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MEDICAL PRIVILEGE.
1100
FINANCIAL HELP FOR DENTAL STUDENTS.
such facilities are provided. As it is possible that medical practitioners may know of cases in which young men, in every way suitable for entering the profession of dentistry, are debarred from so doing by Audi alteram partem." lack of means, it is desirable that the assistance offered by the Dental Board should be made known. Further information will gladly be sent on applicaMEDICAL PRIVILEGE. tion to this office. All letters should be addressed to To the Editor of THE LANCET. the Registrar of the Dental Board. I am, Sir, yours faithfully, the SIR,—Your leading article upon the effects of NORMAN C. KING. McCardie judgment in July last gave weighty Nov. 10th, 1927. London, W., 44, Hrtllum-slrect, of consternation amongst expression to the feelings medical men at the prospect of being compelled to betray the solemn trust of their patients at the order THE AUSCULTATORY "SILENT GAP." of a judge. Since resumption of Parliament I have had the opportunity of conversation with some To the Editor of THE LANCET. leading counsel in the House of Commons, and I have SIR,—I agree with what Dr. Gibson says in his received from them very considerable encouragement article on the above subject about the interesting for the suggestion that I should ask, under the 10-minutes rule, leave to introduce a Bill securing, little attention paid in this country to the work of French observers. But from the context I fail to as the minimitm concession, privilege from disclosure that Dr. Gibson, though quoting Barbier’s for communications made by patients to medical gather " La Methode Auscultatoire," has noticed his explanaof in Article II. of the practitioners pursuance (2) Public Health (Venereal Diseases) Regulations, 1916. tion of how the arterial sounds are produced. Testing I have obtained leave for a motion, which is now his explanation with the abundant clinical material afforded by the Heart Clinic of the Ministry of upon the Order Paper for Tuesday, Nov. 22nd, to introduce a Bill, as follows : " Medical Practitioners’ Pensions I have found it very illuminating. In listening to the sounds Barbier recommends the Communications Privilege,-Bill to provide that certain communications between medical practitioners observer to concentrate his attention on the variations and their patients shall be privileged from disclosure in loudness which follow a regular sequence from the in evidence," and I am promised the support of a systolic to below the diastolic levels. The variations number of very distinguished lawyers in the House in tone have led to the formation by observers of for a Bill securing privilege restricted to the special zones which are a needless complexity. The variations case of venereal diseases. I should, of course, have in tone are hardly ever alike, but the variation in follow the same course in nearly all cases. unrestricted preferred privilege, and a clause which loudness first sound heard as the pressure is released is a The I had proposed to incorporate in my Bill ran as " follows : Confidential communications passing dull thud or hiss which denotes the systolic level. between a medical practitioner and his patient This, increasing rapidly in loudness, reaches its shall be privileged from disclosure where made for maximum about 5 mm. lower and then gradually the purpose of obtaining or giving medical assistance becomes fainter, but about 15 mm. lower it will be in some illness from which the patient is suffering." noticed to be increasing in loudness, but more I am, however, being earnestly dissuaded from gradually, so that it will be about 30 mm. lower that arterial sound is louder than in any other part of attempting this wider purpose by distinguished the the curve. Then it suddenly becomes quite faint, in the House who me warn lawyers quite frankly that there would probably be general opposition thus determining the diastolic level. Barbier holds that there are two factors at workfrom lawyers to the enlargement of medical privilege to the same degree as the lawyers now enjoy. If your vibrations in the blood stream and vibrations in the readers can in any way assist, by representations to arterial wall. The sounds in the first part of the their Members of Parliament, the acceptance of my curve are mostly blood stream sounds which diminish motion on Tuesday, the 22nd, the crying scandal as the lumen of the compressed artery is allowed to of the present position-namely, the conflict between open. The sounds in the second half partake more of a law and regulations in relation to the administration rapping than hissing character and are due to vibration of clinics for venereal diseases might perhaps be of the arterial wall which increases as the pressure is released. The part of the curve where there is least removed.-I am, Sir, yours faithfully, sound is where the blood stream sounds are dying E. GRAHAM LITTLE. House of Commons, Nov. 14th, 1927. away and the wall sounds are just beginning, and it is here that the silent gap occurs when both soundproducing factors are weak. What has induced me to pin my faith to Barbier FOR DENTAL HELP FINANCIAL in my little work on the subject, where I explain the To the Editor of THE LANCET. matter more fully, is that he gives various ways for SIR,—From time to time, in my capacity as testing the correctness of his theory, which I have yours faithfully, Registrar of the General Medical Council, I am asked found convincing.-I am, Sir, Manchester, Nov. llth, 1927. FRANCIS HEATHERLEY. whether I know of any fund from which the sons or dependents of medical men can receive financial assistance to enter the medical profession, and my ORGANIC HYPNOTICS. reply has to be that some of the medical schools have scholarships for this purpose, but, apart from this, I To the Editor of THE LANCET. do not know of any fund from which they can be assisted. SIR,—We cannot hold you responsible for the With regard to dentistry, however, the position is opinions expressed by the President of the Medico.different. Unless the entry of students to the dental Legal Society in his Presidential address on Oct. 27th, profession is increased it is not improbable that in but, as you publish the address in extenso under the process of time there may be a shortage of dentists to heading of Recent Advances in Toxicology and attend to the needs of the public. In suitable cases, Forensic Medicine in your issue of Nov. 5th therefore, in which the requirements of the General (pp.970-971) we would point out that we, the inventors, Medical Council for the registration of students have manufacturers, and distributors of the Allonal brand been satisfied, the Board is prepared to give financial of Allyl-isopropyl-barbiturate of phenyl-dimethyl-assistance, by means of bursaries, to pay the cost of dimethylamino-pyrazolon, commonly called Allonal fees and instruments, and in some cases maintenance is tablets, cannot but regard the inclusion of our given in addition. So far as I know there is scarcely preparation in the paragraph headed New Drugs as .any other great profession for the entrance of which casting a slur upon, if not actually libelling our
Correspondence. "
STUDENTS.
.
FINANCIAL HELP FOR DENTAL STUDENTS.
such facilities are provided. As it is possible that medical practitioners may know of cases in which young men, in every way suitable for entering the profession of dentistry, are debarred from so doing by Audi alteram partem." lack of means, it is desirable that the assistance offered by the Dental Board should be made known. Further information will gladly be sent on applicaMEDICAL PRIVILEGE. tion to this office. All letters should be addressed to To the Editor of THE LANCET. the Registrar of the Dental Board. I am, Sir, yours faithfully, the SIR,—Your leading article upon the effects of NORMAN C. KING. McCardie judgment in July last gave weighty Nov. 10th, 1927. London, W., 44, Hrtllum-slrect, of consternation amongst expression to the feelings medical men at the prospect of being compelled to betray the solemn trust of their patients at the order THE AUSCULTATORY "SILENT GAP." of a judge. Since resumption of Parliament I have had the opportunity of conversation with some To the Editor of THE LANCET. leading counsel in the House of Commons, and I have SIR,—I agree with what Dr. Gibson says in his received from them very considerable encouragement article on the above subject about the interesting for the suggestion that I should ask, under the 10-minutes rule, leave to introduce a Bill securing, little attention paid in this country to the work of French observers. But from the context I fail to as the minimitm concession, privilege from disclosure that Dr. Gibson, though quoting Barbier’s for communications made by patients to medical gather " La Methode Auscultatoire," has noticed his explanaof in Article II. of the practitioners pursuance (2) Public Health (Venereal Diseases) Regulations, 1916. tion of how the arterial sounds are produced. Testing I have obtained leave for a motion, which is now his explanation with the abundant clinical material afforded by the Heart Clinic of the Ministry of upon the Order Paper for Tuesday, Nov. 22nd, to introduce a Bill, as follows : " Medical Practitioners’ Pensions I have found it very illuminating. In listening to the sounds Barbier recommends the Communications Privilege,-Bill to provide that certain communications between medical practitioners observer to concentrate his attention on the variations and their patients shall be privileged from disclosure in loudness which follow a regular sequence from the in evidence," and I am promised the support of a systolic to below the diastolic levels. The variations number of very distinguished lawyers in the House in tone have led to the formation by observers of for a Bill securing privilege restricted to the special zones which are a needless complexity. The variations case of venereal diseases. I should, of course, have in tone are hardly ever alike, but the variation in follow the same course in nearly all cases. unrestricted preferred privilege, and a clause which loudness first sound heard as the pressure is released is a The I had proposed to incorporate in my Bill ran as " follows : Confidential communications passing dull thud or hiss which denotes the systolic level. between a medical practitioner and his patient This, increasing rapidly in loudness, reaches its shall be privileged from disclosure where made for maximum about 5 mm. lower and then gradually the purpose of obtaining or giving medical assistance becomes fainter, but about 15 mm. lower it will be in some illness from which the patient is suffering." noticed to be increasing in loudness, but more I am, however, being earnestly dissuaded from gradually, so that it will be about 30 mm. lower that arterial sound is louder than in any other part of attempting this wider purpose by distinguished the the curve. Then it suddenly becomes quite faint, in the House who me warn lawyers quite frankly that there would probably be general opposition thus determining the diastolic level. Barbier holds that there are two factors at workfrom lawyers to the enlargement of medical privilege to the same degree as the lawyers now enjoy. If your vibrations in the blood stream and vibrations in the readers can in any way assist, by representations to arterial wall. The sounds in the first part of the their Members of Parliament, the acceptance of my curve are mostly blood stream sounds which diminish motion on Tuesday, the 22nd, the crying scandal as the lumen of the compressed artery is allowed to of the present position-namely, the conflict between open. The sounds in the second half partake more of a law and regulations in relation to the administration rapping than hissing character and are due to vibration of clinics for venereal diseases might perhaps be of the arterial wall which increases as the pressure is released. The part of the curve where there is least removed.-I am, Sir, yours faithfully, sound is where the blood stream sounds are dying E. GRAHAM LITTLE. House of Commons, Nov. 14th, 1927. away and the wall sounds are just beginning, and it is here that the silent gap occurs when both soundproducing factors are weak. What has induced me to pin my faith to Barbier FOR DENTAL HELP FINANCIAL in my little work on the subject, where I explain the To the Editor of THE LANCET. matter more fully, is that he gives various ways for SIR,—From time to time, in my capacity as testing the correctness of his theory, which I have yours faithfully, Registrar of the General Medical Council, I am asked found convincing.-I am, Sir, Manchester, Nov. llth, 1927. FRANCIS HEATHERLEY. whether I know of any fund from which the sons or dependents of medical men can receive financial assistance to enter the medical profession, and my ORGANIC HYPNOTICS. reply has to be that some of the medical schools have scholarships for this purpose, but, apart from this, I To the Editor of THE LANCET. do not know of any fund from which they can be assisted. SIR,—We cannot hold you responsible for the With regard to dentistry, however, the position is opinions expressed by the President of the Medico.different. Unless the entry of students to the dental Legal Society in his Presidential address on Oct. 27th, profession is increased it is not improbable that in but, as you publish the address in extenso under the process of time there may be a shortage of dentists to heading of Recent Advances in Toxicology and attend to the needs of the public. In suitable cases, Forensic Medicine in your issue of Nov. 5th therefore, in which the requirements of the General (pp.970-971) we would point out that we, the inventors, Medical Council for the registration of students have manufacturers, and distributors of the Allonal brand been satisfied, the Board is prepared to give financial of Allyl-isopropyl-barbiturate of phenyl-dimethyl-assistance, by means of bursaries, to pay the cost of dimethylamino-pyrazolon, commonly called Allonal fees and instruments, and in some cases maintenance is tablets, cannot but regard the inclusion of our given in addition. So far as I know there is scarcely preparation in the paragraph headed New Drugs as .any other great profession for the entrance of which casting a slur upon, if not actually libelling our
Correspondence. "
STUDENTS.
.