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HEALTH OF THE CROWN PRINCE.
436
(which of them is to be the favoured one is as yet unknown). urging special precautions
Lyons and Bordeaux are each of them very anxious to be selected, but Government is taking time to make inquiries and inspections before deciding. HEALTH OF THE CROWN PRINCE.
as regards such houses; and, in have received an assurance that the local reply, they have been directed to draw the attention of the inspectors owners of common lodging houses to the risk which is involved by the reception of itinerant lodgers without due inquiry as to the localities whence they come.
WE learn by telegram from San Remo, received at THE LANCET office at mid-day on the 1st inst., that " the discharge of mucus from the throat of the Crown Prince is .still copious, and much tinged with blood. The patient is slowly recovering from the operation." The reports concerning His Imperial Highness which have been issued during the past week have increased rather than allayed the painful fears of those who are accustomed to read between the lines of official bulletins. Evidently the best has to be made of the fact that the august patient is able to secure a certain amount of sleep every night, and this statement is repeated daily in one or other form, and is made the staple of the official bulletin. But to this, of course, very little, if any, importance is to be attached, and the omissions in the bulletins are far more significant. We do not read in them of increased strength or of returning health. Nor do we hear that the local rest secured by the operation of tracheotomy has been attended with any decided improvement in the laryngeal disease. There has been no mention of ulcers ’, healing, or of swellings and infiltrations receding, and we may be quite confident that, were there the slightest possible justification for such statements, they would have been speedily made. But, on the contrary, the one fresh fact is that Professor Kussmaul, who has examined the Crown Prince, without, happily, finding any evidence of pulmonary disease, has expressed the opinion that the expectoration shows distinct evidence of a cancerous source, and in this opinion the other German medical men concur. It is repeatedly stated that the relations between the German and English medical attendants on the Prince are somewhat strained, and it is greatly to be regretted that such a difficulty should be superadded to those inherent in the case. But far worse than all merely personal matters is the impression, from which we cannot escape, that the case is steadily progressing from bad to worse.
IS LEUCOCYTHÆMIA CANCER OF THE BLOOD? THE question proposes an ingenious hypothesis supported the histological contention that the blood, though fluid, is as much a tissue as the most solid of them all. M. Bard has written an article on the subject in the Lyon J7Mt’ca/, No. 7, in which he takes up the line that the disease is a new growth, and remarks that if this process does not give birth to a tumour in the original sense of the word, it is because the neoplastic tissue obeys a pathological law and
by
preserves theevolutionary attributes essential to its tissue of origin-the blood. __
EPSOM COLLEGE. THE biennial festival in connexion with the Royal Medical Benevolent College at Epsom will, as we stated last week, be held at the Hotel Métropole on April 17tb, under the presidency of the Right Hon. Polydore De Keyser, Lord Mayor, who will be supported by the Sheriffs of London and Middlesex. Recognising the great services rendered to the profession and to the community at large by the College, we cordially wish a social and financial success to the forthcoming festival. -
"DIPHTHERIA
IN EPPING":
A CORRECTION.
IN an annotation on page 337 of our issue of Feb. lsh, we, of the pen which we much regret, stated that Dr. Bruce Low had been commissioned by the Local Government Board to investigate the circumstances connected with an outbreak of diphtheria at "Epping." This district, bow. ever, we are aware, is, and has been for some time, quite free from the disease, and the information we gave in the paragraph referred to was intended to apply to Enfield.
by a slip
REWARD OF HEROISM.
ON the 28th ult., at the Bristol Police Court, the Mayor (Mr. Charles Watken) presented Mr. Headley Hill, a student THE LATE SIR GEORGE BURROWS. at the Bristol General Hospital, with the Stanhope gold THE committee appointed, as stated in our last issue, for medal and address of the Royal Humane Society, for having the purpose of obtaining, with the consent of Sir Frederick of the Burrows, a replica or copy of the pertrait of his late father, performed the most meritorious and gallant rescueHill on that It will doubtless be remembered Mr. Sir George Burrows, painted by G. Richmond, R.A., to be year. Oct. 18th last rescued a young girl from drowning in the presented to the College of Physicians, has issued a circular river Avon, near the Clifton Bridge Station, and that on appealing for subscriptions, which are limited to one guinea. Dec. 12th last an ordinary medal of the Royal Humane The treasurer of the fund is Sir Dyce Duckworth, the was presented to him. Society Dr. Edward
I
honorary secretary being
Liveing.
HÆMOGLOBINURIA IN RHEUMATISM. IF the recorded and unrecorded cases of ha3moglobinuria occurring in apparently genuine rheumatism were all numbered, it would have to be admitted that the sum would be considerable, although the occurrence is usually regarded as exceptional. Recent literature furnishes many
examples of
rheumatic bsemoglobinuria, frequently in association with erythemata of the skin, which occasionally present purpuric and vesiculate characters either singly or combined.
LEAD POISONING.
water-supply belonging to the Chesterfield Rural Sanitary Authority continues at times to exhibit lead in dangerous quantities. A recent sample was found to contain half a grain per gallon. Some time since, limestone THE
filtration of the water at the reservoir outlet was ordered to be carried out, but we do not gather if this was antecedently to the collection of the sample referred to. It is also intended that tin-lined service pipes shall for the future take the place of the leaden ones.
-
SMALL-POX AND COMMON LODGING HOUSES. ChviNG to the frequent occasions on which there has been spread of small-pox through common lodging houses, the Manchester and Salford Sanitary Association have addressed a communication to the corporations of those two boroughs,
KREMIANSKI’S AN Italian
physician, Dr. Bertalero,
bears testimony aniline inhalations in the treatment of He has published eight cases in which he them -with excellent results. The apparatus he
to the value of
phthisi. employed
ANILINE TREATMENT OF PHTHISIS.
(which of them is to be the favoured one is as yet unknown). urging special precautions
Lyons and Bordeaux are each of them very anxious to be selected, but Government is taking time to make inquiries and inspections before deciding. HEALTH OF THE CROWN PRINCE.
as regards such houses; and, in have received an assurance that the local reply, they have been directed to draw the attention of the inspectors owners of common lodging houses to the risk which is involved by the reception of itinerant lodgers without due inquiry as to the localities whence they come.
WE learn by telegram from San Remo, received at THE LANCET office at mid-day on the 1st inst., that " the discharge of mucus from the throat of the Crown Prince is .still copious, and much tinged with blood. The patient is slowly recovering from the operation." The reports concerning His Imperial Highness which have been issued during the past week have increased rather than allayed the painful fears of those who are accustomed to read between the lines of official bulletins. Evidently the best has to be made of the fact that the august patient is able to secure a certain amount of sleep every night, and this statement is repeated daily in one or other form, and is made the staple of the official bulletin. But to this, of course, very little, if any, importance is to be attached, and the omissions in the bulletins are far more significant. We do not read in them of increased strength or of returning health. Nor do we hear that the local rest secured by the operation of tracheotomy has been attended with any decided improvement in the laryngeal disease. There has been no mention of ulcers ’, healing, or of swellings and infiltrations receding, and we may be quite confident that, were there the slightest possible justification for such statements, they would have been speedily made. But, on the contrary, the one fresh fact is that Professor Kussmaul, who has examined the Crown Prince, without, happily, finding any evidence of pulmonary disease, has expressed the opinion that the expectoration shows distinct evidence of a cancerous source, and in this opinion the other German medical men concur. It is repeatedly stated that the relations between the German and English medical attendants on the Prince are somewhat strained, and it is greatly to be regretted that such a difficulty should be superadded to those inherent in the case. But far worse than all merely personal matters is the impression, from which we cannot escape, that the case is steadily progressing from bad to worse.
IS LEUCOCYTHÆMIA CANCER OF THE BLOOD? THE question proposes an ingenious hypothesis supported the histological contention that the blood, though fluid, is as much a tissue as the most solid of them all. M. Bard has written an article on the subject in the Lyon J7Mt’ca/, No. 7, in which he takes up the line that the disease is a new growth, and remarks that if this process does not give birth to a tumour in the original sense of the word, it is because the neoplastic tissue obeys a pathological law and
by
preserves theevolutionary attributes essential to its tissue of origin-the blood. __
EPSOM COLLEGE. THE biennial festival in connexion with the Royal Medical Benevolent College at Epsom will, as we stated last week, be held at the Hotel Métropole on April 17tb, under the presidency of the Right Hon. Polydore De Keyser, Lord Mayor, who will be supported by the Sheriffs of London and Middlesex. Recognising the great services rendered to the profession and to the community at large by the College, we cordially wish a social and financial success to the forthcoming festival. -
"DIPHTHERIA
IN EPPING":
A CORRECTION.
IN an annotation on page 337 of our issue of Feb. lsh, we, of the pen which we much regret, stated that Dr. Bruce Low had been commissioned by the Local Government Board to investigate the circumstances connected with an outbreak of diphtheria at "Epping." This district, bow. ever, we are aware, is, and has been for some time, quite free from the disease, and the information we gave in the paragraph referred to was intended to apply to Enfield.
by a slip
REWARD OF HEROISM.
ON the 28th ult., at the Bristol Police Court, the Mayor (Mr. Charles Watken) presented Mr. Headley Hill, a student THE LATE SIR GEORGE BURROWS. at the Bristol General Hospital, with the Stanhope gold THE committee appointed, as stated in our last issue, for medal and address of the Royal Humane Society, for having the purpose of obtaining, with the consent of Sir Frederick of the Burrows, a replica or copy of the pertrait of his late father, performed the most meritorious and gallant rescueHill on that It will doubtless be remembered Mr. Sir George Burrows, painted by G. Richmond, R.A., to be year. Oct. 18th last rescued a young girl from drowning in the presented to the College of Physicians, has issued a circular river Avon, near the Clifton Bridge Station, and that on appealing for subscriptions, which are limited to one guinea. Dec. 12th last an ordinary medal of the Royal Humane The treasurer of the fund is Sir Dyce Duckworth, the was presented to him. Society Dr. Edward
I
honorary secretary being
Liveing.
HÆMOGLOBINURIA IN RHEUMATISM. IF the recorded and unrecorded cases of ha3moglobinuria occurring in apparently genuine rheumatism were all numbered, it would have to be admitted that the sum would be considerable, although the occurrence is usually regarded as exceptional. Recent literature furnishes many
examples of
rheumatic bsemoglobinuria, frequently in association with erythemata of the skin, which occasionally present purpuric and vesiculate characters either singly or combined.
LEAD POISONING.
water-supply belonging to the Chesterfield Rural Sanitary Authority continues at times to exhibit lead in dangerous quantities. A recent sample was found to contain half a grain per gallon. Some time since, limestone THE
filtration of the water at the reservoir outlet was ordered to be carried out, but we do not gather if this was antecedently to the collection of the sample referred to. It is also intended that tin-lined service pipes shall for the future take the place of the leaden ones.
-
SMALL-POX AND COMMON LODGING HOUSES. ChviNG to the frequent occasions on which there has been spread of small-pox through common lodging houses, the Manchester and Salford Sanitary Association have addressed a communication to the corporations of those two boroughs,
KREMIANSKI’S AN Italian
physician, Dr. Bertalero,
bears testimony aniline inhalations in the treatment of He has published eight cases in which he them -with excellent results. The apparatus he
to the value of
phthisi. employed
ANILINE TREATMENT OF PHTHISIS.