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BICYCLING IN LONDON.
1154 was of unsound mind and that it not true that she would be a source of danger as a dispenser, but that it was true that she had hallucinations. They gave their verdict for Miss Dowling, awarding her R100
in
saying that the plaintiff
was
damages. Miss Dowling certainly had hallucinations, and hallucinations of a pronounced sort. Thus she charged a lady with taking her soul from her by diabolical practices, and she admitted in court that being in Ireland she distinctly heard the voice of a Dr. Groves, who was at the moment in the Isle of Wight. How a dispenser liable to such flights of imagination could be other than a source of danger to those for whom she dispensed we cannot imagine, and it seemed amazing to us that a medical man should be fined for taking steps in the exercise of his profession to prevent an unfortunate sufferer from damaging herself and the public. The second trial reinstated Mr. Dods in public opinion, showing the jury to have taken a hasty view, but, unfortunately, he still remains out of pocket. He was, of course, in the first instance fighting for his own hand, but he has really maintained battle for the whole of the medical profession in a disagreeable situation where, in the present state of the law, any of our readers may find themselves to-morrow. Therefore we ask our readers to give to the appeal published on page 1161 of this issue their best attention. Times are hard and the claims on the purses of the profession are heavy. Bat Mr. Dods has been severely fined for doing what he conceived to be his public duty and professional fraternity should see that his loss is made as light as as
possible.
-
BICYCLING IN LONDON. FEW
people, probably, except those whose work lies in hospitals realise what a large number of accidents occur daily through the use of bicycles in the streets of London. The daily press has knowledge, generally speaking, only of fatal accidents with their subsequent inquests, and the of less serious injury escape the publicity of those papers even whose fortune so largely lies in the misfortune of others, if we may judge by the prominence which their columns give to anything of the nature of accident or tragedy. This lack of information on the part of the daily paper as regards bicycle mishaps provides a rare instance in which the absence of publicity be may deplored. In our opinion the bicycle in London is too freely used for the common welfare, and if the public generally were more fully alive to the accidents to which it gives rise its prevalence in metropolitan thoroughfares would probably diminish. We are second to none in recognising the benefits of most forms of athletic exercise and in appreciating the bicycle as placing a convenient means of muscular exertion before those who without it would be often physically idle. The medical as a has blessed the wheel with a wide whole, profession, and the has had our support general opinion approval, before but we maintain that there is a now, wide difference between bicycling for health and pleasure and riding amidst the kaleidoscopic probabilities of collision in a crowded London thoroughfare. In the first place, the value of the exercise itself is largely discounted by the fact that to ride at all fast is simply to court disaster. Even without the chance of accident from tributary thoroughfares, the traffic of a main route by its intricate packing and sudden halts, by its erratic cabs suddenly turned in obedience to a hurried whistle, by its swaying ’buses stopped at any moment, by its flurried ladies crossing at a wrong time, by its children, and by its dogs, places the bicyclist who rides fast in the imminent risk of a "spill" or a collision in which he or his machine or both will be lucky to escape with a numerous cases
fracture. The man or woman who rides fast in London is not likely to be troubled withnerves," but there is another side to the question which affects the careful rider. He, or more especially she, is in a constant Her eyes must comprehend all state of nervous tension. that is before and on either side of her and her ears must be alive to everything behind. Her brain reels with a constant succession of hurried impressions, and through it all she must keep calm control of every muscle or her equilibrium will reel too. The concentration thus demanded of the London bicyclist has even been the very reason of its recommendation as a 11 nerve-tonic," and we know an enthusiastic physician who went so far as to declare that to get the fullest effect a person should ride on the wrong The chief effect likely to be thus side of the road I obtained is a short rest in the accident ward of a hospital. For young men accustomed to the prompt actions of athletic games, bicycling amidst the traffic of London may afford a sport or an exercise the risks of which are only enough to make it pleasantly exciting. For older people and for all women we believe the risks outweigh the advantages. Moreover, there are conditions under which no one should run risks. When the roads are greasy, when rain has fallen enough to make wood and asphalt sticky without making them sloppy, anyone who bicycles amidst traffic, unless necessity compels him He will often be so to, takes an unwarrantable risk. that the least his wheel under that of placed slip puts some he vehicle and as heavy leaps off his saddle into the slippery road it is mere luck if he does not fall beneath another wheel. To those who would ride in London when the roads are not properly dry, and to women who would shop on bicycles, we unhesitatingly proffer M’l’. Punch’s historic advice,"Don’t." Let the Londoner who wishes to bicycle rise early and do so before the traffic of the day has begun or let him wheel his machine to one of the parks. In either case he will take exercise without risk and will breathe fresh, unpolluted air not to be obtained from the dust-laden atmosphere of crowded thoroughfares. mere
A CASE OF TOTAL EXTIRPATION OF THE
STOMACH. IN the ])eutsohe Meàiainisohe Woohensokrift of Aprilllth Dr. A. von Bardeleben of Bochum in Westphalia publishes an account of the case of a woman, 52 years of age, whose stomach he removed in the Augusta Hospital in that town on August 28th, 1900, and whom he showed at a meeting of the Surgical Association of the Lower Rhine and Westphalia held in Bochum on Dec. 8th following. For a year previously to the operation she had suffered from pain in the stomach accompanied by nausea and eructation but without vomiting. Her appetite failed entirely, she lost 40lb. in weight, and could only hold herself up with a great effort. A moveable tumour of the size of a fist could be felt to the left of the umbilicus. On opening the abdomen the whole anterior wall of the stomach from the cardia to the pylorus was found to be greatly thickened and densely infiltrated. The oesophagus was thereupon divided below a temporary ligature placed close to the diaphragm and the stomach, inclusive of both cardia and pylorus, was removed with detachment (Abtrennung) of the great and small omentum. The orifice of the duodenum was sutured, and the end of the oesophagus was attached laterally to the small intestine some distance lower down. The operation lasted 75 minutes, including disinfection, 20 grammes (three-quarters of an ounce) of chloroform being used. The subsequent course of the case was quite uneventful. On the evening of the day of the operation
in
saying that the plaintiff
was
damages. Miss Dowling certainly had hallucinations, and hallucinations of a pronounced sort. Thus she charged a lady with taking her soul from her by diabolical practices, and she admitted in court that being in Ireland she distinctly heard the voice of a Dr. Groves, who was at the moment in the Isle of Wight. How a dispenser liable to such flights of imagination could be other than a source of danger to those for whom she dispensed we cannot imagine, and it seemed amazing to us that a medical man should be fined for taking steps in the exercise of his profession to prevent an unfortunate sufferer from damaging herself and the public. The second trial reinstated Mr. Dods in public opinion, showing the jury to have taken a hasty view, but, unfortunately, he still remains out of pocket. He was, of course, in the first instance fighting for his own hand, but he has really maintained battle for the whole of the medical profession in a disagreeable situation where, in the present state of the law, any of our readers may find themselves to-morrow. Therefore we ask our readers to give to the appeal published on page 1161 of this issue their best attention. Times are hard and the claims on the purses of the profession are heavy. Bat Mr. Dods has been severely fined for doing what he conceived to be his public duty and professional fraternity should see that his loss is made as light as as
possible.
-
BICYCLING IN LONDON. FEW
people, probably, except those whose work lies in hospitals realise what a large number of accidents occur daily through the use of bicycles in the streets of London. The daily press has knowledge, generally speaking, only of fatal accidents with their subsequent inquests, and the of less serious injury escape the publicity of those papers even whose fortune so largely lies in the misfortune of others, if we may judge by the prominence which their columns give to anything of the nature of accident or tragedy. This lack of information on the part of the daily paper as regards bicycle mishaps provides a rare instance in which the absence of publicity be may deplored. In our opinion the bicycle in London is too freely used for the common welfare, and if the public generally were more fully alive to the accidents to which it gives rise its prevalence in metropolitan thoroughfares would probably diminish. We are second to none in recognising the benefits of most forms of athletic exercise and in appreciating the bicycle as placing a convenient means of muscular exertion before those who without it would be often physically idle. The medical as a has blessed the wheel with a wide whole, profession, and the has had our support general opinion approval, before but we maintain that there is a now, wide difference between bicycling for health and pleasure and riding amidst the kaleidoscopic probabilities of collision in a crowded London thoroughfare. In the first place, the value of the exercise itself is largely discounted by the fact that to ride at all fast is simply to court disaster. Even without the chance of accident from tributary thoroughfares, the traffic of a main route by its intricate packing and sudden halts, by its erratic cabs suddenly turned in obedience to a hurried whistle, by its swaying ’buses stopped at any moment, by its flurried ladies crossing at a wrong time, by its children, and by its dogs, places the bicyclist who rides fast in the imminent risk of a "spill" or a collision in which he or his machine or both will be lucky to escape with a numerous cases
fracture. The man or woman who rides fast in London is not likely to be troubled withnerves," but there is another side to the question which affects the careful rider. He, or more especially she, is in a constant Her eyes must comprehend all state of nervous tension. that is before and on either side of her and her ears must be alive to everything behind. Her brain reels with a constant succession of hurried impressions, and through it all she must keep calm control of every muscle or her equilibrium will reel too. The concentration thus demanded of the London bicyclist has even been the very reason of its recommendation as a 11 nerve-tonic," and we know an enthusiastic physician who went so far as to declare that to get the fullest effect a person should ride on the wrong The chief effect likely to be thus side of the road I obtained is a short rest in the accident ward of a hospital. For young men accustomed to the prompt actions of athletic games, bicycling amidst the traffic of London may afford a sport or an exercise the risks of which are only enough to make it pleasantly exciting. For older people and for all women we believe the risks outweigh the advantages. Moreover, there are conditions under which no one should run risks. When the roads are greasy, when rain has fallen enough to make wood and asphalt sticky without making them sloppy, anyone who bicycles amidst traffic, unless necessity compels him He will often be so to, takes an unwarrantable risk. that the least his wheel under that of placed slip puts some he vehicle and as heavy leaps off his saddle into the slippery road it is mere luck if he does not fall beneath another wheel. To those who would ride in London when the roads are not properly dry, and to women who would shop on bicycles, we unhesitatingly proffer M’l’. Punch’s historic advice,"Don’t." Let the Londoner who wishes to bicycle rise early and do so before the traffic of the day has begun or let him wheel his machine to one of the parks. In either case he will take exercise without risk and will breathe fresh, unpolluted air not to be obtained from the dust-laden atmosphere of crowded thoroughfares. mere
A CASE OF TOTAL EXTIRPATION OF THE
STOMACH. IN the ])eutsohe Meàiainisohe Woohensokrift of Aprilllth Dr. A. von Bardeleben of Bochum in Westphalia publishes an account of the case of a woman, 52 years of age, whose stomach he removed in the Augusta Hospital in that town on August 28th, 1900, and whom he showed at a meeting of the Surgical Association of the Lower Rhine and Westphalia held in Bochum on Dec. 8th following. For a year previously to the operation she had suffered from pain in the stomach accompanied by nausea and eructation but without vomiting. Her appetite failed entirely, she lost 40lb. in weight, and could only hold herself up with a great effort. A moveable tumour of the size of a fist could be felt to the left of the umbilicus. On opening the abdomen the whole anterior wall of the stomach from the cardia to the pylorus was found to be greatly thickened and densely infiltrated. The oesophagus was thereupon divided below a temporary ligature placed close to the diaphragm and the stomach, inclusive of both cardia and pylorus, was removed with detachment (Abtrennung) of the great and small omentum. The orifice of the duodenum was sutured, and the end of the oesophagus was attached laterally to the small intestine some distance lower down. The operation lasted 75 minutes, including disinfection, 20 grammes (three-quarters of an ounce) of chloroform being used. The subsequent course of the case was quite uneventful. On the evening of the day of the operation