GRIEVANCES OF POOR-LAW SURGEONS.

GRIEVANCES OF POOR-LAW SURGEONS.

To the Editot- of THE LANCET. : of peace raises the question-What is to become of the militia ?-a question of the utmost importance to the medical off...

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To the Editot- of THE LANCET. : of peace raises the question-What is to become of the militia ?-a question of the utmost importance to the medical officers of that branch of the service. Many of them have relinquished long and well-established practices. in a war, from which statesmen This country having shrank, and through which the most penetrating eye could not see, little did they think that two years would suffice to dispel the cloud, and restore the blessings of peace. This, however, having happily been the case, are they to be now sent adrift without remuneration for their services, or for the sacrifices they have made ? Many of them have held their commissions little more than twelve months, and when they deduct from i their pay the necessary expenses they have been at, how much ’, will remain ? Let us take the case of an assistant-surgeon. When he obtains his commission, and joins his regiment, he finds fifty days’ pay stopped for mess and band funds, and twenty more during the year. He has then to procure an outfit, that takes nearly half his year’s pay, so that when these are deducted from his year’s income, the balance would not pay for his dinners. Now those who have left their practices, and gone where both glory and honour were to be won, (and where nearly every Englishman longed to be,) have been liberally rewarded, in consideration of the brief period their services would be required, and the sacrifices they had made; even the navvies have not been sent empty away. Will not those in authority take these facts into consideration: or should not the militia medical officers memorialise the Government to allow them some further consideration for their services, as their pay since embodied has been nearly all swallowed up in expenses which the regulations of the service obliged them to incur ? I am, Sir, your obedient servant, April, 1856. AN ASSISTANT-SURGEON.

SIR,—The restoration

engaged

j,

POISONING BY LAUDANUM. To the Editor

of THE LANCET.

SIR,—Amongst the cases of recovery of infants from large doses of laudanum, you may, if you think it of sufficient interest, record the following-viz., that of a child six months old, under my care last year, who, at that age, was given in mistake a teaspoonful of laudanum. I did not see the child until an hour after the administration of the opiate; it was already comatose. I emptied the stomach by large doses of sulphate of zinc, gaveit coffee, and watched it for some hours as usual. It recovered perfectly, and is still alive. Thelaudanum was unfortunately thrown away, so that I was deprived of the opportunity of ascertaining the quantity of morphia it contained. I am. Sir. vours resdectftillv. H. M. SIMMONDS. POSITION OF THE TONGUE IN SPASM OF THE GLOTTIS. To the Editor of THE LANCET.

SiR,-May not the impediment to breathing in what is termed spasm of the glottis depend upon the falling back of the tongue, as described by Dr. Marshall Hall in drowning ? A case of this affection occurred to me the other day, and acting as advised by Dr. Marshall Hall in cases of drowning, certainly whether " propter hoc" or " cum hoc," a much more instantaneous effect was produced than by the Perroquet mode of warm bath, cold water, &c. However, there would be no harm in such cases in turning the child alternately on its face and side. I am, Sir, your obedient servant, R. CROSSE. THE MEDICAL OFFICERS OF THE DORCHESTER AND WEYMOUTH UNIONS. To the Editor of THE LANCET. SIR,—It strikes me as somewhat singular that, whilst (I had almost said the majority of) the medical officers support Mr. Griffin’s movement, those of the Dorchester and Weymouth Unions keep aloof from him. Surely this ought not to be, and I think those gentlemen are bound to their brethren to give their reasons why, if they do not openly oppose their neighbour,

fail to give him their active support. This is due to themselves and to the profession, at least that part of it connected with the Poor-law Board. I am. Sir. vour obedient servant, S. CARTER.

they

MILITIA SURGEONS AND THE PEACE.

GRIEVANCES OF POOR-LAW SURGEONS. MR.

IN

GRIFFIN’S

MOVEMENT.

circular addressed, to the Poor-law Medical Officers, Mr. in order that there should be uniformity and unanimity in the efforts made for the redress of grievances, says," I have carefully collated the opinions of the Officers from one hundred and sixty-three Unions, and find that the majority are for1. Petitioning Parliament to order the Poor-law Board to put in force the recommendation of the Committee of the House of Commons, obtained by Mr. Pigott in 1854. " 2. That a uniform scale of payment shall be adopted throughout the entire kingdom, varying only in proportion to the number of the poor, and their distance from the surgeon’s residence, and even this to be arranged on a fixed basis, with no optional power on the part of the guardians. " 3. That the scale of extras, including midwifery, should be extended, and embrace many operations and bad cases in surgery not now paid for, a list of which will be drawn up by the committee; that the officer in charge of the Union house shall participate in this arrangement, and that there shall be no discretionary power to give a fixed salary instead of extras. " 4. That all medical appointments, not only now in force, but hereafter to be made, shall be declared permanent, and subject only to a re-adjustment of the districts, from time ta time, as the Poor-law Board may think desirable. " 5. That a fixed salary being preferred to a per case payment, even though the former be founded on the latter, the calculation shall henceforth be made on the average number of orders for the last three years, at a sum not less than five shillings per case, with two shillings extra for each mile the patient resides beyond the medical officer’s house. *’ 6. That a revision of salaries take place triennially, if desired by the Board of Guardians or medical officers. "7. That no order shall continue in force longer than three months, and if renewed, be counted as a fresh order. " Personally, I should prefer a removal from the Poor-law Board and Guardians, and being placed under a medical department of the Board of Health, with other changes; but I must candidly admit, the opinions of a great many are against this course altogether, and others object to it as involving the risk of postponing the amelioration of our present position for an indefinite length of time. To insure unanimity of action, I therefore think it right to recommend you to confine your resolutions to the opinions I now place before you. Let me once more entreat the officers in each Union, who have not already met, to do so without delay-appoint a local secretary, collect subscriptions, as expenses must be incurred, (5s. per quarter has hitherto been generally subscribed,) and forward them to me with their opinions, and we shall speedily be in a position to lay our grievances before Parliament. " Allow me to remind those who think I ought to have called a public meeting ere this, that a month since I had only seventy Unions on my list; I now have one hundred and sixty-three’ a convincing proof that the cause has not suffered from delay, but is advancing with giant strides. Even in the Crimea our appeal has been heard, and a warrior brother has sent home his subscription to support the cause, and I only wish he had given me authority to print his letter, it offers so many powerful arguments for the necessity of union amongst ourselves, and the claim we haveto the support of the profession at large, , as the good or injury of one is in various ways felt by all.’ The officers of a Union, seven in number, have written to say, ’They will attend a London meeting, but think it rather early for one to be called, and trust the cause will not be damaged an advanced movement should be well supby precipitancy, " a

Griffin,

ported.’

____

At a meeting of the Medical Officers of the Shaftesbury and Mere Unions, held at Shaftesbury, on the 16th inst.,-present, Messrs. Miles, Buckland, E. J. Miles, Barrett, Brine, and Chitty,-it was resolved1st.—That the Medical Officers of the above Unions cordially approve of the movement set on foot by Mr. Griffin of Weymouth, and promise him their co-operation and sunnort-

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2nd.—That in the opinion of this meeting, a fairer and more mode of remunerating them for their services would be at so much per case; and they contend that Article 117 of the Consolidated Order should embrace all surgical cases, to be paid for in proportion to their severity. 3rd.-That the Medical Officers of these Unions form themselves into a local association, and that 58. quarter from each member be forwarded to Mr. Griffin for the furtherance of the objects in view. 4th.-That Mr. Brine be appointed local treasurer and secretary, and requested to forward a copy of these resolutions to Mr. Griffin and the medical journals. Signed on behalf of the meeting. J. E. BRINE, Hon. Secretary.

equitable

secretary and treasurer, and that he be requested

to forward

of the above resolutions to the medical journals and to Mr. Griffin, together with the subscriptions collected. Signed in behalf of the meeting, R. HARLAND WHITEMAN, Chairman.

copies

A meeting of the Medical Officers of the Cardiff Union was held at Cardiff, on Saturday, the 19th instant: present-Dr. Edwards, and E. Evans, H. J. Paine, and J. P. Thomas, Esqrs. Letters were read from E. Bates and J. Lewellyn, Esqrs., the two remaining Medical Officers, who resided at a distance and were unable to attend, but both of whom signified their hearty concurrence in the objects of the meeting. The following resolutions were then passed :1st.—That this meeting fully approves of the movement commenced by Mr. Griffin for an improved system of remune. ration to Poor-law Medical Officers, and pledges itself to support the same. 2nd.-That a subscription of 5s. per quarter be paid by each Officer of this Union towards defraying the necessary expenses that may be incurred. 3rd.-That the Medical Officers of the several Unions in this county be requested to co-operate with this meeting. 4th.-That Mr. Paine be appointed honorary secretary and

AT a meeting of the Medical Officers of the Brentford Union, held in New Brentford, on the 17th instant (Dr. Mackinlay in the chair), the following resolutions were proposed and carried: 1st.—That this meeting having been convened in consequence - of an appeal made by Mr. Griffin, of Weymouth, the Medical Officers of the Brentford Union do pledge themselves to cooperate with Mr. Griffin in his laudable endeavours to improve the condition of Union 8urgeons. 2nd.-Though the Guardians of the Brentford Union have treasurer. shown a disposition to improve the condition of their Medical 5th.-That a copy of these resolutions be forwarded to Mr. Officers, this meeting must express its opinion of the inade- Griffin and the weekly medical iournals. H. J. PAINE, Hon. Secretary. quate amount of remuneration, considering the nature and extent of the duties required, of Union Surgeons generally. 3rd.-Tha.t amongst the various suggestions promulgated for the improvement of Poor-law medical appointments, this meeting declines giving an opinion, with a confident hope that Par- ’, THE SANITARY CONDITION OF THE BRITISH ARMY IN THE CRIMEA liament and the country must listen to the just and united FOR THE WEEK ENDING MARCH 22ND. appeals of those who have the sanitary charge of the poorer portion of the population of this nation. 4th. —That a subscription of 5s. per quarter be entered into, THE Principal Medical Officer states :-Notwithstanding the to assist in defraying the expenses. arrival of several drafts of recruits, and the cold winds 6th.—That a vote of thanks be given to Mr. Griffin for his recent which have prevailed from the N. and N.E. during the whole great exertions. of admissions into hospital has 6th. -That a copy of the above resolutions be sent to Mr. of the past week, the increase only been a small fraction higher than it was last week, and ,Griffin and the medical journals. 7th.-That the thanks of the meeting are due to Dr. Mack- the mortality has fallen nearly one-third. Even in the Land Transport Corps, the health of the men has been more satisinlay for his kindness in taking the chair. there has been no decrease in the numMr. Davis, of Old Brentford, was requested to act as local factory, and although ber of admissions during the week, the mortality has fallen .secretary. more than one-half. Taking the whole force in the Crimea, the Land Transport Corps, Army Works Corps, and A meeting of the entire medical staff of the Wandsworth including Medical Staff Corps, the admissions to strength have only and Clapham Union was held on the 18th instant. There were been in the ratio of 2 ’41 per cent.; deaths to strength, 0 ’02; Mr. M’Donagh, Clapham; and sick to healthy, 4’41 per cent. Last week they were present-Dr. Connor, Battersea; Mr. G. E. Nicholas, Wandsworth; Mr. Walter Chapman, 2’15, 0’04, and 4’29 per cent. Of the 16 deaths Tooting; Mr. F. Ward, Balham; Mr. Alexander Brown, respectively, which occurred in the whole force serving in the Crimea,7 and Mr. H. R. Streatham; Whiteman, Putney. took place in the Land Transport Corps alone; and out of the Mr. Whiteman, who was called to the chair, addressed his 16, three, I am sorry to say, were from the direct effects of colleagues upon the importance of the present movement, and drunkenness, and in how other cases that vice may have in his his Griffin brethren to Mr. warmly urged support praise- been the exciting cause ofmany it is impossible to say. But disease, worthy endeavours to ameliorate their condition. The Chair- with all these defects and drawbacks, the health of the army, -man’s views were ably seconded by Dr. Connor, Mr. Nicholas, to the ratios given above, may be fairly said to be in Mr. Chapman, and the other gentlemen present. The follow- according a satisfactory state, and a mortality of 16 out of a force ing resolutions were then submitted and unanimously agreed to : ofvery cannot be considered large. 56,000 1st.—That the Medical Officers of this Union, without pledgThe troops stationed at Kertch are equally healthy, and no to inauthemselves concur in the movement details, fully ing has occurred there during the week ending March gurated by Mr. Griffin, and hereby tender their best thanks to casualty which is the latest date up to which I have received 14th, that gentleman for the zeal, ability, and moderation he has returns from the senior medical officer there. manifested in his endeavours to obtain a recognition of the The Cavalry Division in the Bosphorus is also very healthy, claims of the Union Surgeons in respect to their emoluments and only two deaths had occurred in it during the week ending and position. March 14th. 2nd.-That this meeting views the question involved in the the sick of the whole British force in Turkey, both present movement as one resting not so much between the in Taking General and Regimental Hospitals, the ratio of deaths to Union Surgeons and Boards of Guardians to decide, as between strength has only been 0 ’03 per cent., and the ratio of sick to the Poor-law Board and the Legislature. 6 09 per cent. Assumed strength, 70,042; number of healthy, 3rd.-That whilst the Medical Officers of this Union express number of sick under treatment, 4267. their satisfaction at the gentlemanly and considerate treatment deaths, 25; the from Board at of under all times Guardians they experience which they act, they are not unmindful of the general and -most just complaint of the inadequate amount of remuneration SCOTLAND. received in most cases for the laborious and onerous services OUR EDINBURGH CORRESPONDENT.] [FROM Tendered : and since in but few instances is the increase of population and the consequent increase of sickness amongst the poor sufficiently recognised as a basis for a proportionate PRESENTATION OF TESTIMONIALS.—An interesting meeting and periodical increase of emolument, this meeting cordially took place in the anatomical theatre on the afternoon of the supports the movement of Mr. Griffin, if it be only to effect llth instant, when the tutorial classes presented to the three an abrogation of that system of compulsory charity to which gentlemen, who have so ably conducted this system of instrucalmost all Union Surgeons are now obliged to submit. tion during the session, suitable testimonials, as tokens of their 4th.--That G. E. Nicholas. ESQ.. be apnointed honorary high esteem for the valuable services they had rendered them ___

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