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ASYLUM REPORTS.
NEW INVENTIONS.-ASYLUM REPORTS.-LOOKING BACK.
603
all of whom were treated in the isolation hospitaL good recoveries. There was no other outbreak of epidemic disease during the year. Six patients escaped, but all were retaken. Two attendants sustained fractures of theleg through being pushed down by patients. No other IMPROVED "RELIANCE" CLINICAL THERMOMETER. serious casualties occurred in the year. Two male attendants. and the other from pulmonary died, one from THE accompanying illustration shows a new form of tuberculosis. Inpneumonia 14 nurses passed the examina1900, May, 11 Reliance" clinical thermometer which has just been tion of the Association and obtained Medico-Psychological "A practical masseuse has given lessons in. c brought out by Messrs. Arnold and Sons of West certificates. Smithfield, London, E C. It is of the ordinary round rmassage [to the nurses]. I have much hope," adds Dr. ( Shaw, "from this treatment, especially in case-. tube pattern, but has a ridge along the whole lengthClaye artificial feeding in conditions of melancholia.’’ of the stem on the reverse side to the index which requiring rThe number of patients discharged as recovered during when on a desk effectually prevents rolling placed the year was 238, or 9’7 per cent. of the average number or other inclined surface, being in this respect resident. t The deaths amounted to or 10’] per cent. superior to the lens clinical. It is also claimed thatas calculated on the same basis. Of247, the deaths 11 were it obviates breakage in re-setting the index, as so due to senile decay, 25 to epilepsy, 29 to cardiac disease, often occurs in the flat-backed variety which is 45 to pulmonary tuberculosis, 47 to chronic brain atrophy, 5T specially weak owing to its formation and etching, to general paralysis, and the rest to other causes. The Comthe ridge on the"Reliancethermometer giving great ]missioners in Lunacy state in their report that the wards and additional strength to the tube. ] were bright and clean and in very good condition, the rooms appearance of the patients was neat, and the medical caseA DUCK-BILL SPECULUM FOR THE books and records were well kept. URETHRA. CARUNCLE of the female urethra is a very common affection. The growths, which are situated almost on the lower floor in or near the meatus, are
patients,
All made
New Inventions.
:
FEMALE
Looking Back.
entirely
FROM
THE LANCET, SUNDAY, FEB. 29, 1824. l’o the Editor
of
The Lancet.
SIR,—Reading in The Lancet this week the account of an experiment in transfusion, performed by Dr. BLUNDELL, assisted by
myself and others, I beg leave to transmit a few particulars respecting it. First, it was the blood taken from the carotid artery of one dog, that was injected intoanother dog, which had been drained till a state of apparent death was produced. Secondly, Dr. BLUNDELL does not, recommend the injection of blood into the jugular vein.
more
woman, but into some vein more remote from the heart,. of the hand or arm for instance. Thirdly, it is not theblood of animals which Dr. BLUNDELL proposes to inject into the human veins, as he tells us in his physiological. lectures that he doubts whether the blood of one genus of animals can be safely substituted for that of another, but human blood itself to be taken from the arm of another person by venesection. Fourthly and lastly, Dr. BLUNDELL considers it essential to the success of the operation, that by means of a proper instrument the blood be injected into the vein of a patient, as fast as it issues from the vein of the person who emits it, without lodging in the caps of the syringe for more than a few seconds at most. It may not be amiss to add, that the syringe and joints of the instrument, which we employed in this expeiiment, are made to work under water, so as to preclude the possibility of the entrance of’ air into the apparatus, as air getting into the veins produces dangerous and even fatal effects.
of
a
as
often somewhat deeply attached and for some distance up the tube. They easily break off and are very liable to recur, especially if the base of attachment is not freely removed. The speculum shown in the accompanying illustration has been found very useful in both the examination and removal of these growths. It is made on the principle of a duck-bill vaginal speculum; the concave surfaces on the two legs are of different width and are bevelled off at the ends. By hooking up the instrument over the vulva and depressing the upper blade the caruncle can be everted with the lower one and a light reflected on For removal with the thermo- or galvano-cautery to it. this arrangement is invaluable. I have found it to give a better view than either the ordinary Bryant’s vulcanite hpeculum or the bivalve dilator and is much less painful to the natient than the latter. It has been made for me bv CHARLES J. WEIGHT. Messrs. Wood and Co. of York. Leeds.
1 am, Sir,
I
Your obedient Servant, Servant. ROBERT JOHN LINTON. 1824.
Guy’s Hospital, Feb. 23, a fortnight since
P. S.-It is is quite well.
the
experiment,
and the
dog
ASYLUM REPORTS. London County Asylum, Banstead (Report for the year ending March 31st, 1901).-The average number of patients resident during the year was 2443. The admissions during the year amounted to 547, and of these 463 were first admissions. Dr. T. Claye Shaw, then the medical superintendent, states in his report that the number of admissions during the year was the largest since 1891. The mental and bodily condition of the patients admitted was much impaired, and some of the patients (transfers from other asylums) were of a verv violent and incurable type. "Drink, privation, worry, and general disease were chiefly responsible for the attacks, and but little was attributable to influenza." In the early part o the year scarlet fever affected five nurses and two female
THE LATE EDWARD GRAINGER, ESQ. The Friends of this highly talented young man are respectfully informed, that an Animated BUST, the size of Life, has been executed by Mr. HOLLINS, Sculptor of Birmingh,am, which has met with the decided approbation of his Family, and all who have seen it. To meet the wishes of his numerous Pupils and Friends, Mr. H. has been induced to prepare (casts of it at Two (Guineas each.
GIFTS
pany Eastern
TO
HOSPITALS.-The Leathersellers’ Com-
has sent to the Chelsea Hospital for Women a dona10s.-The Bishop of London, as trustee of the tion of <&10 Marriott bequest, has sent a cheque for £1700 to the NorthHospital for Children, Hackney-road..
603
all of whom were treated in the isolation hospitaL good recoveries. There was no other outbreak of epidemic disease during the year. Six patients escaped, but all were retaken. Two attendants sustained fractures of theleg through being pushed down by patients. No other IMPROVED "RELIANCE" CLINICAL THERMOMETER. serious casualties occurred in the year. Two male attendants. and the other from pulmonary died, one from THE accompanying illustration shows a new form of tuberculosis. Inpneumonia 14 nurses passed the examina1900, May, 11 Reliance" clinical thermometer which has just been tion of the Association and obtained Medico-Psychological "A practical masseuse has given lessons in. c brought out by Messrs. Arnold and Sons of West certificates. Smithfield, London, E C. It is of the ordinary round rmassage [to the nurses]. I have much hope," adds Dr. ( Shaw, "from this treatment, especially in case-. tube pattern, but has a ridge along the whole lengthClaye artificial feeding in conditions of melancholia.’’ of the stem on the reverse side to the index which requiring rThe number of patients discharged as recovered during when on a desk effectually prevents rolling placed the year was 238, or 9’7 per cent. of the average number or other inclined surface, being in this respect resident. t The deaths amounted to or 10’] per cent. superior to the lens clinical. It is also claimed thatas calculated on the same basis. Of247, the deaths 11 were it obviates breakage in re-setting the index, as so due to senile decay, 25 to epilepsy, 29 to cardiac disease, often occurs in the flat-backed variety which is 45 to pulmonary tuberculosis, 47 to chronic brain atrophy, 5T specially weak owing to its formation and etching, to general paralysis, and the rest to other causes. The Comthe ridge on the"Reliancethermometer giving great ]missioners in Lunacy state in their report that the wards and additional strength to the tube. ] were bright and clean and in very good condition, the rooms appearance of the patients was neat, and the medical caseA DUCK-BILL SPECULUM FOR THE books and records were well kept. URETHRA. CARUNCLE of the female urethra is a very common affection. The growths, which are situated almost on the lower floor in or near the meatus, are
patients,
All made
New Inventions.
:
FEMALE
Looking Back.
entirely
FROM
THE LANCET, SUNDAY, FEB. 29, 1824. l’o the Editor
of
The Lancet.
SIR,—Reading in The Lancet this week the account of an experiment in transfusion, performed by Dr. BLUNDELL, assisted by
myself and others, I beg leave to transmit a few particulars respecting it. First, it was the blood taken from the carotid artery of one dog, that was injected intoanother dog, which had been drained till a state of apparent death was produced. Secondly, Dr. BLUNDELL does not, recommend the injection of blood into the jugular vein.
more
woman, but into some vein more remote from the heart,. of the hand or arm for instance. Thirdly, it is not theblood of animals which Dr. BLUNDELL proposes to inject into the human veins, as he tells us in his physiological. lectures that he doubts whether the blood of one genus of animals can be safely substituted for that of another, but human blood itself to be taken from the arm of another person by venesection. Fourthly and lastly, Dr. BLUNDELL considers it essential to the success of the operation, that by means of a proper instrument the blood be injected into the vein of a patient, as fast as it issues from the vein of the person who emits it, without lodging in the caps of the syringe for more than a few seconds at most. It may not be amiss to add, that the syringe and joints of the instrument, which we employed in this expeiiment, are made to work under water, so as to preclude the possibility of the entrance of’ air into the apparatus, as air getting into the veins produces dangerous and even fatal effects.
of
a
as
often somewhat deeply attached and for some distance up the tube. They easily break off and are very liable to recur, especially if the base of attachment is not freely removed. The speculum shown in the accompanying illustration has been found very useful in both the examination and removal of these growths. It is made on the principle of a duck-bill vaginal speculum; the concave surfaces on the two legs are of different width and are bevelled off at the ends. By hooking up the instrument over the vulva and depressing the upper blade the caruncle can be everted with the lower one and a light reflected on For removal with the thermo- or galvano-cautery to it. this arrangement is invaluable. I have found it to give a better view than either the ordinary Bryant’s vulcanite hpeculum or the bivalve dilator and is much less painful to the natient than the latter. It has been made for me bv CHARLES J. WEIGHT. Messrs. Wood and Co. of York. Leeds.
1 am, Sir,
I
Your obedient Servant, Servant. ROBERT JOHN LINTON. 1824.
Guy’s Hospital, Feb. 23, a fortnight since
P. S.-It is is quite well.
the
experiment,
and the
dog
ASYLUM REPORTS. London County Asylum, Banstead (Report for the year ending March 31st, 1901).-The average number of patients resident during the year was 2443. The admissions during the year amounted to 547, and of these 463 were first admissions. Dr. T. Claye Shaw, then the medical superintendent, states in his report that the number of admissions during the year was the largest since 1891. The mental and bodily condition of the patients admitted was much impaired, and some of the patients (transfers from other asylums) were of a verv violent and incurable type. "Drink, privation, worry, and general disease were chiefly responsible for the attacks, and but little was attributable to influenza." In the early part o the year scarlet fever affected five nurses and two female
THE LATE EDWARD GRAINGER, ESQ. The Friends of this highly talented young man are respectfully informed, that an Animated BUST, the size of Life, has been executed by Mr. HOLLINS, Sculptor of Birmingh,am, which has met with the decided approbation of his Family, and all who have seen it. To meet the wishes of his numerous Pupils and Friends, Mr. H. has been induced to prepare (casts of it at Two (Guineas each.
GIFTS
pany Eastern
TO
HOSPITALS.-The Leathersellers’ Com-
has sent to the Chelsea Hospital for Women a dona10s.-The Bishop of London, as trustee of the tion of <&10 Marriott bequest, has sent a cheque for £1700 to the NorthHospital for Children, Hackney-road..