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Suspecting that the orifices of the catheter with fibrin we placed a fresh catheter in a different site, but theie was no improvement in drainage. We guessed that the mixture of blood and dialysis fluid in the peritoneal cavity had also formed a semi-solid clot. Continuation of dialysis was impossible-this despite the presence of heparin (200 units per litre) in the dialysis fluid. Laparotomy to remove the clot would clearly have caused difficulties in continuing peritoneal dialysis, and haemodialysis would have carried the risk of further bleeding from systemic heparinisation. Some form of dialysis was urgently required for hyperkalxmia. It occurred to us to try the effect of intraperitoneal streptokinase to break down the clot. Accordingly 250,000 units of streptokinase was run into the peritoneal cavity and left for an hour. The drainage tube was then opened, and, to our relief, heavily bloodstained peritoneal fluid ran out without interruption. Dialysis was continued uneventfully, with gradual clearing of the bloodstaining, and there was no recurrence of the run fluid in. were blocked
bleeding. Newcastle General Newcastle upon
Hospital, Tyne.
NEIL THOMPSON ROBERT ULDALL.
Obituary NEIL DUNCAN FRASER M.B.
L’pool, D.T.M. & H. Dr. N. D. Fraser, a retired medical missionary, died in Pitlochry on Aug. 3. He
educated
was
at
Birkenhead School and the Uni-
versity of Liverpool, and in 1924 joined the staff of the English Presbyterian Mission Hospital in Swatow, South China. This hospital, which had an enormous local reputation, was able to continue working despite the antiBritish boycott at that time. It treated many patients who, in the absence of nurses, were looked after by apprentice medical students " and the patients’ relatives. Four years after his arrival Fraser was the medical superintendent; and he, with his colleagues, worked tirelessly to bring the "
medical work up to modern requirements. Two years later two wards were under modern nursing care, and nine years later enough nurses had been trained to provide a complete nursing service. His concern for the many people in the area who had leprosy led to the opening of village clinics for their treatment. After the 1939-45 war he devoted himself increasingly to the treatment of leprosy. He travelled extensively in China on behalf of the Leprosy Mission, advising and arranging for financial support where it was needed. After the Communist Revolution in 1949 he moved to Hong Kong, where the refugees included many with leprosy. For long he had wanted to established a community for the treatment of leprosy where those who were able could work and earn their living while under treatment. The opportunity now came. The Hong Kong Government provided an island, and under Fraser’s inspiration and direction a leprosarium was built with money and other support from local sources and from the Leprosy Mission and with help from British Army engineers. There on Hay Ling Chau (Island of Happy Healing) those with leprosy are treated, discharged, and, when appropriate, helped in securing employment, and medical students are
taught. Fraser
of wide interests, and some of his archaeological finds in China can be seen in the British Museum. He had a zest for travel and adventure, of which he had plenty during nearly twenty-five years in China. He had a busy retirement, and his death was a shock to was a man
his many friends because he and energy. Dr. Fraser is survived nurse, and
by
two sons
always
seemed
by his wife, who a daughter.
is
a
so
former
full of life J. M.
missionary
and
ANDREW GARVIE M.D.
Glasg.,
F.R.S.S.
Garvie, pioneer of statistical research in general practice, died in Bradford on Aug. 20 at the age of 84. Born in Clunie, Perthshire, Andrew Garvie started his career as an engineer, changing later to the study of medicine at Glasgow University. His student days coincided with those of Walter Elliot and 0. H. Mavor, with whom he played a big part in the political life of the University. He settled in Halifax in 1913, and with his clinical acumen and sound knowledge of medicine he soon built up a busy practice. His inquiring mind always associated his patients with research; and he was awarded the M.D. in 1921 for his thesis on the spread of influenza in an industrial practice. His life work, however, was a sequential study of his patients as a statistical sample of the population. With the help of a design engineer, he invented a mechanical binary computer which he used to code the details of his patients for transfer to punch cards. His coding methods drew visits from many people interested in this subject. His work was recognised by his election to fellowship of the Royal Statistical Society in 1950. At the age of 72, a leg amputation forced him to abandon his plans to enjoy the outdoor activities which he loved. He now turned his attention to his meticulous case-records, charts, and needle selection cards covering fifty years of general practice. He found many interesting sequences, but unfortunately the mine of information he had collected was Dr.
never
a
fully analysed.
He was a keen golfer, a lover of fell walking, and a good skier. For many years he was president of the Gritstone Club in Bradford; and he was a founder member and past president of the St. Andrew’s Society in Halifax. He is survived by his wife, also a Glasgow graduate, and his son, who is a consultant pxdiatrician. Dr. C. A. LILLICRAP
C. D. C. writes: "
I had known Charles Lillicrap since our days at Guy’s, even then he possessed those qualities of energy, wit, good humour to no less extent than in latter years. Recently I got to know him better, first because we were both appointed members of the Sheffield Regional Hospital Board at the same time and, second, because I became his patient. When he drove me to Sheffield in his fast car it was a real pleasure to experience his skill as a driver, as well as his great sense of humour which accompanied our chat on the way. For the two months before he died he looked after me when I was seriously ill. Always cheerful, he called to see me far more often than he need have done, but that was typical of Charles. It was the same with everyone he looked after-in his own words, ’because I was once a general practitioner’. He died on the very morning he had allowed me back to work."
and and
Appointments Newcastle Regional Hospital Board: BEDI, SURJIT SINGH, M.B. Calcutta, D.PHYS. MED.:
consultant in
M.R.C.P.E.,
M.R.C.P.G.,
physical medicine, North Teesside
and Hartlepool hospital group. MACGREGOR D. F., B.M., B.sc. Oxon., D.P.M. : consultant in mental subnormality, Prudhoe and Monkton hospital group. PLATTS, EDWARD, M.B. Cantab., M.R.C.O.G. : consultant obstetrician and gynxcologist, South Teesside hospital group.
Suspecting that the orifices of the catheter with fibrin we placed a fresh catheter in a different site, but theie was no improvement in drainage. We guessed that the mixture of blood and dialysis fluid in the peritoneal cavity had also formed a semi-solid clot. Continuation of dialysis was impossible-this despite the presence of heparin (200 units per litre) in the dialysis fluid. Laparotomy to remove the clot would clearly have caused difficulties in continuing peritoneal dialysis, and haemodialysis would have carried the risk of further bleeding from systemic heparinisation. Some form of dialysis was urgently required for hyperkalxmia. It occurred to us to try the effect of intraperitoneal streptokinase to break down the clot. Accordingly 250,000 units of streptokinase was run into the peritoneal cavity and left for an hour. The drainage tube was then opened, and, to our relief, heavily bloodstained peritoneal fluid ran out without interruption. Dialysis was continued uneventfully, with gradual clearing of the bloodstaining, and there was no recurrence of the run fluid in. were blocked
bleeding. Newcastle General Newcastle upon
Hospital, Tyne.
NEIL THOMPSON ROBERT ULDALL.
Obituary NEIL DUNCAN FRASER M.B.
L’pool, D.T.M. & H. Dr. N. D. Fraser, a retired medical missionary, died in Pitlochry on Aug. 3. He
educated
was
at
Birkenhead School and the Uni-
versity of Liverpool, and in 1924 joined the staff of the English Presbyterian Mission Hospital in Swatow, South China. This hospital, which had an enormous local reputation, was able to continue working despite the antiBritish boycott at that time. It treated many patients who, in the absence of nurses, were looked after by apprentice medical students " and the patients’ relatives. Four years after his arrival Fraser was the medical superintendent; and he, with his colleagues, worked tirelessly to bring the "
medical work up to modern requirements. Two years later two wards were under modern nursing care, and nine years later enough nurses had been trained to provide a complete nursing service. His concern for the many people in the area who had leprosy led to the opening of village clinics for their treatment. After the 1939-45 war he devoted himself increasingly to the treatment of leprosy. He travelled extensively in China on behalf of the Leprosy Mission, advising and arranging for financial support where it was needed. After the Communist Revolution in 1949 he moved to Hong Kong, where the refugees included many with leprosy. For long he had wanted to established a community for the treatment of leprosy where those who were able could work and earn their living while under treatment. The opportunity now came. The Hong Kong Government provided an island, and under Fraser’s inspiration and direction a leprosarium was built with money and other support from local sources and from the Leprosy Mission and with help from British Army engineers. There on Hay Ling Chau (Island of Happy Healing) those with leprosy are treated, discharged, and, when appropriate, helped in securing employment, and medical students are
taught. Fraser
of wide interests, and some of his archaeological finds in China can be seen in the British Museum. He had a zest for travel and adventure, of which he had plenty during nearly twenty-five years in China. He had a busy retirement, and his death was a shock to was a man
his many friends because he and energy. Dr. Fraser is survived nurse, and
by
two sons
always
seemed
by his wife, who a daughter.
is
a
so
former
full of life J. M.
missionary
and
ANDREW GARVIE M.D.
Glasg.,
F.R.S.S.
Garvie, pioneer of statistical research in general practice, died in Bradford on Aug. 20 at the age of 84. Born in Clunie, Perthshire, Andrew Garvie started his career as an engineer, changing later to the study of medicine at Glasgow University. His student days coincided with those of Walter Elliot and 0. H. Mavor, with whom he played a big part in the political life of the University. He settled in Halifax in 1913, and with his clinical acumen and sound knowledge of medicine he soon built up a busy practice. His inquiring mind always associated his patients with research; and he was awarded the M.D. in 1921 for his thesis on the spread of influenza in an industrial practice. His life work, however, was a sequential study of his patients as a statistical sample of the population. With the help of a design engineer, he invented a mechanical binary computer which he used to code the details of his patients for transfer to punch cards. His coding methods drew visits from many people interested in this subject. His work was recognised by his election to fellowship of the Royal Statistical Society in 1950. At the age of 72, a leg amputation forced him to abandon his plans to enjoy the outdoor activities which he loved. He now turned his attention to his meticulous case-records, charts, and needle selection cards covering fifty years of general practice. He found many interesting sequences, but unfortunately the mine of information he had collected was Dr.
never
a
fully analysed.
He was a keen golfer, a lover of fell walking, and a good skier. For many years he was president of the Gritstone Club in Bradford; and he was a founder member and past president of the St. Andrew’s Society in Halifax. He is survived by his wife, also a Glasgow graduate, and his son, who is a consultant pxdiatrician. Dr. C. A. LILLICRAP
C. D. C. writes: "
I had known Charles Lillicrap since our days at Guy’s, even then he possessed those qualities of energy, wit, good humour to no less extent than in latter years. Recently I got to know him better, first because we were both appointed members of the Sheffield Regional Hospital Board at the same time and, second, because I became his patient. When he drove me to Sheffield in his fast car it was a real pleasure to experience his skill as a driver, as well as his great sense of humour which accompanied our chat on the way. For the two months before he died he looked after me when I was seriously ill. Always cheerful, he called to see me far more often than he need have done, but that was typical of Charles. It was the same with everyone he looked after-in his own words, ’because I was once a general practitioner’. He died on the very morning he had allowed me back to work."
and and
Appointments Newcastle Regional Hospital Board: BEDI, SURJIT SINGH, M.B. Calcutta, D.PHYS. MED.:
consultant in
M.R.C.P.E.,
M.R.C.P.G.,
physical medicine, North Teesside
and Hartlepool hospital group. MACGREGOR D. F., B.M., B.sc. Oxon., D.P.M. : consultant in mental subnormality, Prudhoe and Monkton hospital group. PLATTS, EDWARD, M.B. Cantab., M.R.C.O.G. : consultant obstetrician and gynxcologist, South Teesside hospital group.