undertake the administration and the other ranks duties in various capacities of the home military hospitals in time of national emergency, thus enabling the officers and men of the Royal Army Medical Corps, who in time of peace are on duty at these establishments, to proceed at The following is the once to the field of operations. departmental committee of the ambulance department for the institution and development of a Military Home Hospitals Reserve : Chairman (ex officio):The Most Hon. the Marquis of Breadalbane, K.G., director, Ambulance Department. Vice-chairman (ex officio):Lieutenant-Colonel &bgr;ir Richard C. Temple, Bart., O.I.E., assistant director, I Ambulance Department. Members: Sir John Furley, C.B. ; ! Colonel Sir Herbert C. Perrott, Bart., C.B., chief secretary, ’I Ambulance Department; Mr. Edwin Freshfield, LL.D., Receiver-General of the Order; Colonel Sir Charles Moore Watson, K.C.M.G., C.B. ; Sir Dyce Duckworth, LL.D. ; Inspector-General Belgrave Ninnis, R.N., Chief Commissioner, St. John Ambulance Brigade; Surgeon-General Sir Alfred H. Keogh, K.C.B., Director-General, A.M.S. ; Surgeon-General Sir William Taylor, K.C.B., K.H.P., late Director-General, A.M.S. Honorary secretaries: Colonel Sir Herbert C. Perrott, Bart., C.B., and Surgeon-General Sir William Taylor, K.C.B., K. H. P.
ratings.
reserve
proceed on foreign service but
present Senate there will be no lowering of the standard. How, then, is the average medical student in London to a degree ? It seems possible in one of two ways: (1) by reciprocity in the matter of examinations between the London University and the universities of the provinces and colonies, or (2) by the adoption of the one-portal system, carrying with it a degree or the title of Doctor. I am, Sirs, yours faithfully,
obtain
London, May llth, 1907.
ERNEST W. WHITE.
LARGE VESICAL CALCULI. To the Editors of THE LANCET.
I!
SIRS,-In connexion with Mr. Littlewood’s letter I may mention that about eight years ago at the Ancoats Hospital, Manchester, I removed (suprapubically) a calculus weighing nine and a half ounces, flattened ovoid in form, and encysted in the trigone to about half its periphery. It was a case presenting great difficulties, but was removed without I seeing" the peritoneum and the man made a perfect and rapid recovery. He was only 22 years of age and had been at active work up to the day on which he presented himself to my out-patient room. Sir Thomas Smith’s operation, quoted by Mr. Littlewood, I well remember, as I was present at it; the man was a waiter and he, too, had been working He, I believe, had i almost up to the time of operation. ANTITYPHOID INOCULATION IN THE ARMY. ! had some hsematuria, my man had not. I have also in my The Journal of the Royal Army Medical Corps for May I possession a (double) prostatic calculus which weighed is a very good number and the three first papers, which 552 grains which I also extracted at the same hospital by deal with antityphoid inoculation in the army, are of median perineal section. I believe this to be nearly a record such an interesting and important nature as to call for weight for a prostatic calculus. If the Museum of the detailed consideration. This, however, we are for the Royal College of Surgeons of England cares to have these moment unable to accord to the subject and must con- specimens I shall be very pleased to forward them. I am, Sirs, vours faithfullv. sequently be content for the present to call special attenC. E RICHMOND, B.Sc. Vict., &c. tion to the articles in question. The first is by BrevetStockton Heath, Warrington, May 12th, 1907. Lieutenant-Colonel W. B. Leishman, R.A.M.C., on the Progress of Antityphoid Inoculation in the Army. This is followed by a Report on the Results of Experiments in Connexion with Antityphoid Vaccination, by Major W. S. Harrison, R.A.M.C., RECOVERY OF MEDICAL FEES. and by a Report on the Outbreak of Enteric Fever and the Effect of Antityphoid Inoculation among the 17th (FROM A LEGAL CORRESPONDENT.) Lancers, Meerut, India, by Lieutenant E. J. H. Luxmoore, R.A.M.C. Colonel Leishman gives a brief but lucid and EVERY registered under the Medical Acts is interesting, history of the system of protective inoculation entitled toperson medicine and surgery in any part of His practise against enteric fever in the army from its introduction by Sir Majesty’s dominions and to demand and to recover in any A. E. Wright in 1897 up to the present time, inclusive court of with full costs of suit, reasonable charges for law, of the facts connected with the occurrence of a severe aid, advice, and visits, and the cost of any epidemic of enteric fever in the 17th Lancers shortly professional medicines or other medical or surgical appliances rendered after their arrival at Meerut in 1905 as set forth by or supplied by him to his patients, but no person is entitled to the attached medical officer, Lieutenant Luxmoore. The recover any such charges in any court of law unless he can evidence afforded on this occasion as to the protective the trial that he is so registered. It is not, prove upon effect of the inoculations was of a striking and exceptional essential to entitle a medical man to maintain an however, kind and partook of the nature, and had consequently the action for attendances and medicine that he should be value, of a scientific experiment. The history of the subject, registered at the time when he gave such attendances and the progress of antityphoid inoculation, and the latest such medicine, it is enough if he appears to be duly observations in regard to it as set forth in the above papers supplied at the time of the trial, when he tenders proof of registered strike us as interesting and instructive, as well as indicative in evidence. Where a medical man is suing on a registration of the hopeful progress that is being made. promissory note, given in consideration of professional will be necessary for him to prove registration to i services, it entitle him to recover. Where the chief medical officer of a foreign ship lying in the Thames engaged a foreign medical practitioner, domiciled and practising in England but unregistered, to take charge of the sick soldiers and sailors of that vessel (some of whom "Audi alteram partem." were on board that vessel and some on shore) during his temporary absence abroad, at a fixed monthly sum, it was held A DEGREE IN MEDICINE FOR THE that the unregistered practitioner could not recover on such contract, for that the defendant, when he went abroad, was in AVERAGE LONDON STUDENT. the situation of an ordinary paymaster, and not the less so To the Editors of THE LANCET. because he happened to be a medical man, and although the the recent senatorial elections of the London contract was made on board a foreign ship, yet by whatever SIRS,-At University the Graduates’ Association carried by large law the contract was to be interpreted the remedy must be majorities four of the five contested vacancies and in the governed by the lex fori. other two instances its candidates were elected unopposed. A copy of the Medical Register for the time being, purIt must also be remembered that it won both seats which porting to be printed and published under the direction of fell vacant in October last. I was not returned last the General Medical Council, is evidence in all courts that the Tuesday but since I came out Sir Thomas Barlow has persons therein specified are registered according to the prorenounced, for a time at least, the concentration scheme visions of the Medical Acts. In the case, however, of any and the union has pledged itself to maintain the standard person whose name does not appear in such copy, a certified of the degrees. These were the two main planks of my copy under the hand of the registrar of the General Medical platform. Our object is therefore attained and I heartily Council, or of any branch council, of the entry of the name thank the 343 medical members of Convocation who sup- of such person in the general or local register is evidence ported me with their votes and influence. With the that such person is so registered.
F.R.C.S. Eng.,
Correspondence.
,