MONGE'S DISEASE

MONGE'S DISEASE

813 present state of air attacks on the civil population and of how these attacks are being prepared for ; chapters are included on individual and co...

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present state of air attacks on the civil population and of how these attacks are being prepared for ; chapters are included on individual and collective protection, structural precautions, and the measures taken in foreign countries. The conclusion forced upon the reader of these various books, as of our daily newspapers, is that applied morals must somehow be made to keep pace with applied science. DEVELOPMENTS AT HARROGATE

ON Oct. 6th Sir Kingsley Wood will lay the foundation-stone of a new extension of the Harrogate Royal Baths. The improvements now to be made have been under consideration by the corporation for several years, and great pains have been taken over design and equipment. Two years ago a committee of officials and members of the Harrogate corporation visited spas both at home and abroad, and the new block of buildings will incorporate interesting new developments and devices in balneological treatment. The extension includes : (1) an entirely new block of buildings adjoining and connecting the present baths ; (2) reconstruction of the winter gardens; and (3) general refitting of the existing bathing establishment at the Royal Baths. It is expected that the developments will be complete in about two and a half years. The estimated cost is 66,000.

but is concerned rather with the occasional failures to acquire the necessary adjustments for life at great altitudes and with the loss of these adjustments once acquired. His " subacute mountain sickness," which corresponds essentially to the disease of mountaineers described by the doctors attached to the various Himalayan expeditions, may progress to a severe form of altitude erythraemia, called by him " chronic mountain sickness." Here he overlaps the earlier work of Barcroft, but his observations are wider and cover every system of the body. He describes the cyanotic appearance of those whose adaptation has failed, the congestion of the mucous membranes,

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fingers, emphysematous thorax, dyspnoea, blurred vision, mental changes, and nausea, but does not mention that much of the digestive disturbance is now known to be due to a slowing in the emptying-time of the stomach. He also omits all reference to Campbell’s work on the liver ; but his account is admittedly condensed. In many of its essential signs and symptoms Monge’s disease is very like the essential erythrsemia of Vaquez. It differs from it chiefly in the immediate relief obtained by a descent to sea-level. lassitude,

SURGEONS FROM BARBERS

AN invitation to deliver the Thomas Vicary lecture Royal College of Surgeons of England was the origin of an entertaining monograph now pubBCG lished by a distinguished physician.’ Dr. Wall’s Dr. Birkhaugwrites with unusual detachmentsubject developed as he studied it, and he quickly about B C G. At the invitation of Prof. Calmette he perceived that the compass of an hour’s lecture was at several in tuberculosis Paris spent wholly insufficient to do justice to the story which years studying the Pasteur Institute, and now, as a member of the he now presents in detail. The separation of the staff of the Christian Michelsen Institute in Bergen, two component parts of the Barber-Surgeons’ Comhe is entrusted with the task of preparing B C Gpany was determined by a laudable aspiration on the cultures for administration in Norway. His surveypart of the surgeons to raise the status of their will give complete satisfaction to neither of the twoprofession ; and though the barbers were opposed to parties that have waged such spirited war on each the proposal a committee of the House of Commons other over B C G, and just because he is neither hotcame to the conclusion that the surgeons had made out a good case and that the creation of a separate nor cold, he will prove exasperating to the gladiaI to his that minded. A pendant opinion torially Company of Surgeons " would contribute much to the i of surgery and thereby become a B C G is no virus fixe is that there are good grounds improvement for believing that on further culture it will ultimately :matter of public utility." In 1745, therefore, the lose its present power of immunising against tuber- isurgeons’ company was incorporated as a company 4 similar lines to other city, companies with a master, culosis. His examination of the conditions under on which the gospel of B C G has been preached inwardens, court of assistants, liverymen, and, since 1the certain quarters reveals not only an ignorance of elesurgeons were the official examining body for the ubmit entries to the Navy, the Army, and the mentary rules to which statisticians should submitsmedical : East India Company’s service, a court of examiners. their calculations, but an irascibility that is inappropriate to scientific debate. His own view, neverthe-The new company emerged from its old association less, is favourable since he holds (1) that B C G neverwith the barbers with little material endowment, all provokes progressive and fatal tuberculous lesions the real and personal estate, except the Arris and
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med. Tidskr. August 14th, 1937, p. 1333. Monge, C., Arch. intern. Med. 1937, 59, 32.

Vicary Lecturer Wall, M.A., D.M., F.R.C.P., the Royal College of Surgeons of England 1935. London: H Hutchinson’s Scientific and Technical Publications. 1937. P 356. 10s. 6d. Pp.