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COMPULSORY INSTRUCTION IN THE ADMINISTRATION OF ANÆSTHETICS.
1710
disagreeable odour of the menstrual blood in the for a pass qualification contents himself with a hasty related above suggests that the eruption was a toxic reading of a few paragraphs in the book upon pharmacology effect in connexion with menstruation. In the discussion which he studies and makes little more effort to acquire a which followed M. Barié referred to a case of "yellow practical knowledge of anaesthetics. Now, however, that the catamenial chromidrosis"which he had described.! Two corporations have adopted this forward step and insist upon days before menstruation one hand became painful ; then it a course of instruction in anaesthetics the responsibility of became covered with large dark-brown spots which were making that course at once practical and yet including in especially marked near the middle of the dorsal surface its purview a resunae of the very large amount of theoretical and on the median part of the palmar surface of the first two knowledge which has within the past 50 years been accufingers. This phenomenon was so regular that the patient mulated must rest with the hospital authorities and ulticould foretell the appearance of menstruation 48 hours mately with the teachers. It will in the future become the before. The chromidrosis lasted 12 or 24 hours and then duty of election committees of hospitals when appointing disappeared. The right and left hands were alternately an officer whose duties include the direction of the department of anaesthetics to consider, not only the skill of the affected with perfect regularity. candidates as expert anaesthetists, but their knowledge and A DINNER OF OBSTETRICIANS AND ability to impart both the knowledge and its practical GYNÆCOLOGISTS. application. This responsibility is one of no slight kind and involves far-reaching consequences as far as the general ALL medical practitioners interested in obstetrics and of the profession are concerned. invited to attend a dinner to be public and the reputation are The
case
gynaecology
cordially
held on June 24th, at 7 P.M., at the Whitehall rooms of the Hotel Métropôle, under the chairmanship of Sir John Williams, Bart. On the same day, at 4 P.m., at 20, Hanoversquare, in the rooms of the Royal Medical and Chirurgical Society, a reception will be held by Sir John Williams, Dr. Peter Horrocks, President of the Obstetrical Society of London, and Dr. Halliday Croom, President of the British Gynaecological Society. Application for the dinner tickets, price ill1 1s., should be made to Dr. Eden, 26, Queen Annestreet. A highly representative and influential list of stewards has been secured. __
SANITARY PROGRESS IN THE GOLD COAST COLONY. By the application of the first principles of sanitation there is no doubt that much can be done to make the Gold Coast country a place where white men can live and work. Of course, the existence of a good supply of fresh spring water for drinking purposes which can be kept untainted by the drainings of the swamps is an enormous advantage. Such an advantage is possessed by Mantraim Wassau. The medical officer of this place has just published his
COMPULSORY INSTRUCTION IN THE ADMINISTRATION OF ANÆSTHETICS.
THE announcement that the Society of Apothecaries has included anaesthetics among the subjects in which it requires students to receive instruction before proceeding to its examinations is one step further in the direction of the general adoption of this necessary precaution. The Royal College of Physicians of London and the Royal College of Surgeons of England have already made anaesthetics a necessary part of the curriculum upon which they insist and the Board of Advanced Studies of the University of London has advised the Senate of that institution that of anaesa course of instruction in the administration should the thetics be scheduled among compulsory courses demanded from candidates for the M.B., B.S. degree. The General Medical Council was, we believe, approached by the Society of Anaesthetists some time since and petitioned to render a course of anaesthetics an essential in every curriculum before it was acknowledged as competent to The Council, it is to be regretted, has ensure registration. in the rear of the corporations rather than at to preferred lag once to take the leading position and to insist upon a reform which has commended itself to thoughtful practitioners for some years. That it is desirable that all students should be thoroughly taught the general uses of anaesthetic agents and not merely be instructed by seeing a senior hospital officer habitually employ one anaesthetic by some routine method seems too much of an axiom to need pressing home. We fully recognise the immense service which experimental physiologists and chemists have done in forwarding our knowledge of anaesthetics, but it is indisputable that unless the knowledge so acquired can be applied by the hospital teacher to the needs of the students little benefit will accrue to the public. It is only the exceptional student who reads monographs upon the physiological aspects of anaesthetics, and the man who needs most instruction is not the exceptional student. The average aspirant 1 Annales de No. 12, p. 937.
Dermatologie
et de
Syphiligraphie,
Dec. 25th, 1889,
first
half-yearly report upon the health of the inreport contains some very interesting in particulars regard to medical administration and the ailments peculiar to the district. We understand that the Government of the Gold Coast Colony is now attempting to obtain accurate statistics concerning the health of the white population and has issued printed forms to be filled in quarterly by the managers of mines and others giving information as to illness and deaths with their causes. One drawback to the district is that the land is practically uncultivated and the supply of good food is deficient. It is hoped by the establishment of experimental plots that the food-supply will become more plentiful and more interesting. At present tinned foods are the chief resource, although native fowls, mostly bone and skin, may be had for a few shillings, and occasionally a very small sheep is purchasable habitants and the
but the mutton is usually tough and tasteless.
FRACTURE OF THE
FIFTH
METATARSAL BONE.
SKIAGRAPHY is rapidly modifying the current teaching in to fractures and revealing the fact that lesions which In the are common have been previously overlooked. for March Roberts Journal Alr. Liverpool Medico- Chirurgical Jones points out that fracture of the fifth metatarsal bone is apparently common though it does not seem to be mentioned in surgical literature. He relates a number of cases which he saw within a few months after sustaining this Case 1.—Whilst dancing vigorously he himself. trod on the outer side of his foot, his heel being off the ground. Something gave way and he suspected that the peroneus longus was ruptured. With the help of a friend he managed to walk 300 yards. Next morning there was slight swelling over the base of the fifth metatarsal bone and pressure on the spot was exquisitely painful. Crepitus could not be obtained. The slightest pressure of the weight of the body on the toes was painful, and when the pressure was thrown on the outer side of the foot the pain was still greater. Extension of the ankle and flexion of the toes were immediately felt at the base of the fifth metatarsal bone. Radiography showed
regard
fracture
disagreeable odour of the menstrual blood in the for a pass qualification contents himself with a hasty related above suggests that the eruption was a toxic reading of a few paragraphs in the book upon pharmacology effect in connexion with menstruation. In the discussion which he studies and makes little more effort to acquire a which followed M. Barié referred to a case of "yellow practical knowledge of anaesthetics. Now, however, that the catamenial chromidrosis"which he had described.! Two corporations have adopted this forward step and insist upon days before menstruation one hand became painful ; then it a course of instruction in anaesthetics the responsibility of became covered with large dark-brown spots which were making that course at once practical and yet including in especially marked near the middle of the dorsal surface its purview a resunae of the very large amount of theoretical and on the median part of the palmar surface of the first two knowledge which has within the past 50 years been accufingers. This phenomenon was so regular that the patient mulated must rest with the hospital authorities and ulticould foretell the appearance of menstruation 48 hours mately with the teachers. It will in the future become the before. The chromidrosis lasted 12 or 24 hours and then duty of election committees of hospitals when appointing disappeared. The right and left hands were alternately an officer whose duties include the direction of the department of anaesthetics to consider, not only the skill of the affected with perfect regularity. candidates as expert anaesthetists, but their knowledge and A DINNER OF OBSTETRICIANS AND ability to impart both the knowledge and its practical GYNÆCOLOGISTS. application. This responsibility is one of no slight kind and involves far-reaching consequences as far as the general ALL medical practitioners interested in obstetrics and of the profession are concerned. invited to attend a dinner to be public and the reputation are The
case
gynaecology
cordially
held on June 24th, at 7 P.M., at the Whitehall rooms of the Hotel Métropôle, under the chairmanship of Sir John Williams, Bart. On the same day, at 4 P.m., at 20, Hanoversquare, in the rooms of the Royal Medical and Chirurgical Society, a reception will be held by Sir John Williams, Dr. Peter Horrocks, President of the Obstetrical Society of London, and Dr. Halliday Croom, President of the British Gynaecological Society. Application for the dinner tickets, price ill1 1s., should be made to Dr. Eden, 26, Queen Annestreet. A highly representative and influential list of stewards has been secured. __
SANITARY PROGRESS IN THE GOLD COAST COLONY. By the application of the first principles of sanitation there is no doubt that much can be done to make the Gold Coast country a place where white men can live and work. Of course, the existence of a good supply of fresh spring water for drinking purposes which can be kept untainted by the drainings of the swamps is an enormous advantage. Such an advantage is possessed by Mantraim Wassau. The medical officer of this place has just published his
COMPULSORY INSTRUCTION IN THE ADMINISTRATION OF ANÆSTHETICS.
THE announcement that the Society of Apothecaries has included anaesthetics among the subjects in which it requires students to receive instruction before proceeding to its examinations is one step further in the direction of the general adoption of this necessary precaution. The Royal College of Physicians of London and the Royal College of Surgeons of England have already made anaesthetics a necessary part of the curriculum upon which they insist and the Board of Advanced Studies of the University of London has advised the Senate of that institution that of anaesa course of instruction in the administration should the thetics be scheduled among compulsory courses demanded from candidates for the M.B., B.S. degree. The General Medical Council was, we believe, approached by the Society of Anaesthetists some time since and petitioned to render a course of anaesthetics an essential in every curriculum before it was acknowledged as competent to The Council, it is to be regretted, has ensure registration. in the rear of the corporations rather than at to preferred lag once to take the leading position and to insist upon a reform which has commended itself to thoughtful practitioners for some years. That it is desirable that all students should be thoroughly taught the general uses of anaesthetic agents and not merely be instructed by seeing a senior hospital officer habitually employ one anaesthetic by some routine method seems too much of an axiom to need pressing home. We fully recognise the immense service which experimental physiologists and chemists have done in forwarding our knowledge of anaesthetics, but it is indisputable that unless the knowledge so acquired can be applied by the hospital teacher to the needs of the students little benefit will accrue to the public. It is only the exceptional student who reads monographs upon the physiological aspects of anaesthetics, and the man who needs most instruction is not the exceptional student. The average aspirant 1 Annales de No. 12, p. 937.
Dermatologie
et de
Syphiligraphie,
Dec. 25th, 1889,
first
half-yearly report upon the health of the inreport contains some very interesting in particulars regard to medical administration and the ailments peculiar to the district. We understand that the Government of the Gold Coast Colony is now attempting to obtain accurate statistics concerning the health of the white population and has issued printed forms to be filled in quarterly by the managers of mines and others giving information as to illness and deaths with their causes. One drawback to the district is that the land is practically uncultivated and the supply of good food is deficient. It is hoped by the establishment of experimental plots that the food-supply will become more plentiful and more interesting. At present tinned foods are the chief resource, although native fowls, mostly bone and skin, may be had for a few shillings, and occasionally a very small sheep is purchasable habitants and the
but the mutton is usually tough and tasteless.
FRACTURE OF THE
FIFTH
METATARSAL BONE.
SKIAGRAPHY is rapidly modifying the current teaching in to fractures and revealing the fact that lesions which In the are common have been previously overlooked. for March Roberts Journal Alr. Liverpool Medico- Chirurgical Jones points out that fracture of the fifth metatarsal bone is apparently common though it does not seem to be mentioned in surgical literature. He relates a number of cases which he saw within a few months after sustaining this Case 1.—Whilst dancing vigorously he himself. trod on the outer side of his foot, his heel being off the ground. Something gave way and he suspected that the peroneus longus was ruptured. With the help of a friend he managed to walk 300 yards. Next morning there was slight swelling over the base of the fifth metatarsal bone and pressure on the spot was exquisitely painful. Crepitus could not be obtained. The slightest pressure of the weight of the body on the toes was painful, and when the pressure was thrown on the outer side of the foot the pain was still greater. Extension of the ankle and flexion of the toes were immediately felt at the base of the fifth metatarsal bone. Radiography showed
regard
fracture