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HOSPITAL ABUSES AND GENERAL PRACTITIONERS.
508 lunatic
might be examined before the master and private. The jury retired at a quarter to three o’clock. They were absent only ten minutes, and unanimously found that Mr. Paget was of unsound mind, but that he was not dangerous, though incapable of taking care of himself or of managing his affairs. Upon the evidence, and after personal inquiry and exami. nation, the jury arrived at the only conclusion open to them; for even Dr. Marriott admitted that Mr. Paget was not of sound mind. All who have experience of paralytic seizures from cerebral lesion, especially if there is a syphilitic taint, know how very frequently the consequences show
alleged the
jury
in
I
inquire into hospital management. Among those present were: Messrs. George Brown, M R.C.8. (chairman), T. R. Atkinson, M.R.C.S., F. H. Alderson, M.D.. J. B. Cook, L.R.C.P. Ed., James Dawson, M.D, W. Piercey Fox, 1,.R.C.P.Ed., T. C. Winn, M.R.C.S., A. C. Dove, M.D., F. H. Corbyn, LR C.P.Ed, and HughWood After considerable discussion the following reoM.D. tion, proposed by Dr. Corbyn and seconded by Dr. Cook, was carried nem. con. : "That a provisional committee be formed with a view to organise general practitioners to protect their mutual interests, especially in regard to the
abuses of medical charities." All the above-named gentlethemselves in mental enfeeblement and loss of business-like men having consented to join the committee, Dr. A. C. Dove qualifications which the individual may have previously was elected bon. secretary pro tea., and the meeting possessed. The loss of memory which almost invariably terminated with a vote of thanks to Mr. Brown for accompanies this condition may be a not unlikely means of causing the individual to do an unintentional injustice in one direction or another when writing out his will or VIRCHOW TESTIMONIAL FUND. making some similar business effort. Again, this enfeebled condition of mind is apt to cause the individual to take such likes or dislikes to those about him as he would never have PROFESSOR HUXLEY, F.R.S., Professor Struthers (Aberdone had he been in full possession of his faculties. So and C. Theodore Williams, M.D., have joined thedeen), long as a lunatic or person of uusound mind is not a source committee. of danger to himself or to the community, we think that a The following additional subscriptions to the above fund reasonable latitude should be given to him in spending his money or indulging in innocent foibles. But Bve are have been received since the last list was published:strongly of opinion, on the other hand, that no unreasonable obstruction ought to be placed in the way of the affairs of a lunatic who is himself unable to manage them being handed over in a legal and proper manner to the control of such a committee as may be approved by the Chancery authorities.
presiding.
THE GERMAN CONGRESS OF INTERNAL MEDICINE. THE tenth annual meeting of the above Congress will take place at Wiesbaden from April 6th to 9th, under the presidency of Professor Leyden of Berlin. The subjects for general debate are: 1. Biliary Calculous Disorders, to be opened by Dr. Naunyn (Strasburg) and Dr. Furbiinger (Berlin). 2. Koch’s Remedy in Pulmonary Tuberculosis 3. Angina and other Internal Tuberculous Diseases. Pectoris, to be opened by Dr. A. Fraenkel (Berlin) and Dr. 0. Vierordt (Heidelberg). The following is a list of the papers promised for the meeting :-Dr. Kahler (Vienna): Intermittent Albuminuria. Dr. Mosler (Greifswald) : the TreatDr. T. Schott (Nauheim): the ment of Leukaemia. Differential Diagnosis of Pericardial Exudation and Cardiac Dilatation. Dr. Knoll (Prague): (1) Disorders of Circulation ; (2) Morbid Changes of Striped Muscle. Dr. Brieger (Berlin): Chemical Changes in Infectious DisDr. Rosenstein (Leyden): the Diagnosis of Hypereases. trophic Cirrhosis of the Liver. Dr. Quincke (Kiel) : Hydrocephalus. Dr. Eichhorst (Zurich): Observations on the Patellar-tendon Reflex in Tabes Dorsals. Dr. Edelfsen (Kiel): (1) the Origin of the Vesicular Murmur; (2) Varicella Statistics. Dr. Tappeiner (Munich): the Diuretic Action of Phenylmethylpyrazolcarbonic Acid. Dr. Friedliinder (Leipsic): (1) the Method of Mathematical Diagnosis of Acute Articular Rheumatism and of all forms of Central Rheumatism; (2) Etiology of Bright’s Disease. Dr. Leubuscher (Jei3a): Clinical Researches on Acid Excretion in Mental and Nervous Diseases. Dr. Schmaltz (Dresden): Examination of the Specific Gravity of Human Blood, and its behaviour in Anaemic Conditions. Dr. Mordhorst (Wiesbaden): Diagnosis and Treatment of Gout. The secretary of the Congress is Dr. Emil Pfeiffer of Z-1
VITAL
STATISTICS.
HEALTH OF ENGLISH TOWNS.
IN twenty-eight of the largest English towns 5964 births and 4139 deaths were registered during the week ending Feb. 21st. The annual rate of mortality in these towns, which had been 19-8 and 19-9 per 1000 in the preceding two weeks, was last week 21-6. The rate was 20-4 in London and 22’5 in the twenty-seven provincial towns. During the past seven weeks of the current quarter the death-rate in the twenty-eight towns averaged 23’4 per 1000, and exceeded by 0’3 the mean rate in the corresponding periods of the ten years 1881-90. The lowest rates im these towns last week were 14-5 in Nottingham, 14’8 in Wolverbampton, 14-9 in Hull, and 15-4 in Brighton; the highest rates were 28’6 in Blackburn, 30’9 in Manchester, 31’Oim Huddersfield, and 37’7 in Halifax. The deaths referred to the principal zymotic diseases, which had been 332 ani 340 in the preceding two weeks, further rose to 381 last, week; they included 126 from whooping-cough, 113 from 44 from scarlet fever, 27 from measles, 49 from diphtheria, diarrhoea, 22 from 11 fever" (principally enteric), and not one from small-pox. The lowest rates from these zymotic diseases were recorded in Norwich, Hull, and Nottii3gham; and the highest in Salford, Blackburn, Halifax, and Oldham. The greatest mortality from measles occurred in Leeds, Huddersfield, Halifax, Bristol, Blackburn, and Oldham ; from scarlet fever in Bradford; and from
whooping-cough in Oldham, Birmingham, Halifax; Salford, and The mortality from "fever" showed and marked excess in any of the large towns. The 49 deaths from diphtheria included 34 in London, 7 in Manchester, and 2 in Derby. No death from small-pox was registered in any of the twenty-eight towns, and no small-pox patients were under treatment in the Metropolitan Wiesbaden. Asylum Hospitals on Saturday last. The number of scarlet fever patients in the Metropolitan Asylum Hospitals and in the London Fever Hospital at the end of HOSPITAL ABUSES AND GENERAL the week was 1287, and showed a further decline from recent weekly numbers ;the patients admitted during PRACTITIONERS. the week were 113, against 107 and 97 in the preceding two weeks. The deaths referred to diseases of the reON Monday last a meeting of medical men in general in London, which had been 428 and 484 spiratory organs practice was held at 29, Threadneedle-street, E. C., to in the preceding two weeks, further rose last week to consider the question of hospital abuses and the advisability 524, and were 27 above the corrected average. The causes of 90, or 2’2 per cent., of the deaths in the twenty-eight, of taking collective action to make the views of practitioners as regards hospital reform known to the towns were not certified either by a registered medical Special Committee of the House of Lords now sitting to practitioner or by a coroner. All the causes of death were
general
Birkenhead.
might be examined before the master and private. The jury retired at a quarter to three o’clock. They were absent only ten minutes, and unanimously found that Mr. Paget was of unsound mind, but that he was not dangerous, though incapable of taking care of himself or of managing his affairs. Upon the evidence, and after personal inquiry and exami. nation, the jury arrived at the only conclusion open to them; for even Dr. Marriott admitted that Mr. Paget was not of sound mind. All who have experience of paralytic seizures from cerebral lesion, especially if there is a syphilitic taint, know how very frequently the consequences show
alleged the
jury
in
I
inquire into hospital management. Among those present were: Messrs. George Brown, M R.C.8. (chairman), T. R. Atkinson, M.R.C.S., F. H. Alderson, M.D.. J. B. Cook, L.R.C.P. Ed., James Dawson, M.D, W. Piercey Fox, 1,.R.C.P.Ed., T. C. Winn, M.R.C.S., A. C. Dove, M.D., F. H. Corbyn, LR C.P.Ed, and HughWood After considerable discussion the following reoM.D. tion, proposed by Dr. Corbyn and seconded by Dr. Cook, was carried nem. con. : "That a provisional committee be formed with a view to organise general practitioners to protect their mutual interests, especially in regard to the
abuses of medical charities." All the above-named gentlethemselves in mental enfeeblement and loss of business-like men having consented to join the committee, Dr. A. C. Dove qualifications which the individual may have previously was elected bon. secretary pro tea., and the meeting possessed. The loss of memory which almost invariably terminated with a vote of thanks to Mr. Brown for accompanies this condition may be a not unlikely means of causing the individual to do an unintentional injustice in one direction or another when writing out his will or VIRCHOW TESTIMONIAL FUND. making some similar business effort. Again, this enfeebled condition of mind is apt to cause the individual to take such likes or dislikes to those about him as he would never have PROFESSOR HUXLEY, F.R.S., Professor Struthers (Aberdone had he been in full possession of his faculties. So and C. Theodore Williams, M.D., have joined thedeen), long as a lunatic or person of uusound mind is not a source committee. of danger to himself or to the community, we think that a The following additional subscriptions to the above fund reasonable latitude should be given to him in spending his money or indulging in innocent foibles. But Bve are have been received since the last list was published:strongly of opinion, on the other hand, that no unreasonable obstruction ought to be placed in the way of the affairs of a lunatic who is himself unable to manage them being handed over in a legal and proper manner to the control of such a committee as may be approved by the Chancery authorities.
presiding.
THE GERMAN CONGRESS OF INTERNAL MEDICINE. THE tenth annual meeting of the above Congress will take place at Wiesbaden from April 6th to 9th, under the presidency of Professor Leyden of Berlin. The subjects for general debate are: 1. Biliary Calculous Disorders, to be opened by Dr. Naunyn (Strasburg) and Dr. Furbiinger (Berlin). 2. Koch’s Remedy in Pulmonary Tuberculosis 3. Angina and other Internal Tuberculous Diseases. Pectoris, to be opened by Dr. A. Fraenkel (Berlin) and Dr. 0. Vierordt (Heidelberg). The following is a list of the papers promised for the meeting :-Dr. Kahler (Vienna): Intermittent Albuminuria. Dr. Mosler (Greifswald) : the TreatDr. T. Schott (Nauheim): the ment of Leukaemia. Differential Diagnosis of Pericardial Exudation and Cardiac Dilatation. Dr. Knoll (Prague): (1) Disorders of Circulation ; (2) Morbid Changes of Striped Muscle. Dr. Brieger (Berlin): Chemical Changes in Infectious DisDr. Rosenstein (Leyden): the Diagnosis of Hypereases. trophic Cirrhosis of the Liver. Dr. Quincke (Kiel) : Hydrocephalus. Dr. Eichhorst (Zurich): Observations on the Patellar-tendon Reflex in Tabes Dorsals. Dr. Edelfsen (Kiel): (1) the Origin of the Vesicular Murmur; (2) Varicella Statistics. Dr. Tappeiner (Munich): the Diuretic Action of Phenylmethylpyrazolcarbonic Acid. Dr. Friedliinder (Leipsic): (1) the Method of Mathematical Diagnosis of Acute Articular Rheumatism and of all forms of Central Rheumatism; (2) Etiology of Bright’s Disease. Dr. Leubuscher (Jei3a): Clinical Researches on Acid Excretion in Mental and Nervous Diseases. Dr. Schmaltz (Dresden): Examination of the Specific Gravity of Human Blood, and its behaviour in Anaemic Conditions. Dr. Mordhorst (Wiesbaden): Diagnosis and Treatment of Gout. The secretary of the Congress is Dr. Emil Pfeiffer of Z-1
VITAL
STATISTICS.
HEALTH OF ENGLISH TOWNS.
IN twenty-eight of the largest English towns 5964 births and 4139 deaths were registered during the week ending Feb. 21st. The annual rate of mortality in these towns, which had been 19-8 and 19-9 per 1000 in the preceding two weeks, was last week 21-6. The rate was 20-4 in London and 22’5 in the twenty-seven provincial towns. During the past seven weeks of the current quarter the death-rate in the twenty-eight towns averaged 23’4 per 1000, and exceeded by 0’3 the mean rate in the corresponding periods of the ten years 1881-90. The lowest rates im these towns last week were 14-5 in Nottingham, 14’8 in Wolverbampton, 14-9 in Hull, and 15-4 in Brighton; the highest rates were 28’6 in Blackburn, 30’9 in Manchester, 31’Oim Huddersfield, and 37’7 in Halifax. The deaths referred to the principal zymotic diseases, which had been 332 ani 340 in the preceding two weeks, further rose to 381 last, week; they included 126 from whooping-cough, 113 from 44 from scarlet fever, 27 from measles, 49 from diphtheria, diarrhoea, 22 from 11 fever" (principally enteric), and not one from small-pox. The lowest rates from these zymotic diseases were recorded in Norwich, Hull, and Nottii3gham; and the highest in Salford, Blackburn, Halifax, and Oldham. The greatest mortality from measles occurred in Leeds, Huddersfield, Halifax, Bristol, Blackburn, and Oldham ; from scarlet fever in Bradford; and from
whooping-cough in Oldham, Birmingham, Halifax; Salford, and The mortality from "fever" showed and marked excess in any of the large towns. The 49 deaths from diphtheria included 34 in London, 7 in Manchester, and 2 in Derby. No death from small-pox was registered in any of the twenty-eight towns, and no small-pox patients were under treatment in the Metropolitan Wiesbaden. Asylum Hospitals on Saturday last. The number of scarlet fever patients in the Metropolitan Asylum Hospitals and in the London Fever Hospital at the end of HOSPITAL ABUSES AND GENERAL the week was 1287, and showed a further decline from recent weekly numbers ;the patients admitted during PRACTITIONERS. the week were 113, against 107 and 97 in the preceding two weeks. The deaths referred to diseases of the reON Monday last a meeting of medical men in general in London, which had been 428 and 484 spiratory organs practice was held at 29, Threadneedle-street, E. C., to in the preceding two weeks, further rose last week to consider the question of hospital abuses and the advisability 524, and were 27 above the corrected average. The causes of 90, or 2’2 per cent., of the deaths in the twenty-eight, of taking collective action to make the views of practitioners as regards hospital reform known to the towns were not certified either by a registered medical Special Committee of the House of Lords now sitting to practitioner or by a coroner. All the causes of death were
general
Birkenhead.