- Email: [email protected]
INDIAN MEDICAL SERVICE ANNUAL DINNER.
1532 Medical Guild rightly consider inadequate. We shall watch with interest the movement made by the Guild.
INDIAN MEDICAL SERVICE ANNUAL DINNER.
attempt to replace them in the normal position; if after repeated trials he should not succeed in effecting this then he is surely justified in proceeding to more severe surgical measures. ___
THE annual dinner of the Indian Medical Service will THE ANNUAL DINNER OF THE WEST LONDON take place at the Hotel Cecil on Thursday, June 14th, at HOSPITAL. 7.45 P.M., Sir Trevor Lawrence, Bart., in the chair. OfficersI THE annual dinner of the past and present staff and intending to be present should communicate with the residents of the West London Hospital was held at the honorary secretary, Mr. P. J. Freyer, 46, Harley-street, W. Trocadero Restaurant on Monday, May 21st, under the presidency of Dr. Donald’Hood, senior physician to the LONDON SCHOOL LECTURES ON FIRST AID West London Hospital. The dinner was well attended and AND HOME NURSING. was a bright and successful function throughout. After the WE are informed that an alteration has been made in usual loyal toasts Mr. Keetley, senior surgeon to the West the remuneration of the lecturers on first aid and London Hospital, proposed in well-chosen terms The home nursing at the evening continuation schools of Imperial Forces." In the regretted absence of the Directorthe London School Board. The fees have been General of the Army Medical Service, Surgeon-General raised from half a guinea to one guinea per even- J. B. Hamilton replied, and dwelt in the course of his ing, and lecturers on these new terms are being speech upon the many acts of unrecorded heroism that advertised for. The engagements will vary from one have been done by the members of the Royal Army evening a fortnight to three or four evenings a week, each Medical Corps during the war. In particular he spoke of lecture with the practical instruction lasting an hour and a the services rendered to the sick and wounded by a totally half. Applications should be forwarded not later than inadequate handful of medical officers during the long June 9th on forms which can be obtained from the clerk of beleaguerment of Ladysmith, and expressed wonder that the Evening Continuation Committee, School Board for no mention of their services had appeared in despatches. The chairman in proposing the toast of the evening-viz., " The London, Victoria Embankment, W.C. West London Hospital "-recalled the changes for the better which that institution had experienced since his own conTREATMENT OF FRACTURES. nexion with it. When he was first appointed to the hospital IT cannot be said that the usual treatment of fractures almost everything that in modern ideas goes to make a of the extremities always gives perfect results, for in a hospital was wanting. Now a large and competent staff, considerable proportion of the cases some stiffness or some working hand-in-hand with the practitioners of the neigh. impairment of mobility persists which interferes materially bourhood, ministered in a great building with newly erected with the functional activity of the limb. Attempts to wards and out-patient departments to the wants of the improve on these results have been made along two sick poor of a vast district. He concluded by reviewing widely divergent lines. On the one hand, it has been the position of the general practitioner of the present contended that endeavours to immobilise the fragments day and indicating its hardships, and by alluding to are harmful, for adhesions of neighbouring structures the good work done by the West London Post-Graduate tend to form and these prevent movement ; to overcome College. Mr. F. H. Lewis and Mr. W. McAdam Eccles this objection early and continued massage of the neighreplied, representing the committee of management and the bourhood of the fracture has been much advocated, medical staff of the hospital respectively. Mr. L. A. Bidwell especially by Lucas-Championniere. On the other hand, a statement with regard to the Post-Graduate College, it is maintained that the lack of success which has which, he pointed out, was the only institution for qualified been met with is attributable to a failure to adjust with men to perfect themselves in their work which had the advananything like accuracy the broken portion of the bones and tage of being connected with a general hospital. The to maintain them in their normal position. Mr. Arbuthnot speeches of the meeting all went to show that the past and Lane has for some years insisted on the fact that our staff and residents of the West London Hospital present ordinary methods of setting a fracture in many cases fail, have reason to be proud of their connexion with an instituand since 1896 the evidence afforded by skiagrams has been tion which has not only done an immense amount of good The facility with which in a compound on the same side. work, but which intends to progress in well-doing. fracture the broken portions of bone can be adjusted and ,maintained in a correct position has persuaded Mr. Lane to REPORT OF THE ARMY VETERINARY advocate the conversion of a simple into a compound fracture DEPARTMENT. on occasions when any difficulty is experienced in restoring THE report of the health of the animals under the care or maintaining the correct position of the fragments, and these views are ably advanced in a clinical lecture which of the Army Veterinary Department during the year ending appears in this number of THE LANCET. Of course, with March 31st, 1899, is a satisfactory one. In the United modern antiseptic precautions the risk of cutting down Kingdom there were 14,305 troop horses, 115 mules, and on to a fracture may be reduced to a minimum, but some 1915 chargers on March 31st, as compared with 13,828 troop risk still remains. So the question arises, Is the benefit horses, 135 mules, and 1845 chargers in the previous yearto be derived from this operation equal to the risk The amount of inefficiency from diseases and injuries was which is run2 In some instances the answer must be 0’59 per cent. less than last year; the number of deaths was definitely yes, but these cases form probably only a small 2’70 per cent. of the average strength. The mortality was proportion of all fractures. For an ordinary simple fracture highest in the months of September, August, June, and the usual methods suffice, but the immediate result should December. Of the animals treated for various diseases it be controlled by means of skiagraphy. Great care must be was observed, as is usually found to be the case, that there taken in replacing and fixing the bones and after the splints was a greater percentage of illnesses in animals under five have been applied the employment of the Roentgen rays will years of age. In Egypt glanders made its appearance demonstrate the position and will inform the surgeon what amongst the horses and mules, being introduced by a redegree of success has been attained. Should the position of mount horse purchased in Syria. Ten horses and 4even the fragments be unsatisfactory the surgeon must againI mules had to be destroyed in consequence and arrangements
made
INDIAN MEDICAL SERVICE ANNUAL DINNER.
attempt to replace them in the normal position; if after repeated trials he should not succeed in effecting this then he is surely justified in proceeding to more severe surgical measures. ___
THE annual dinner of the Indian Medical Service will THE ANNUAL DINNER OF THE WEST LONDON take place at the Hotel Cecil on Thursday, June 14th, at HOSPITAL. 7.45 P.M., Sir Trevor Lawrence, Bart., in the chair. OfficersI THE annual dinner of the past and present staff and intending to be present should communicate with the residents of the West London Hospital was held at the honorary secretary, Mr. P. J. Freyer, 46, Harley-street, W. Trocadero Restaurant on Monday, May 21st, under the presidency of Dr. Donald’Hood, senior physician to the LONDON SCHOOL LECTURES ON FIRST AID West London Hospital. The dinner was well attended and AND HOME NURSING. was a bright and successful function throughout. After the WE are informed that an alteration has been made in usual loyal toasts Mr. Keetley, senior surgeon to the West the remuneration of the lecturers on first aid and London Hospital, proposed in well-chosen terms The home nursing at the evening continuation schools of Imperial Forces." In the regretted absence of the Directorthe London School Board. The fees have been General of the Army Medical Service, Surgeon-General raised from half a guinea to one guinea per even- J. B. Hamilton replied, and dwelt in the course of his ing, and lecturers on these new terms are being speech upon the many acts of unrecorded heroism that advertised for. The engagements will vary from one have been done by the members of the Royal Army evening a fortnight to three or four evenings a week, each Medical Corps during the war. In particular he spoke of lecture with the practical instruction lasting an hour and a the services rendered to the sick and wounded by a totally half. Applications should be forwarded not later than inadequate handful of medical officers during the long June 9th on forms which can be obtained from the clerk of beleaguerment of Ladysmith, and expressed wonder that the Evening Continuation Committee, School Board for no mention of their services had appeared in despatches. The chairman in proposing the toast of the evening-viz., " The London, Victoria Embankment, W.C. West London Hospital "-recalled the changes for the better which that institution had experienced since his own conTREATMENT OF FRACTURES. nexion with it. When he was first appointed to the hospital IT cannot be said that the usual treatment of fractures almost everything that in modern ideas goes to make a of the extremities always gives perfect results, for in a hospital was wanting. Now a large and competent staff, considerable proportion of the cases some stiffness or some working hand-in-hand with the practitioners of the neigh. impairment of mobility persists which interferes materially bourhood, ministered in a great building with newly erected with the functional activity of the limb. Attempts to wards and out-patient departments to the wants of the improve on these results have been made along two sick poor of a vast district. He concluded by reviewing widely divergent lines. On the one hand, it has been the position of the general practitioner of the present contended that endeavours to immobilise the fragments day and indicating its hardships, and by alluding to are harmful, for adhesions of neighbouring structures the good work done by the West London Post-Graduate tend to form and these prevent movement ; to overcome College. Mr. F. H. Lewis and Mr. W. McAdam Eccles this objection early and continued massage of the neighreplied, representing the committee of management and the bourhood of the fracture has been much advocated, medical staff of the hospital respectively. Mr. L. A. Bidwell especially by Lucas-Championniere. On the other hand, a statement with regard to the Post-Graduate College, it is maintained that the lack of success which has which, he pointed out, was the only institution for qualified been met with is attributable to a failure to adjust with men to perfect themselves in their work which had the advananything like accuracy the broken portion of the bones and tage of being connected with a general hospital. The to maintain them in their normal position. Mr. Arbuthnot speeches of the meeting all went to show that the past and Lane has for some years insisted on the fact that our staff and residents of the West London Hospital present ordinary methods of setting a fracture in many cases fail, have reason to be proud of their connexion with an instituand since 1896 the evidence afforded by skiagrams has been tion which has not only done an immense amount of good The facility with which in a compound on the same side. work, but which intends to progress in well-doing. fracture the broken portions of bone can be adjusted and ,maintained in a correct position has persuaded Mr. Lane to REPORT OF THE ARMY VETERINARY advocate the conversion of a simple into a compound fracture DEPARTMENT. on occasions when any difficulty is experienced in restoring THE report of the health of the animals under the care or maintaining the correct position of the fragments, and these views are ably advanced in a clinical lecture which of the Army Veterinary Department during the year ending appears in this number of THE LANCET. Of course, with March 31st, 1899, is a satisfactory one. In the United modern antiseptic precautions the risk of cutting down Kingdom there were 14,305 troop horses, 115 mules, and on to a fracture may be reduced to a minimum, but some 1915 chargers on March 31st, as compared with 13,828 troop risk still remains. So the question arises, Is the benefit horses, 135 mules, and 1845 chargers in the previous yearto be derived from this operation equal to the risk The amount of inefficiency from diseases and injuries was which is run2 In some instances the answer must be 0’59 per cent. less than last year; the number of deaths was definitely yes, but these cases form probably only a small 2’70 per cent. of the average strength. The mortality was proportion of all fractures. For an ordinary simple fracture highest in the months of September, August, June, and the usual methods suffice, but the immediate result should December. Of the animals treated for various diseases it be controlled by means of skiagraphy. Great care must be was observed, as is usually found to be the case, that there taken in replacing and fixing the bones and after the splints was a greater percentage of illnesses in animals under five have been applied the employment of the Roentgen rays will years of age. In Egypt glanders made its appearance demonstrate the position and will inform the surgeon what amongst the horses and mules, being introduced by a redegree of success has been attained. Should the position of mount horse purchased in Syria. Ten horses and 4even the fragments be unsatisfactory the surgeon must againI mules had to be destroyed in consequence and arrangements
made