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MEDICAL EVIDENCE AT INQUESTS.
304 from the disease. In Edinburgb, in the third week of lead pencil withdrawn, to the astonishment of the patient January, 7 cases of small-pox were reported and 2 deathsand his friends. The entrance of the pencil is easily exwere registered; whilst in Dablin in the same period the plained ; the boy had climbed a lamp-post to light his bicycle admissions to hospital were 61, as compared with 32 71, lamp, and his feet slipped off the ornamental ledge which and 78 in the preceding three weeks, the last number pisses horizontally around the post about four feet from the ’having been erroneously stated in the weekly return as 88, and ground. As he fell a lead pencil in his waistcoat pocket the corresponding number of patients under treatment having caught on this ledge and was driven into the axilla and been stated to be 10 in excess of the aotua.1 number. Of broken off out of sight. the 10 deaths registered in Dublin in the week in question THE LINK SHELL TRUSS. ..s were of vaccinated persons-1 an infant nine days of age,
hospital
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and the rest adults-and 4 of un’1acJinated adults, the facts WE have again to warn our readers that advertisements to the remaining fatal case not being known. On the in respect of this truss are being issued in which, as we said morning of Sanday, Jan. 20h, 310 patients were in in our notice on Nov. 24th, 1894, our comments have been whom were convalescents at a fall 134 Kilmainham), (of incorrectly quoted, and additions made thereto not warfrom 335 a week earlier. Toe disease seems to be spreading ranted by those comments. We also call attention to the -in Ireland, news coming of its presence at Newry, Longford, letter of apology from the maker of the truss printed by ns Drogheda, Geray, and other places. Nov. 24th, 1894. We cannot sufficiently express onr indignation at the use made of our comments. MEDICAL EVIDENCE AT INQUESTS. ENGLISH AND AMERICAN ASSURANCE. the head with O,-N7 Jan. llth a man shot himself
.as
on
LIFE
through
revolver in the kitchen of his house in Wigan. He had returned home on that day, after an absence of some months, only half an hour before committing the fatal act. A medical man who was summoned and who arrived probably within thirty minutes of the shot being fired, found that he was already dead and that there were, in fact, signs of rigor mortis of the muscles of the jaw. The only wound was situated two inches behind the right ear and two inches below the parietal eminence. At the inquest, which was eld on Jan. 14th, this gentleman was not called on to give evidence. Oar ordinary sense of the fitness of things requires that a medical man should be referred to in cases involving injury or death, yet in this instance the coroner took upon himself to have the lesions described by a police constable. The family medical attendant was present and deposed to the deceased having had delirium tremens last year. It is unquestionable that the condition and surroundings of the deceased ought to have been described to the Court by the medical man who noted them shortly after the
;a,
AN interesting paper on Some Points of Difference between Life Assurance Medicine in America and in England was read before the Life Assurance Medical Officers’ Association on Wednesday last by Dr. Glover Ljon. The paper was based upon a visit to Ne v York, and brought out in strong contrast the various points wherein the methods of American life One of the most striking assurance offices differ from ours. features of life assurance in America is its colossal size: in
the case of some offices nearly 500 medical reports are made every day. Speculation is an element less common in than in America, and fraudulent attempts to England obtain policies on bad lives are also more common in the less limited West. And not only does the material differ, but the method employed regarding the selec. tion of lives widely differs in the two countries. The medical directors in America are usually dependent, or almost entirely dependent, upon their salaries, and they cannot be directors of more than one company. Thus they are at the mercy of the executive for their livelihood, occurrence. and their opinion is not, as in England, unfettered. Large tragic salaries are offered by American offices to encourage attention A LEAD PENCIL IMPACTED IN THE AXILLA to special points in life assurance ; but the medical officer MISTAKEN FOR FRACTURE OF THE has not the same facilities for keeping in touch with his proCLAVICLE fession as his English brother, who invariably combines with l official duties the labours of a private practice. In DR. SINCLAIR TONSBY in the New York Medical Journal his describes the removal of a lead pencil four inches long whichAmerica, again, policies are more readily granted than in had been mistaken for six weeks for a necrotic fragment of England, litigation frequently follows, and sometimes ends the clavicle. The patient came to hospital (Roosevelt) pre- in the discomfiture of the medical officer who recommended senting a sinus in the axilla and one balow the middle of the the acceptance of the risk. The gist of Dr. Glover Lyon’s clavicle, while a probe introduced into either sinus encountered interesting paper was to show that on the whole the methods a hard rough surface suggestive of necrosed bone. He stated adopted in England compare favourably with those in that six weeks previously he had fallen and hurt his shoulder America ; but, as a rebuff to any patriotic "swagger" on our very badty, and that he had been attended immediately by behalf, he urged strongly that something should be done by two physicians, who said that his collar-bone was broken our medical officers to make the fOrM3 in general use in the In the course of the various offices more uniform. -and applied suitable bandages. next four weeks a very large swelling formed below the clavicle and another in the axilla. After examinations at a AT the last preliminary meeting of the University Court of number of hospitals he was admitted as a ward patient in the University of Wales, held at Shrewsbury on Jan. 25th, There the two Lord Aberdare was unanimously elected, subject to the one of the largest hospitals in New York. not t3 attempt to approval of the Crown, the first Chancellor of the University. abscesses were incised, but it was decided the date. Ten days Dr. Isambard Owen was elected Senior remove necrotic fragment until a later Deputy Chancellor afterwards he was brought to the Roosevelt Hospital for and Mr. A. C. Humphreys-0 iven, M.P., Junior Deputy Chantreatment. Dr. Tonsey found that the hard fragment was cellor. freely movable when pushed upon by the probe, and also that pressure in the axilla was transmitted to DR. JOHN FRASER, Deputy Commissioner in Lunacy for It was then Scotland, has been appointed a Commissioner in the room of the hard fragment below the clavicle. perfectly clear that some kind of a spike had been Sir Arthur Mitchell, K. C. B , whose retirement we recently driven into the axilla and had broken off, after penetrating notified ; and Dr. John Francis Sutherland, medical officer to so far that its point could be felt below the middle of the Glasgow prison, has-been appointed Deputy Commissioner in i sinus below clavicle and the the room of Dr. John Fraser. The the was clavicle. enlarged --
___
,
hospital
-
and the rest adults-and 4 of un’1acJinated adults, the facts WE have again to warn our readers that advertisements to the remaining fatal case not being known. On the in respect of this truss are being issued in which, as we said morning of Sanday, Jan. 20h, 310 patients were in in our notice on Nov. 24th, 1894, our comments have been whom were convalescents at a fall 134 Kilmainham), (of incorrectly quoted, and additions made thereto not warfrom 335 a week earlier. Toe disease seems to be spreading ranted by those comments. We also call attention to the -in Ireland, news coming of its presence at Newry, Longford, letter of apology from the maker of the truss printed by ns Drogheda, Geray, and other places. Nov. 24th, 1894. We cannot sufficiently express onr indignation at the use made of our comments. MEDICAL EVIDENCE AT INQUESTS. ENGLISH AND AMERICAN ASSURANCE. the head with O,-N7 Jan. llth a man shot himself
.as
on
LIFE
through
revolver in the kitchen of his house in Wigan. He had returned home on that day, after an absence of some months, only half an hour before committing the fatal act. A medical man who was summoned and who arrived probably within thirty minutes of the shot being fired, found that he was already dead and that there were, in fact, signs of rigor mortis of the muscles of the jaw. The only wound was situated two inches behind the right ear and two inches below the parietal eminence. At the inquest, which was eld on Jan. 14th, this gentleman was not called on to give evidence. Oar ordinary sense of the fitness of things requires that a medical man should be referred to in cases involving injury or death, yet in this instance the coroner took upon himself to have the lesions described by a police constable. The family medical attendant was present and deposed to the deceased having had delirium tremens last year. It is unquestionable that the condition and surroundings of the deceased ought to have been described to the Court by the medical man who noted them shortly after the
;a,
AN interesting paper on Some Points of Difference between Life Assurance Medicine in America and in England was read before the Life Assurance Medical Officers’ Association on Wednesday last by Dr. Glover Ljon. The paper was based upon a visit to Ne v York, and brought out in strong contrast the various points wherein the methods of American life One of the most striking assurance offices differ from ours. features of life assurance in America is its colossal size: in
the case of some offices nearly 500 medical reports are made every day. Speculation is an element less common in than in America, and fraudulent attempts to England obtain policies on bad lives are also more common in the less limited West. And not only does the material differ, but the method employed regarding the selec. tion of lives widely differs in the two countries. The medical directors in America are usually dependent, or almost entirely dependent, upon their salaries, and they cannot be directors of more than one company. Thus they are at the mercy of the executive for their livelihood, occurrence. and their opinion is not, as in England, unfettered. Large tragic salaries are offered by American offices to encourage attention A LEAD PENCIL IMPACTED IN THE AXILLA to special points in life assurance ; but the medical officer MISTAKEN FOR FRACTURE OF THE has not the same facilities for keeping in touch with his proCLAVICLE fession as his English brother, who invariably combines with l official duties the labours of a private practice. In DR. SINCLAIR TONSBY in the New York Medical Journal his describes the removal of a lead pencil four inches long whichAmerica, again, policies are more readily granted than in had been mistaken for six weeks for a necrotic fragment of England, litigation frequently follows, and sometimes ends the clavicle. The patient came to hospital (Roosevelt) pre- in the discomfiture of the medical officer who recommended senting a sinus in the axilla and one balow the middle of the the acceptance of the risk. The gist of Dr. Glover Lyon’s clavicle, while a probe introduced into either sinus encountered interesting paper was to show that on the whole the methods a hard rough surface suggestive of necrosed bone. He stated adopted in England compare favourably with those in that six weeks previously he had fallen and hurt his shoulder America ; but, as a rebuff to any patriotic "swagger" on our very badty, and that he had been attended immediately by behalf, he urged strongly that something should be done by two physicians, who said that his collar-bone was broken our medical officers to make the fOrM3 in general use in the In the course of the various offices more uniform. -and applied suitable bandages. next four weeks a very large swelling formed below the clavicle and another in the axilla. After examinations at a AT the last preliminary meeting of the University Court of number of hospitals he was admitted as a ward patient in the University of Wales, held at Shrewsbury on Jan. 25th, There the two Lord Aberdare was unanimously elected, subject to the one of the largest hospitals in New York. not t3 attempt to approval of the Crown, the first Chancellor of the University. abscesses were incised, but it was decided the date. Ten days Dr. Isambard Owen was elected Senior remove necrotic fragment until a later Deputy Chancellor afterwards he was brought to the Roosevelt Hospital for and Mr. A. C. Humphreys-0 iven, M.P., Junior Deputy Chantreatment. Dr. Tonsey found that the hard fragment was cellor. freely movable when pushed upon by the probe, and also that pressure in the axilla was transmitted to DR. JOHN FRASER, Deputy Commissioner in Lunacy for It was then Scotland, has been appointed a Commissioner in the room of the hard fragment below the clavicle. perfectly clear that some kind of a spike had been Sir Arthur Mitchell, K. C. B , whose retirement we recently driven into the axilla and had broken off, after penetrating notified ; and Dr. John Francis Sutherland, medical officer to so far that its point could be felt below the middle of the Glasgow prison, has-been appointed Deputy Commissioner in i sinus below clavicle and the the room of Dr. John Fraser. The the was clavicle. enlarged --
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,