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ANGINA ABDOMINIS.
1432 Lieutenant Robert H. Nolan is seconded for service under the Colonial Office (dated Jan. 15th, 1912).
Correspondence.
TERRITORIAL FORCE.
Army
"
Medical Service.
I I Audi alteram partem."
Colonel John S. Riddell, M.V.O., on vacating the appointment of Assistant Director of Medical Services of the Highland Territorial Division, resigns his commission, and is granted permission to retain his rank and to wear the prescribed uniform (dated April 1st, 1912).
Royal Army
Medical
3rd Welsh Field Ambulance,
Corps. Royal Army
Medical Corps : Major George A. Stephens resigns his commission (dated May 15th, 1912). Hamilton Ernest Quick to be Lieutenant (dated May 15th, 1912). 5th London l’ield Ambulance, Royal Army Medical Corps ; Lieutenant-Colonel and Honorary Colonel Charles H. Hartt and is granted permission to retain his rank and to wear the prescribed uniform (dated May 18th, 1912). Major Ernest B. Dowsett to be Lieutenant-Colonel
resigns his commission,
(dated May 18th, 1912). 3rd London General Hospital, Royal Army Medical Corps : Major William Pasteur to be Lieutenant-Colonel (dated Feb. 21st, 1912). The undermentioned officers to he Majors : Captain Bilton Pollard and Captain Walter E. Wynter (dated Feb. 21st, 1912). Herbert Campbell Thomson to be Captain (dated March 25th, 1912). For Attachmeret to Units other than Medical UnitsThomas William Hardwioke Downes to be Lieutenant (dated
April 13th, 1912). BRUCE, C.B. Sir David Bruce has been specially promoted to the rank of surgeon-general by the King in consideration of his SIR DAVID
eminent services in the
cause
ANGINA ABDOMINIS. To the Editor of THE LANCET, much interested in reading the, paper by SIR,-I Sir Lauder Brunton and Mr. W. E. Williams in your issue of April 6th, and also a subsequent letter on this subject. Sir Lauder Brunton inclines to give priority in description and nomenclature to an Italian la 190, but in one of the most interesting books I know, "Common Neuroses," by Goodhart (1894), one nds the following (p. 88):"II have suggested, too, that. in the crises of tabes dorsalis and diabetes there are instances of abdominal neuralgia to which this thoracic crisis severe or angina is in many respects comparable." On p. 118 Goodhart again refer 11 to the subject of stomachache and abdominal neuralgia of which I have notes of several interesting cases." "There is assuredly a severe form of neurosis of the abdominal nerves, sometimes starting in the stomach, sometimes in the intestine, great or small, and many times owning a uterine or pelvic cause0’ Personally, I remember some years ago, a patient of mine who was greatly troubled with this abdominal neuralgia associated with glycosuria. He benefited by courses o hypodermic injections of arsenate of strychnine. Lately !I prescribed the tabella trinitrini co. to a patient with abdominal crises, which were invariably brought on by walking, especially after a meal, and be has derived great I am, Sir, yours faithfully, benefit. J. CHRISTIAN J. CHRI8TLBN SIMPSON, M.D, Edin. EJIC. SIMPS OX, M.D. Cambridge, May 18th, 1912. was
of science.
THE SANITARY COMMISSIONER WITH INDIA.
THE
GOVERNMENT
Or
Since the death of Colonel Leslie, some months ago, the dual posts of Director-General of the Indian Medical Service and Sanitary Commissioner with the Government of India have been held by Surgeon-General Sir Charles Lukis. It has now been decided to revive the latter appointment, and Major Robertson, I.M.S., Acting Sanitary Commissioner in the United Provinces, has been selected for the post. He will serve under the Department of Education and in coordination with the Director General of the Indian Medical Service. The conditions of service have been marked out and will shortly be published.
MEDICAL SOCIETY OF LONDON.-At a meeting on May 20tb, Dr. J. Mitchell Bruce, the President, being in the chair, Mr. J. Bland Sutton delivered the annual oration, taking as his subject "Fertilisation in Relation to Pathology." This is published in this issue of THE LANCET (p. 1387). The Right Hon. the Lord Mayor of London attended, and having been elected an Honorary Fellow by In acclamation was duly admitted and signed the roll. thanking the Fellows for the honour they had done him he said that he had hesitated at first to accept the position of chief magistrate of the City of London because of his held
advanced age, but when on looking over the names of his predecessors in the office he had failed to find that of a single medical man, he had felt it to be his duty. After the conclusion of the business of the meeting the customary conversazione was held. Not the least interesting part of the entertainment was provided by the exhibition of several of the literary treasures, of which the society is justly proud. Perhaps the most noteworthy of these were a copy of Servetus, who so nearly anticipated Harvey’s discovery of the circulation of the blood, but whose researches were cut short by Calvin, at whose instigation he was burnt at the stake, and the diary of the vicar of Stratford-on-Avon, wherein is the only authentic record of Shakespeare’s death. Mr. G. Bethell, the registrar, exhibited some old prints chiefly relating to the founder of the society, Dr. Lettsom, and its great benefactor, Dr. Fothergill. 180 Fellows attended, the largest number for many years.
THE
ORGANISATION OF AN ANTITUBERCULOSIS CRUSADE. To the Editor of THE LANCET.
SiR,-Dr. R. A. Lyster, in the valuable article be <;on!ributes on the above subject in your issue of May 4th, makes the somewhat startling statement that the consumptive patient should come to the medical officer, not rice zers=. I wonder if he remembers Hilton’s classic on the doctrineof "Rest."" Those of us who have been studying for some time the case for tuberculin therapy soon find out that in many cases long and tiring journeys to and from the tuberculin dispensary may cause irregular auto-inoculations of the patient and end in disaster. In such cases the injection of tuberculin may lead to what we call a condition of "over-semitiveness." and the injected tuberculin, added to the increased dose of the patient’s own bacterial products produced ’-.7 overexertion, will do harm instead of good. The methods applicable to densely populated centres will not do for the rural districts, where there must be established branch dispensaries under the control of an itinerant tuberculosis officer. They will doubtless cost a good deal more money than urban dispensaries, but economy is not the first ccnslderatbn. I am, Sir, yours faithfully, M.L.BAberd, Aberd. J. PIRIE, M.D. Chelsea, May 16th, 1912.
MERCURIO’S OR WALCHER’S POSITION. To the Editor ofTHE LANCET. SIR,-In to-day’s issue of THE LANCET, in a J.:lOtlc& of Dr. Edward P. Davis’s "Operative Obstetrics," your reviewer writes:—"We notice one interesting slip. The author speaks of the position of Mercurio or Walcher. Mercurio’s position, designed for the delivery of very fat women, is, however, quite different from that of Walcher. It was illustrated first in his book published in 164.’’ L’r. Davis is quite right in speaking of the position of Mercuric or Walcher, and your reviewer in trying to correct him has" slipped twice himself. The "banging legs " or "Walcher" position was described and illustrated by Mercurio over 300 years ago. He also described and illustrated a position (to which your reviewer refers) for very fat women-a kneeling position with the body strongly recurved, which Osiander said
Correspondence.
TERRITORIAL FORCE.
Army
"
Medical Service.
I I Audi alteram partem."
Colonel John S. Riddell, M.V.O., on vacating the appointment of Assistant Director of Medical Services of the Highland Territorial Division, resigns his commission, and is granted permission to retain his rank and to wear the prescribed uniform (dated April 1st, 1912).
Royal Army
Medical
3rd Welsh Field Ambulance,
Corps. Royal Army
Medical Corps : Major George A. Stephens resigns his commission (dated May 15th, 1912). Hamilton Ernest Quick to be Lieutenant (dated May 15th, 1912). 5th London l’ield Ambulance, Royal Army Medical Corps ; Lieutenant-Colonel and Honorary Colonel Charles H. Hartt and is granted permission to retain his rank and to wear the prescribed uniform (dated May 18th, 1912). Major Ernest B. Dowsett to be Lieutenant-Colonel
resigns his commission,
(dated May 18th, 1912). 3rd London General Hospital, Royal Army Medical Corps : Major William Pasteur to be Lieutenant-Colonel (dated Feb. 21st, 1912). The undermentioned officers to he Majors : Captain Bilton Pollard and Captain Walter E. Wynter (dated Feb. 21st, 1912). Herbert Campbell Thomson to be Captain (dated March 25th, 1912). For Attachmeret to Units other than Medical UnitsThomas William Hardwioke Downes to be Lieutenant (dated
April 13th, 1912). BRUCE, C.B. Sir David Bruce has been specially promoted to the rank of surgeon-general by the King in consideration of his SIR DAVID
eminent services in the
cause
ANGINA ABDOMINIS. To the Editor of THE LANCET, much interested in reading the, paper by SIR,-I Sir Lauder Brunton and Mr. W. E. Williams in your issue of April 6th, and also a subsequent letter on this subject. Sir Lauder Brunton inclines to give priority in description and nomenclature to an Italian la 190, but in one of the most interesting books I know, "Common Neuroses," by Goodhart (1894), one nds the following (p. 88):"II have suggested, too, that. in the crises of tabes dorsalis and diabetes there are instances of abdominal neuralgia to which this thoracic crisis severe or angina is in many respects comparable." On p. 118 Goodhart again refer 11 to the subject of stomachache and abdominal neuralgia of which I have notes of several interesting cases." "There is assuredly a severe form of neurosis of the abdominal nerves, sometimes starting in the stomach, sometimes in the intestine, great or small, and many times owning a uterine or pelvic cause0’ Personally, I remember some years ago, a patient of mine who was greatly troubled with this abdominal neuralgia associated with glycosuria. He benefited by courses o hypodermic injections of arsenate of strychnine. Lately !I prescribed the tabella trinitrini co. to a patient with abdominal crises, which were invariably brought on by walking, especially after a meal, and be has derived great I am, Sir, yours faithfully, benefit. J. CHRISTIAN J. CHRI8TLBN SIMPSON, M.D, Edin. EJIC. SIMPS OX, M.D. Cambridge, May 18th, 1912. was
of science.
THE SANITARY COMMISSIONER WITH INDIA.
THE
GOVERNMENT
Or
Since the death of Colonel Leslie, some months ago, the dual posts of Director-General of the Indian Medical Service and Sanitary Commissioner with the Government of India have been held by Surgeon-General Sir Charles Lukis. It has now been decided to revive the latter appointment, and Major Robertson, I.M.S., Acting Sanitary Commissioner in the United Provinces, has been selected for the post. He will serve under the Department of Education and in coordination with the Director General of the Indian Medical Service. The conditions of service have been marked out and will shortly be published.
MEDICAL SOCIETY OF LONDON.-At a meeting on May 20tb, Dr. J. Mitchell Bruce, the President, being in the chair, Mr. J. Bland Sutton delivered the annual oration, taking as his subject "Fertilisation in Relation to Pathology." This is published in this issue of THE LANCET (p. 1387). The Right Hon. the Lord Mayor of London attended, and having been elected an Honorary Fellow by In acclamation was duly admitted and signed the roll. thanking the Fellows for the honour they had done him he said that he had hesitated at first to accept the position of chief magistrate of the City of London because of his held
advanced age, but when on looking over the names of his predecessors in the office he had failed to find that of a single medical man, he had felt it to be his duty. After the conclusion of the business of the meeting the customary conversazione was held. Not the least interesting part of the entertainment was provided by the exhibition of several of the literary treasures, of which the society is justly proud. Perhaps the most noteworthy of these were a copy of Servetus, who so nearly anticipated Harvey’s discovery of the circulation of the blood, but whose researches were cut short by Calvin, at whose instigation he was burnt at the stake, and the diary of the vicar of Stratford-on-Avon, wherein is the only authentic record of Shakespeare’s death. Mr. G. Bethell, the registrar, exhibited some old prints chiefly relating to the founder of the society, Dr. Lettsom, and its great benefactor, Dr. Fothergill. 180 Fellows attended, the largest number for many years.
THE
ORGANISATION OF AN ANTITUBERCULOSIS CRUSADE. To the Editor of THE LANCET.
SiR,-Dr. R. A. Lyster, in the valuable article be <;on!ributes on the above subject in your issue of May 4th, makes the somewhat startling statement that the consumptive patient should come to the medical officer, not rice zers=. I wonder if he remembers Hilton’s classic on the doctrineof "Rest."" Those of us who have been studying for some time the case for tuberculin therapy soon find out that in many cases long and tiring journeys to and from the tuberculin dispensary may cause irregular auto-inoculations of the patient and end in disaster. In such cases the injection of tuberculin may lead to what we call a condition of "over-semitiveness." and the injected tuberculin, added to the increased dose of the patient’s own bacterial products produced ’-.7 overexertion, will do harm instead of good. The methods applicable to densely populated centres will not do for the rural districts, where there must be established branch dispensaries under the control of an itinerant tuberculosis officer. They will doubtless cost a good deal more money than urban dispensaries, but economy is not the first ccnslderatbn. I am, Sir, yours faithfully, M.L.BAberd, Aberd. J. PIRIE, M.D. Chelsea, May 16th, 1912.
MERCURIO’S OR WALCHER’S POSITION. To the Editor ofTHE LANCET. SIR,-In to-day’s issue of THE LANCET, in a J.:lOtlc& of Dr. Edward P. Davis’s "Operative Obstetrics," your reviewer writes:—"We notice one interesting slip. The author speaks of the position of Mercurio or Walcher. Mercurio’s position, designed for the delivery of very fat women, is, however, quite different from that of Walcher. It was illustrated first in his book published in 164.’’ L’r. Davis is quite right in speaking of the position of Mercuric or Walcher, and your reviewer in trying to correct him has" slipped twice himself. The "banging legs " or "Walcher" position was described and illustrated by Mercurio over 300 years ago. He also described and illustrated a position (to which your reviewer refers) for very fat women-a kneeling position with the body strongly recurved, which Osiander said