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A TESTIMONIAL TO DR JOHN T. ARLIDGE.
LOCAL ANESTHESIA BY SCHLEICH’S METHOD.
1265
can be obtained by using bouillon just on the Langston, 38th Native Field Hospital, rendered valuable in attending to the wounded under a heavy fire on assistance no blue of litmus whatever to the red acidity, givirg verge the night of the 26tih and each following night, and behaved to of 5 cent. 6 cent. normal alkali are From per per paper. with courage and devotion in carrying out his duties under required to make this bouillon neutral to phenol phthalein. very exceptional circumstances. Surgeon-Lieutenant W. Cultures which give a heavy bouillon growth are the ones Corr has worked night and day in the hospitals in trying to which are most liable to give pseudo-reactions-i.e., to clomp alleviate the sufferings of the wounded, and has most ably in a deceptive manner spontaneously or with non-typhoid and efficiently aided Surgeon-Major Hassan. blood. If the culture is too acid the reaction may be We have already alluded to the gallantry exhibited by defective. With a proper culture I have never met with the Surgeon-Captain Fisher in escorting two dhoolies to the assistance of Captain Ryder’s company under a hot fire from typical reaction apart from typhoid fever." the enemy when it was attacked near Badalai.
such cultures
A TESTIMONIAL TO DR
JOHN T. ARLIDGE.
SOME friends of Dr. Arlidge have proposed to form a committee for the purpose of presenting him with a testimonial of the high estimation in which he has been held for so many years by the profession and his friends generally as a practical philanthropist and sanitarian and as a literary man. The followicg have consented to have their names placed on the committee:-The Duke of Sutherland, Sir Samuel Wilks, Bart, F.R.S., Sir C. H. Gage-Brown, K.C.M G., Sir Peter Eade, Dr. J. W. Ogle, Dr. Matthew Baines, M.D., Mr. W. H. Folker, Mr. T. W. Nunn, Dr. Lionel Beale, F R.S , Dr. J. W. Moore, and Dr. Charles F. Moore, hon.secretary, 10, Upper Mfrrion-street, Dublin, by whom subscriptions will be received. Dr. Arlidge has ever taken a warm and active interest in factory operatives and has through a lorg life endeavoured to better the condition of the working classes. His services to medicine as editor of the l3ritish and Foreign Medico- ChirllrgicalRtvien’ also merit the recognition of the professicn. We regret to learn that Dr. Arlidge is in failing
health.
SOME OF THE RECENT SERVICES OF MEDICAL OFFICERS DURING THE BORDER CAMPAIGN. WE need no apology for calling attention to the military despatches connected with the late operations at Malakand and the Swat Valley, for it is a source of real gratification and pride to notice the way in which the labours of the medical services generally and the devotion and gallantry manifested by several officers of those services have been specially recognisEd. In General Meiklejohn’s despatch we read that Surgeon-Lieutenant J. Hugo, attached to the 31st Punjab Infantry, saved Lieutenant H. B. Ford from bleeding to death under exceptionally trying circumstances. Lieutenant Ford was wounded in a night attack and the wound involved There an artery and gave rise to serious haemorrhage. were no means at the time of securing the vessel and Lieutenant- Surgeon Hugo had to compress the artery
fingers for two hours, and subsequently on the following morning, while still compressing the vessel with one hand, managed to pick up the wounded officer with the other and carry him to a place of safety. SurgeonCaptain H. F. Whitchurch, V.C., is fpoken of by General Sir Bindon Blood as having attended to the wounded under fire throughout the fighting during the relief and defence of Chakdara. General Meiklejohn, in his despatch dealing with the attacks from Jaly 26th to Aug. lst, in mentioning with his
the medical staff says
:-
Brigade-Surgeon-Lieutenant-Colonel F. A. Smyth was performed his duties to my satisfaction. He volunteertd to perform the duties of ProvostMarshal, and did so for a short time during the illmost zealous and
ness of Lieutenant H. K. Cotterill. The arrangements made by Surgeon-Major S. Hassan, senior medical officer, 384h Native Field Hospital, and the indefatigable attention and care with which he devoted himself to the wounded deserve great praise. The list of casualties is large, and Surgeon-Major Hassan has been untiring in his exertions for their relief. I hope his Excellency will think fit to consider his services favourably. urgeon-Captain T. A. O.
DISCUSSION ON THE PREVENTION OF ENTERIC FEVER AT THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY. IN view of the recent disastrous
epidemics of typhoid fever Worthing, Maidstone, and other towns, much interest is likely to be taken in the discussion on the Prevention of Enteric Fever which has been arranged to take place at the next meeting of the Royal Medical and Chirurgical Society in
The council have made an excellent selection on Nov. 23rd. in asking Dr. Poore to open the discussion ; and it is hoped that Dr. Seaton, Dr. Sims Woodhead, Dr. Macfadyen, Dr. Kanthack, and others will take part.
VACCINATION IN CYPRUS.
THE annotation which appeared in THE LANCET of Oct. 9th on "Small-pox in Cyprus," and which states that we had no information as to the condition of the population aq regards vaccination, has been regarded by some as implying that vaccination is neglected in that island. We leirn, however, from an authoritative source that this is by no means the case. A system of public vaccination was instituted in the island under the crganisation of the late Dr. Barry, and it is believed that, taking the population as a whole, there are few people who are better protected against small-pox. Indeed, during the last fifteen years the average number of vaccinations performed annually has exceeded 5000 and most of these have been primary The High Commissioner of the island, Sir Walter ones. Sendall, K.C.M G., was formerly associated with the Local Government Board in London, and we feel certain he may be trusted to see that in times of special risk every facility will be afforded to secure the re-vaccination of all persons needing such further protection.
I
LOCAL
ANÆSTHESIA
BY SCHLEICH’S
METHOD.
THE endermic followed by hypodermic injections of weak solutions of sodium chloride were found by Schleich in 1891 to produce a certain amount of anae3the3Ìa ia the tissues treated.l He subsequently added to his solutions extremely minute quantities of various substances—e.g., cocaine, antipyrin, &c.—and found that he was thus enabled to produce a local anasatbesia sufficient for the performance of minor ar.d even sjme m3jor operations, without the infliction of more pain than resulted from the initial puncture of the needle of the injecting syringe. This he obviated by freezing the cuticle by means of an ether spray or chloride of ethyl. Since then Schleich has elaborated a careful system whereby his method of aesthetic infiltration has been safeguarded from its first transparent dangers. He rightly insists that only a rigid following of the details of his instructions can ensure success. Dr. Simonson and Dr. S. Cohn, of Sshoneberg, have recently published a paper in the Berliner Klinische Wochenschrift in which they say that they have employed Ssbleich’s method in 102 operations with great success. They use ethyl chloride for the purpose of freezing the skin before the needle is 1
See THE LANCET, Dec. 12th, 1891, p. 1368.
1265
can be obtained by using bouillon just on the Langston, 38th Native Field Hospital, rendered valuable in attending to the wounded under a heavy fire on assistance no blue of litmus whatever to the red acidity, givirg verge the night of the 26tih and each following night, and behaved to of 5 cent. 6 cent. normal alkali are From per per paper. with courage and devotion in carrying out his duties under required to make this bouillon neutral to phenol phthalein. very exceptional circumstances. Surgeon-Lieutenant W. Cultures which give a heavy bouillon growth are the ones Corr has worked night and day in the hospitals in trying to which are most liable to give pseudo-reactions-i.e., to clomp alleviate the sufferings of the wounded, and has most ably in a deceptive manner spontaneously or with non-typhoid and efficiently aided Surgeon-Major Hassan. blood. If the culture is too acid the reaction may be We have already alluded to the gallantry exhibited by defective. With a proper culture I have never met with the Surgeon-Captain Fisher in escorting two dhoolies to the assistance of Captain Ryder’s company under a hot fire from typical reaction apart from typhoid fever." the enemy when it was attacked near Badalai.
such cultures
A TESTIMONIAL TO DR
JOHN T. ARLIDGE.
SOME friends of Dr. Arlidge have proposed to form a committee for the purpose of presenting him with a testimonial of the high estimation in which he has been held for so many years by the profession and his friends generally as a practical philanthropist and sanitarian and as a literary man. The followicg have consented to have their names placed on the committee:-The Duke of Sutherland, Sir Samuel Wilks, Bart, F.R.S., Sir C. H. Gage-Brown, K.C.M G., Sir Peter Eade, Dr. J. W. Ogle, Dr. Matthew Baines, M.D., Mr. W. H. Folker, Mr. T. W. Nunn, Dr. Lionel Beale, F R.S , Dr. J. W. Moore, and Dr. Charles F. Moore, hon.secretary, 10, Upper Mfrrion-street, Dublin, by whom subscriptions will be received. Dr. Arlidge has ever taken a warm and active interest in factory operatives and has through a lorg life endeavoured to better the condition of the working classes. His services to medicine as editor of the l3ritish and Foreign Medico- ChirllrgicalRtvien’ also merit the recognition of the professicn. We regret to learn that Dr. Arlidge is in failing
health.
SOME OF THE RECENT SERVICES OF MEDICAL OFFICERS DURING THE BORDER CAMPAIGN. WE need no apology for calling attention to the military despatches connected with the late operations at Malakand and the Swat Valley, for it is a source of real gratification and pride to notice the way in which the labours of the medical services generally and the devotion and gallantry manifested by several officers of those services have been specially recognisEd. In General Meiklejohn’s despatch we read that Surgeon-Lieutenant J. Hugo, attached to the 31st Punjab Infantry, saved Lieutenant H. B. Ford from bleeding to death under exceptionally trying circumstances. Lieutenant Ford was wounded in a night attack and the wound involved There an artery and gave rise to serious haemorrhage. were no means at the time of securing the vessel and Lieutenant- Surgeon Hugo had to compress the artery
fingers for two hours, and subsequently on the following morning, while still compressing the vessel with one hand, managed to pick up the wounded officer with the other and carry him to a place of safety. SurgeonCaptain H. F. Whitchurch, V.C., is fpoken of by General Sir Bindon Blood as having attended to the wounded under fire throughout the fighting during the relief and defence of Chakdara. General Meiklejohn, in his despatch dealing with the attacks from Jaly 26th to Aug. lst, in mentioning with his
the medical staff says
:-
Brigade-Surgeon-Lieutenant-Colonel F. A. Smyth was performed his duties to my satisfaction. He volunteertd to perform the duties of ProvostMarshal, and did so for a short time during the illmost zealous and
ness of Lieutenant H. K. Cotterill. The arrangements made by Surgeon-Major S. Hassan, senior medical officer, 384h Native Field Hospital, and the indefatigable attention and care with which he devoted himself to the wounded deserve great praise. The list of casualties is large, and Surgeon-Major Hassan has been untiring in his exertions for their relief. I hope his Excellency will think fit to consider his services favourably. urgeon-Captain T. A. O.
DISCUSSION ON THE PREVENTION OF ENTERIC FEVER AT THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY. IN view of the recent disastrous
epidemics of typhoid fever Worthing, Maidstone, and other towns, much interest is likely to be taken in the discussion on the Prevention of Enteric Fever which has been arranged to take place at the next meeting of the Royal Medical and Chirurgical Society in
The council have made an excellent selection on Nov. 23rd. in asking Dr. Poore to open the discussion ; and it is hoped that Dr. Seaton, Dr. Sims Woodhead, Dr. Macfadyen, Dr. Kanthack, and others will take part.
VACCINATION IN CYPRUS.
THE annotation which appeared in THE LANCET of Oct. 9th on "Small-pox in Cyprus," and which states that we had no information as to the condition of the population aq regards vaccination, has been regarded by some as implying that vaccination is neglected in that island. We leirn, however, from an authoritative source that this is by no means the case. A system of public vaccination was instituted in the island under the crganisation of the late Dr. Barry, and it is believed that, taking the population as a whole, there are few people who are better protected against small-pox. Indeed, during the last fifteen years the average number of vaccinations performed annually has exceeded 5000 and most of these have been primary The High Commissioner of the island, Sir Walter ones. Sendall, K.C.M G., was formerly associated with the Local Government Board in London, and we feel certain he may be trusted to see that in times of special risk every facility will be afforded to secure the re-vaccination of all persons needing such further protection.
I
LOCAL
ANÆSTHESIA
BY SCHLEICH’S
METHOD.
THE endermic followed by hypodermic injections of weak solutions of sodium chloride were found by Schleich in 1891 to produce a certain amount of anae3the3Ìa ia the tissues treated.l He subsequently added to his solutions extremely minute quantities of various substances—e.g., cocaine, antipyrin, &c.—and found that he was thus enabled to produce a local anasatbesia sufficient for the performance of minor ar.d even sjme m3jor operations, without the infliction of more pain than resulted from the initial puncture of the needle of the injecting syringe. This he obviated by freezing the cuticle by means of an ether spray or chloride of ethyl. Since then Schleich has elaborated a careful system whereby his method of aesthetic infiltration has been safeguarded from its first transparent dangers. He rightly insists that only a rigid following of the details of his instructions can ensure success. Dr. Simonson and Dr. S. Cohn, of Sshoneberg, have recently published a paper in the Berliner Klinische Wochenschrift in which they say that they have employed Ssbleich’s method in 102 operations with great success. They use ethyl chloride for the purpose of freezing the skin before the needle is 1
See THE LANCET, Dec. 12th, 1891, p. 1368.