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IDEALS.
1192 and in doing this a minute scratch was made on the child’s head. The haemorrhage from this was never controlled. The child weighed 5 pounds and was apparently normal. The cord was tied in the usual way but after a few hours slight haemorrhage occurred from the cut end. This continued irregularly in spite of several ligaOn the second day epistaxis occurred and then tures. haemorrhage from the rectum, the stools being large and black with some bright red blood. On the same day purple spots began to appear, first on the face. Blood came from under the finger nails and even appeared to ooze from the unbroken skin. Prostration was marked and the temperature was constantly subnormal. On the fifth day there was a copious haemorrhage from the vagina and death There was a family history of haemophilia soon followed. for five generations. In the first generation an ancestor of the patient emigrated from England to America in 1757; there was a tradition that his brother bled to death. He had three sons and one daughter, none of whom were " bleeders," but in the succeeding generations there were 22 cases of haemophilia, of which 11 were fatal. However, many of these cases were merely traditional. The transmission was not according to the usual rule. Out of 15 known and well-marked cases the disease was inherited through the male in 10. Possibly this preponderance was more apparent than real, because information concerning the descendants of female members of the family was defective. Genealogies in the female line are neglected because they are not considered of much interest. It is important to bear in mind that haemorrhage in the newly born is generally due to some infection and not to haemophilia.
artificially
IDEALS. WE have received a little pamphlet bearing the heading of " Literature and Us" and consisting of two papers originally published in the St. Bartholonte7v’s Hosgrital Journal in December, 1905, and March, 1906.1 The "Country G. P." who is the writer of the papers is evidently a man of wide reading and of cultured tastes, two qualities which are, above all, desirable for a medical man who is as much as, if not more than, any minister of religion brought daily into contact with the naked souls of his fellow men. For who can rightly appreciate the thoughts, as expressed in their writings, of profound thinkers must necessarily be able better to aid those who seek him in affliction, either of body or mind, and the two are practically indissoluble, than one who is on a lower plane of thought. So we have read with great interest the " Country G.P.’s"two papers, in the first of which he gives us quotations with comments from the writings of great and good men who have dealt with the medical profession, its duties, its hardships, and its rewards. In the second paper, " Some Ideals of a Doctor," he gives us his ideal of what a medical man should be, an ideal which he confesses he has not by any means reached himself. But to have an ideal is to take the first step towards acquiring the same and all of us may find ourselves better from reading the main points of the ideal set up in this paper. Thus the ideal medical practitioner should have some definite notion in his mind of what he is going to do for his patient; he should remember that I I Res est sacra miser" ; he should bear in mind the any
consolation that death is not the end. He gives various quotations upon this point and we would suggest that h& should add Blanco White’s magnificent and single sonnet, " Night and Death," to his list. We see that he promises a third paper-namely, ’’ What We must Live Down "-and we look forward to this with much interest.
UNILATERAL SENSORY DISTURBANCE LIMITED TO ONE LIMB AND WITHOUT MOTOR PARALYSIS SUBSEQUENT TO HEAD INJURY. Dr. William G.
Spiller
records in the Journal
and Mental -Disease for February, 1906,
a case
of Nervous which may
be added to collected instances of disorder of sensation, sometimes amounting to hemianæsthesia and without motor paralysis resulting from a lesion of the cortex cerebri. The patient, a male, aged 38 years, was struck with a club over the region of the right parietal lobe. He was unconscious for an hour or two and for the next two weeks was unable to It was not possible to, move the fingers of the left hand, whether this was the result of motor weakness inability say The left leg could be moved or of sensory disturbances. on the day following the injury and did not at any time exhibit disorders of sensation or of motion. His condition when examined nearly 18 months after the injury was as follows. Whilst there was no weakness of the left upper limb its movements were awkward ; with the eyes closed he could not button his coat with the left hand; the sense of position was greatly impaired in the left fingers, as also was stereognostic perception in the left hand, so that he usually failed to name an object placed in it unless he used the sense of sight. Sensations of touch, pain, and temperature were diminished in the left hand, though to a less degree than the above. Sensation was unaffected on the left side of the face and chest and in the left lower limb. This case is further of interest as showing that disorders of sensation in connexion with cerebral cortical lesions may be confined to one limb. and therefore affords evidence in favour of the belief that the area for common sensation, like the motor area, is divisible into different centres. ___
THE
DEATH
OF M. PIERRE CURIE.
man
aphorism" Aequam
memento rebus in arduis
Servare mentem " ; and should always recollect that " Him whom you have not saved while you might, that same have you killed." He should not be idle, should be temperate and tactful in all things, and when death comes to his patient he should, and often can, stay the sorrowing who are left behind, with the 1
Literature and Us, by a Country G. P.
THE death of M. Curie in a street accident in Paris brings a terribly sudden end the very brilliant career of a scientific man gifted with a remarkable capacity for original research. M. Curie was only 47 years of age, so that there seemed to be abundant opportunities still ahead of him for further appl3ing his sagacity and energies to great scientific questions, and above all, to the mystery of the nature of things, the composition and constitution of matter, and the problem of energy. Fate decreed otherwise and his life was cut short by a prosaic accident in the street. He fell under a heavily loaded wagon and was killed instantly, the wheels passing over his neck. M. Curie’s. death is a terrible loss to the world of science which, it is not disparaging to others to say, could spare him least amongst its faithful followers. He enjoyed a singularly happy partnership with his wife. for she devoted herself to her husband’s life work, with what great and far-reaching results the whole world knows. Madame Curie was the actual discoverer of radium and its analogues but her long, patient, and laborious investigations had the advantage of being directed by her husband. Intense sympathy will be felt for Madame Curie who has thus so suddenly lost not only her husband but a fellow worker in a companionship which gave to the world one of the most remarkable discoveries in the history of science, if not the most remarkable. What a new and immense field of exploration, with the promise of great possibilities, have the joint brilliant to
artificially
IDEALS. WE have received a little pamphlet bearing the heading of " Literature and Us" and consisting of two papers originally published in the St. Bartholonte7v’s Hosgrital Journal in December, 1905, and March, 1906.1 The "Country G. P." who is the writer of the papers is evidently a man of wide reading and of cultured tastes, two qualities which are, above all, desirable for a medical man who is as much as, if not more than, any minister of religion brought daily into contact with the naked souls of his fellow men. For who can rightly appreciate the thoughts, as expressed in their writings, of profound thinkers must necessarily be able better to aid those who seek him in affliction, either of body or mind, and the two are practically indissoluble, than one who is on a lower plane of thought. So we have read with great interest the " Country G.P.’s"two papers, in the first of which he gives us quotations with comments from the writings of great and good men who have dealt with the medical profession, its duties, its hardships, and its rewards. In the second paper, " Some Ideals of a Doctor," he gives us his ideal of what a medical man should be, an ideal which he confesses he has not by any means reached himself. But to have an ideal is to take the first step towards acquiring the same and all of us may find ourselves better from reading the main points of the ideal set up in this paper. Thus the ideal medical practitioner should have some definite notion in his mind of what he is going to do for his patient; he should remember that I I Res est sacra miser" ; he should bear in mind the any
consolation that death is not the end. He gives various quotations upon this point and we would suggest that h& should add Blanco White’s magnificent and single sonnet, " Night and Death," to his list. We see that he promises a third paper-namely, ’’ What We must Live Down "-and we look forward to this with much interest.
UNILATERAL SENSORY DISTURBANCE LIMITED TO ONE LIMB AND WITHOUT MOTOR PARALYSIS SUBSEQUENT TO HEAD INJURY. Dr. William G.
Spiller
records in the Journal
and Mental -Disease for February, 1906,
a case
of Nervous which may
be added to collected instances of disorder of sensation, sometimes amounting to hemianæsthesia and without motor paralysis resulting from a lesion of the cortex cerebri. The patient, a male, aged 38 years, was struck with a club over the region of the right parietal lobe. He was unconscious for an hour or two and for the next two weeks was unable to It was not possible to, move the fingers of the left hand, whether this was the result of motor weakness inability say The left leg could be moved or of sensory disturbances. on the day following the injury and did not at any time exhibit disorders of sensation or of motion. His condition when examined nearly 18 months after the injury was as follows. Whilst there was no weakness of the left upper limb its movements were awkward ; with the eyes closed he could not button his coat with the left hand; the sense of position was greatly impaired in the left fingers, as also was stereognostic perception in the left hand, so that he usually failed to name an object placed in it unless he used the sense of sight. Sensations of touch, pain, and temperature were diminished in the left hand, though to a less degree than the above. Sensation was unaffected on the left side of the face and chest and in the left lower limb. This case is further of interest as showing that disorders of sensation in connexion with cerebral cortical lesions may be confined to one limb. and therefore affords evidence in favour of the belief that the area for common sensation, like the motor area, is divisible into different centres. ___
THE
DEATH
OF M. PIERRE CURIE.
man
aphorism" Aequam
memento rebus in arduis
Servare mentem " ; and should always recollect that " Him whom you have not saved while you might, that same have you killed." He should not be idle, should be temperate and tactful in all things, and when death comes to his patient he should, and often can, stay the sorrowing who are left behind, with the 1
Literature and Us, by a Country G. P.
THE death of M. Curie in a street accident in Paris brings a terribly sudden end the very brilliant career of a scientific man gifted with a remarkable capacity for original research. M. Curie was only 47 years of age, so that there seemed to be abundant opportunities still ahead of him for further appl3ing his sagacity and energies to great scientific questions, and above all, to the mystery of the nature of things, the composition and constitution of matter, and the problem of energy. Fate decreed otherwise and his life was cut short by a prosaic accident in the street. He fell under a heavily loaded wagon and was killed instantly, the wheels passing over his neck. M. Curie’s. death is a terrible loss to the world of science which, it is not disparaging to others to say, could spare him least amongst its faithful followers. He enjoyed a singularly happy partnership with his wife. for she devoted herself to her husband’s life work, with what great and far-reaching results the whole world knows. Madame Curie was the actual discoverer of radium and its analogues but her long, patient, and laborious investigations had the advantage of being directed by her husband. Intense sympathy will be felt for Madame Curie who has thus so suddenly lost not only her husband but a fellow worker in a companionship which gave to the world one of the most remarkable discoveries in the history of science, if not the most remarkable. What a new and immense field of exploration, with the promise of great possibilities, have the joint brilliant to