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NATIONAL TUBERCULOSIS CONFERENCE AND EXHIBITION.
42 but the
completely cured. One MOTORING NOTES. injections. One patient, though benefited, was not benefited was made and, indeed, BY C. T. W. HIRSCH, M.R.C.S. ENG., L.R.C.P. LOND. temporarily patient worse, but in this case there was not merely sciatica but also phlebitis involving both limbs as well as the veins IT is undoubtedly true that one’s first car is usually, and of the pelvis. The sciatica was greatly improved as a rea small one; mine, bought some ten years ago, was rightly, sult of improvement of the phlebitis, which took place under 3-h.p. Benz. Unfortunately many, like myself, I think, not realise that later a larger car may be, and probably treatment with the waters of Bagnoles de 1’Orne, France. will has also obtained results from this treatbe, bought, so at the beginning a small motor-house is Dr. Goldan good and then when a new car comes there is the worry of put up in ment lumbago. Patients have come to him almost creepit. And that is not only a worry but also an ing and within half an hour have walked away free from altering expense. I have been through it, so I speak from experience. pain and erect. He ascribes the benefit to the inflammatory So if I may advise the embryo motorist I would suggest, reaction produced by chloroform, which determines a new when you invest in your first car certainly let it be a small supply of blood to the nerve filaments of the painful part. one but do not be too parsimonious over its house. A good medical friends have asked me about the kind Neuralgia, it may be remembered, has been described as the many of shed which they should erect for their automobile. Well, cry of the nerves for blood. I do not think that a medico is likely to indulge in any machine longer than 13 feet or wider than 5 feet 3 inches, or higher than 7 feet, so a building that will NATIONAL TUBERCULOSIS CONFERENCE AND required
patients
were
refused further
EXHIBITION. WE may remind our readers that a National Tuberculosis Conferenue and Exhibition will be held in the Caxton Hall, London, during November next. The conference is not a medical one but a national one, in accordance with its title, and its object is to arouse all sections of the community to the importance of securing more adequate means for the prevention and treatment of tuberculosis in all its forms. Consumption is a national scourge, calling for effective organisation and for the practical cooperation of all scientific, educational, and humanitarian forces which make for human betterment and racial progress. As is well known to all our readers, a series of very successful conferences and exhibitions has been held recently in different parts of Ireland under Viceregal patronage. These meetings have excited wide interest and greatly stimulated the anti-tuberculosis movement in Ireland, and it has been considered highly desirable that a thoroughly representative conference should be held this year in the capital of the British Empire, and the formation of a scientific exhibition is part of the scheme. The enterprise should appeal to all interested in and working for the physical improvement of the nation. It is arranged already that during the conference authorities from different parts of the Empire as well as continental leaders in the antituberculosis movement shall take part in the proceedings, and arrangements will be made for country and foreign visitors to visit the chief sanatoriums and special hospitals for consumptives and other sufferers from tuberculosis situated in and near London. No efforts will be spared to interest all sections of the community in a consideration of the fundamental principles and scientific procedures on which the conduct of a successful campaign against tuberculosis must depend. It is hoped ’that all in any way interested in the objects and work thus outlined will communicate with the secretaries to the organising committee, Mr. Frederick V. Fisher and Mr. Ernest Schofield, at the offices of the Medical Society of London, 11, Chandos-street, Cavendish-square, London, W., from whom all particulars can be obtained. THE annual general meeting of the Coal Smoke Abatement Society will take place to-day (Friday) at 3 P.M., at the Royal United Service Institution, Whitehall, S.W. The President, Sir William Richmond, K.C.B., R.A., will occupy the chair.
EXETER SEWAGE WORKS.—A Local Government Board
inquiry was held at Exeter on June 23rd into the application of the Exeter city council for sanction to borrow Z1272 for improvements at the Exeter sewage and disposal works. It will be remembered that Exeter was a pioneer town in the adoption of the biological method of sewage disposal.
accommodate one of these dimensions should do. Of course, wooden sheds which are moveable and come in segments can be purchased ; still the insurance companies are rather shy about having timber structures near one’s house, so where a man is in practice and likely to remain for some time I strongly advise a permanent brick building. The accompanying plans are based on how I should build my motor-house if I had my time over again, and taking the cube at 6d. such a shed as I propose to outline could be put up for £40, and, what is more, there would be room to carry out repairs in it, and, of course, if electricity be available it could be lighted and heated in that way. Electricity is, I understand, sold at a very low rate for heating, and if it be used the accumulators could, by means of a suitable switch, be charged while the lamps or fire are on without extra cost, and accumulators do have a longer life if they are kept fully charged and are not allowed to run down. Of course, in modern cars magneto ignition is the rule ; still, a dual one is especially desirable for a medical man and a high tension coil and accumulator should be the stand by, in addition to the high or low tension magneto. But to return to the house. I suggest one 16 to 18 feet long, 10 to 12 feet wide, and 8 feet high at one end and 10 feet at the other; the roof will thus have a good fall and can be made of corrugated galvanised iron. Steel revolving shutters make an excellent door and have the advantage of not occupying much room ; sliding doors can also be employed or ordinary folding ones, but the revolving shutters seem to me the most ideal. I believe, as it is a mere shelter house, that the surveyor will allow a 9-inch wall, and those who do not mind expense can, of course, use glazed bricks (they look much better), but unfaced whitewashed ones will answer. A nice refinement is to have a coved brick at the junction of the wall with the floor and to have all angles rounded, as is done in modern operating theatres. The width I give will permit of getting round the car and allow of tyres being changed in the shed, springs seen to, &c. A pit is most useful and I always regret that when I built my shed I did not make mine as long as I might have. It should be in the centre of the floor, 3 feet 6 inches wide, and at least 10 feet long ; the floor of the pit and house should be concreted or covered with flags of artificial stone resting on concrete and should have a slight fall, about a ’ quarter of an inch to the foot, and the pit should be drained, if possible into the manhole that leads to the sewer, the usual S-trap being interposed ; the fall of the floor of the shed itself will permit of its drain being outside and in front of the shed door. Where it is not convenient to run the pit drain into a sewer a hole deeper than the pit can be dug outside (at the back) of the shed, filled in with broken bottles and bricks, and a pipe from the pit can open into it at a lower level than the floor of the pit. The pit should be surrounded by a curb, standing up some 2 inches and covered by hatches, each about 2 feet wide, so in working under the car that portion of the pit which is under the actual work may be open and the rest kept covered. A convenient depth for a pit is from 3 feet 6 inches to 4 feet, and steps can be made at one end so as to enter with comfort, though, as a rule, mere iron rings are fixed in the wall for purposes of access. It is handy to fit in the walls of the pit little recesses all the way round, so that when working
completely cured. One MOTORING NOTES. injections. One patient, though benefited, was not benefited was made and, indeed, BY C. T. W. HIRSCH, M.R.C.S. ENG., L.R.C.P. LOND. temporarily patient worse, but in this case there was not merely sciatica but also phlebitis involving both limbs as well as the veins IT is undoubtedly true that one’s first car is usually, and of the pelvis. The sciatica was greatly improved as a rea small one; mine, bought some ten years ago, was rightly, sult of improvement of the phlebitis, which took place under 3-h.p. Benz. Unfortunately many, like myself, I think, not realise that later a larger car may be, and probably treatment with the waters of Bagnoles de 1’Orne, France. will has also obtained results from this treatbe, bought, so at the beginning a small motor-house is Dr. Goldan good and then when a new car comes there is the worry of put up in ment lumbago. Patients have come to him almost creepit. And that is not only a worry but also an ing and within half an hour have walked away free from altering expense. I have been through it, so I speak from experience. pain and erect. He ascribes the benefit to the inflammatory So if I may advise the embryo motorist I would suggest, reaction produced by chloroform, which determines a new when you invest in your first car certainly let it be a small supply of blood to the nerve filaments of the painful part. one but do not be too parsimonious over its house. A good medical friends have asked me about the kind Neuralgia, it may be remembered, has been described as the many of shed which they should erect for their automobile. Well, cry of the nerves for blood. I do not think that a medico is likely to indulge in any machine longer than 13 feet or wider than 5 feet 3 inches, or higher than 7 feet, so a building that will NATIONAL TUBERCULOSIS CONFERENCE AND required
patients
were
refused further
EXHIBITION. WE may remind our readers that a National Tuberculosis Conferenue and Exhibition will be held in the Caxton Hall, London, during November next. The conference is not a medical one but a national one, in accordance with its title, and its object is to arouse all sections of the community to the importance of securing more adequate means for the prevention and treatment of tuberculosis in all its forms. Consumption is a national scourge, calling for effective organisation and for the practical cooperation of all scientific, educational, and humanitarian forces which make for human betterment and racial progress. As is well known to all our readers, a series of very successful conferences and exhibitions has been held recently in different parts of Ireland under Viceregal patronage. These meetings have excited wide interest and greatly stimulated the anti-tuberculosis movement in Ireland, and it has been considered highly desirable that a thoroughly representative conference should be held this year in the capital of the British Empire, and the formation of a scientific exhibition is part of the scheme. The enterprise should appeal to all interested in and working for the physical improvement of the nation. It is arranged already that during the conference authorities from different parts of the Empire as well as continental leaders in the antituberculosis movement shall take part in the proceedings, and arrangements will be made for country and foreign visitors to visit the chief sanatoriums and special hospitals for consumptives and other sufferers from tuberculosis situated in and near London. No efforts will be spared to interest all sections of the community in a consideration of the fundamental principles and scientific procedures on which the conduct of a successful campaign against tuberculosis must depend. It is hoped ’that all in any way interested in the objects and work thus outlined will communicate with the secretaries to the organising committee, Mr. Frederick V. Fisher and Mr. Ernest Schofield, at the offices of the Medical Society of London, 11, Chandos-street, Cavendish-square, London, W., from whom all particulars can be obtained. THE annual general meeting of the Coal Smoke Abatement Society will take place to-day (Friday) at 3 P.M., at the Royal United Service Institution, Whitehall, S.W. The President, Sir William Richmond, K.C.B., R.A., will occupy the chair.
EXETER SEWAGE WORKS.—A Local Government Board
inquiry was held at Exeter on June 23rd into the application of the Exeter city council for sanction to borrow Z1272 for improvements at the Exeter sewage and disposal works. It will be remembered that Exeter was a pioneer town in the adoption of the biological method of sewage disposal.
accommodate one of these dimensions should do. Of course, wooden sheds which are moveable and come in segments can be purchased ; still the insurance companies are rather shy about having timber structures near one’s house, so where a man is in practice and likely to remain for some time I strongly advise a permanent brick building. The accompanying plans are based on how I should build my motor-house if I had my time over again, and taking the cube at 6d. such a shed as I propose to outline could be put up for £40, and, what is more, there would be room to carry out repairs in it, and, of course, if electricity be available it could be lighted and heated in that way. Electricity is, I understand, sold at a very low rate for heating, and if it be used the accumulators could, by means of a suitable switch, be charged while the lamps or fire are on without extra cost, and accumulators do have a longer life if they are kept fully charged and are not allowed to run down. Of course, in modern cars magneto ignition is the rule ; still, a dual one is especially desirable for a medical man and a high tension coil and accumulator should be the stand by, in addition to the high or low tension magneto. But to return to the house. I suggest one 16 to 18 feet long, 10 to 12 feet wide, and 8 feet high at one end and 10 feet at the other; the roof will thus have a good fall and can be made of corrugated galvanised iron. Steel revolving shutters make an excellent door and have the advantage of not occupying much room ; sliding doors can also be employed or ordinary folding ones, but the revolving shutters seem to me the most ideal. I believe, as it is a mere shelter house, that the surveyor will allow a 9-inch wall, and those who do not mind expense can, of course, use glazed bricks (they look much better), but unfaced whitewashed ones will answer. A nice refinement is to have a coved brick at the junction of the wall with the floor and to have all angles rounded, as is done in modern operating theatres. The width I give will permit of getting round the car and allow of tyres being changed in the shed, springs seen to, &c. A pit is most useful and I always regret that when I built my shed I did not make mine as long as I might have. It should be in the centre of the floor, 3 feet 6 inches wide, and at least 10 feet long ; the floor of the pit and house should be concreted or covered with flags of artificial stone resting on concrete and should have a slight fall, about a ’ quarter of an inch to the foot, and the pit should be drained, if possible into the manhole that leads to the sewer, the usual S-trap being interposed ; the fall of the floor of the shed itself will permit of its drain being outside and in front of the shed door. Where it is not convenient to run the pit drain into a sewer a hole deeper than the pit can be dug outside (at the back) of the shed, filled in with broken bottles and bricks, and a pipe from the pit can open into it at a lower level than the floor of the pit. The pit should be surrounded by a curb, standing up some 2 inches and covered by hatches, each about 2 feet wide, so in working under the car that portion of the pit which is under the actual work may be open and the rest kept covered. A convenient depth for a pit is from 3 feet 6 inches to 4 feet, and steps can be made at one end so as to enter with comfort, though, as a rule, mere iron rings are fixed in the wall for purposes of access. It is handy to fit in the walls of the pit little recesses all the way round, so that when working