NAVAL MEDICAL OFFICERS.

NAVAL MEDICAL OFFICERS.

753 quite similar occurred in the following May; and during difficulty may be experienced in getting to the on an early visit, and by one una fourth...

398KB Sizes 20 Downloads 151 Views

753

quite

similar occurred in the following May; and during difficulty may be experienced in getting to the on an early visit, and by one una fourth, in Cook-street, where the cholera committed itself, August particularly gallery with the French acquainted language, I am tempted to give a the greatest ravages, and while that epidemic was at its height. sort of itinerary which will easily bring one to the gallery, and Since January, however, fifty-seven fatal cases have occurred which may be greatly appreciated à l’occasion. I should there- in the city of Dublin; but, the patients surviving longer fore advise the visitor to enter the Champs de Mars by the than at the outset of the epidemic, there is time for the Porte Rapp, which opens on the Avenue de la Bourdonnayé. development of the nervous symptoms, such as headache, He has then only to follow the short covered passage leading stiffness of the neck, and increased sensitiveness of the surto the edifice and penetrate into the palace itself by the large face, which indicate the identity of the malady with the entrance facing the extremity of this passage. Still walking epidemic of cerebro-spinal arachnitis which prevailed in the straight before him, he cuts across the sixth gallery, devoted to South Dublin and Bray Workhouses in 1846. The disease dethe processes of the useful arts-the fifth, fourth, and third scribed by American authorities, and that which Dr. Sanderson galleries containing successively raw materials, clothing, and investigated in West Prussia by order of the Privy Council in furniture,-and as he attains the second gallery he finds himself 1865, were similar to the former Irish outbreak; but the in the midst of the French display. In order to render these malady now prevailing is more rapidly fatal, the destruction indications more complete, and as practical as possible, I shall of the blood, which is a result of nervous lesion, at once exadopt the same itinerary, and in the rapid description of this tinguishing life. One child succumbed in five hours, but the gallery, which I now purpose to undertake, I shall commence average duration of fatal cases is twenty-four hours. Persons at the very point which I suppose the visitor to have attained. under twenty years of age have been, with three or four Immediately on the left stand two courts facing each other ; exceptions, the victims ; but those living under good sanitary conditions do not seem to be exempt, for a young nobleman, one of these courts is almost exclusively occupied by the display of surgical instruments. All the French makers, MM. three students, and several children in respectable families, Robert and Colin, the successors of Charriere, Luer, Mathieu, have been attacked. That the disease is due to promoting Galante, Vitry, Capron, Fabre, and others, have sent large and causes similar to those which induce cholera would appear interesting collections. Their cases are replete with the most from the fact that while seven of the districts which suffered

But

as some

varied objects, among which I have noticed many novelties from that pestilence last year have produced cases of this and many recent modifications. The various collections of black fever, it has appeared in no district which was exempt these makers, with that French taste for organising things from the cholera epidemic. Three persons from one house in which has become proverbial, are arranged on a uniform plan a characteristic cholera-haunt near Dublin have suffered; and and in so tasty a manner that they present a very striking two cases of great virulence lately occurred, one after the other,. and agreeable appearance. The importance of this department in a cabin near Clondalkin, which could not be equalled for rendering a separate notice necessary, I shall abstain for the unwholesomeness. Investigations into the circumstances of present from any further details. The remainder of this court the other cases have induced Dr. Mapother, the medical officer is occupied by a very fair collection of surgical and orthopaedic of health for Dublin, to regard the disease as non-communicable-a point which was determined for the Prussian outbreak apparatus, different systems of artificial legs and arms, &c., exhibited by various makers, among whom I may name MM. by our Government commissioner. Le Belleguic, Richard Drapier, Leplanquais, &c. There is also a large display of trusses, hypogastric belts, &c., by MM. Wickham, Grandcollot, Rainal, Milliary, Chanson, and Fichot. MM. Leperdriel, Flamet, and Ferte have a collection of elastic tissues for varicose veins, certain diseases of females, and other cases, where a gentle and constant compression is needed. M. " Audi alteram partem." Galante, whose name I have already mentioned in connexion with surgical instruments, and who has gained great reputation in this country for his many ingenious applications of indiaNAVAL MEDICAL OFFICERS. rubber to surgical and medical purposes, has an extensive To the Editor of THE LANCET. collection of apparatus and appliances made of this material. M. Lassere, M. Belin, and M. Berguerand have also exhibited SIR,—It may savour of a truism, but one often to be revarious surgical instruments and contrivances in gum and peated, that it is only in their early stage that some diseases caoutchoue. The outward facing of this court is occupied in great part are remediable; and it is not to renew controversy that I ask by the display of the dental art. A great number of dentists your indulgence, but from a desire to check a deviation which, have sent collections of instruments, materials, various sorts if allowed to go on, will counteract much of the good expected of artificial teeth, processes for repairing malformations, &c. from the improvements lately guaranteed to naval medical These collections can only, of course, be of partial interest. But M. Préterre’s display presents a true scientific interest. officers. The Warrant of 1859 gave satisfaction, but it was no sooner This well-known dentist, whose experiments on the protoxyde of azote as an anæsthetic have lately been noticed at the two in operation than the process of undermining its provisions Academies of this city, exhibits a considerable number of casts commenced, and many officers in command who saw the drift the various processes in dental practice which he showing of the authorities, feeling assured of being countenauced, lent has invented, or happily modified, for the reparation of malformations of the mouth, either congenital, such as division of each his small aid to create so much disgust amongst medical officers serving under them, that they ventilated their grievthe palate, &c., or resulting from gunshot wounds or from surgical operations. Occupying the remainder of the exterior ances, until young men would not enter the service, and the de Mérainville and M. Government was compelled to listen to the voice of the profesfacing of this court, M. Boissonneau have beautiful specimens of artificial eyes, showing and take it into consultation on the best means of restoring the perfection which this peculiar branch of industry has sion, confidence. attained. Although it would be wise to profit by the lessons of history, (To be continued.) yet scarcely is the Warrant of 1866 out of its cradle than officious fingers are at work obliterating those more prominent features in which the paternity of the medical element of the committee of 1865 is traceable. THE MALIGNANT FEVER IN IRELAND. I propose now to show that the regulations concerning servants, and allowances are not worked in accordAx epidemic disease of a novel character appeared in the quarters, with the promises of the new Warrant. The committee person of a healthy medical student, eighteen years of age, on recommended "improved accommodation for medical officers," the 18th of March, 1866. The only notable features of the and H. 11.’s Warrant of 1866 ordered the same to be given, case were, rapid prostration, and the appearance of purple or "according to their relative rank," which was bonâ fide that contemplated by the committee. It was at first arranged so, black on and under almost the skin. Death resulted in spots at once reduced by a counter order applying to non-medical about twenty-six hours from the first symptom. He resided civilian officers, who obtained equal relative rank, and, with in a most healthy situation in Dublin, and there was nothing the choice of cabins, on easier terms of service than surgeons Whatever to account for the origin of the attack. Three cases ; enjoyed by their Warrant. In illustration of this we may take

Correspondence.

Dejardins

ance but it,

754 Lord NAAS quoted the latest returns of the Registrar of 31-inotaur, the Channel flag-ship, our largest iron-clad afloat, where the surgeon has not a cabin consistent with the ! Dublin, in which, among the names of the fatal diseases, that office of principal medical officer of so large a ship. of " black death " did not occur ; and he had the authority of Then again, as to servants, too much is left at discretion of the Superintendent General Registrar for stating that none of ship authorities ; and in some instances the 7th regulation of certain special diseases bore any analogy to the black death of H.M.’s Warrant-" Staff-surgeons to be placed on the same the middle ages. THE UNIVERSITY OF LONDON. footing as commanders, with regard to servants"-is not fully acted on, either in their wages or their employment on ship’s Mr. GoLDSMID asked the First Commissioner of Works when duties, apart from those towards their masters. the new design for the elevation of the University of London Now, as relates to quarters ashore, it is to be feared that a was likely to be finished; and whether he would, before giving slow deterioration of privileges is steadily progressing. The orders for its execution, afford the House and the University rights of relative rank due to medical officers of standing an opportunity of expressing an opinion upon it. seem to be offensive to some men in authority. There is a Lord J. MANNERS could not say when Mr. Pennethornewas matter of this kind talked of here with much feeling, as it to finish the new design. The view he took of the vote likely influences a detachment from the Chatham division of Royal House arrived at last Friday was that the House wished the Marines, lodged in barracks, formerly a naval hospital, at itself to decide on the design ; and, therefore, he should ask Deal. Until very lately, the medical officers stationed there Mr. Pennethorne to place it in the library in order that hon. held quarters in the same row with the lieutenant-colonel; have the opportunity of inspecting it. He did members might as the have medical officers but, last-appointed joined, they not think it would be any part of his duty to submit the design have been ousted in succession from this too near proximity to the Senate of the London University. the majesty of command. The assistant-surgeon is transferred to from the home of his predecessor into two rooms in the infirSUPPLY. mary ; and now the staff-surgeon in charge of the detachment On the vote of £107,923 for miscellaneous services, is not allowed to occupy the surgeon’s house, but is ordered ’ Mr. CANDLISH called attention to the expenses-altogether off the marine grounds altogether, and paid lodging money to £28,271—attendant upon carrying out the Act for the Prevenprovide for himself small apartments at any distance where he tion of Contagious Diseases at certain naval and military sta. so it is can obtain them—dismissed, stated, from the vicinity He disapproved thus taking away the penalty which of his professional labours and responsibilities, as well as de- tions. immorality brought with it, and of giving facilities to crime, prived of the comforts enjoyed by his predecessors, to meet and he moved that this item in the vote be reduced by the the views, if not simply to suit the wants, of the commanding sum of £26,624. officer. Sir J. PAKINGTON said the question had been so often deI as The medical officers of the service regard this not only bated that he should decline to follow the hon. gentleman into damaging to the future interests of their class, notwithstand- the policy of this legislation. (Hear.) but as the of their new to welfare the Warrant, injurious ing The amendment was then negatived, and the vote agreed to. men in barracks, who will less readily obtain the aid of their JUNE 7TH. chief medical officer. The good of the service has not been sufficiently thought of in this matter, and, from rumours con£195,600 was voted for Hospital Establishment services cerning other marine divisions, it seems to be only extending and supplies. a principle to which a check by the Admiralty on the Marine Office in Spring-gardens is very requisite. On this and other matters concerning the profession in the navy I shall hope

the

_

soon

to address you

Rochester,

June

again.

I am,

Sir,

yours

Medical News.

&c.,

4th, 1867.

M.D.

ROYAL COLLEGE UNIVERSITY REPRESENTATION. To the Editor

of THE

LANCET.

OF

SURGEONS

OF

ENGLAND.-The

following Members of the College, having undergone the necessary examinations for the Fellowship on the 28th, 29th, and 30th ult., were reported to have acquitted themselves to the satisfaction of the Court of Examiners, and at a meeting of

SIR,—I gratified to see by an advertisement in the last number of THE LANCET that some of the medical graduates of the Council on the 13th inst. were admitted Fellows of the the University of St. Andrews have so promptly formed them- College :Allfrey, Charles Henry, M.D. Univ. Edin., Chislehurst, Kent; diploma of selves into an association, with Dr. Richardson as president, membership dated Nov. 14,1861. William George, Bbndford, Dorset; June 27, 1851. having for its immediate object the removal of the clause in Bacot, Beatson, William Burn, H.M. Indian Army; Nov. 6, 1816. the new Scotch Reform Bill by which medical graduates would Bellamy, Edward, Montagne-place; Nov. 17, 1863. be excluded from voting for a representative of their University. Davis, William Farquhar, H.JYI. Indian Army; May 12, 1S;6. Dick, Robert, H.M. Indian Army; May 2, 1854. I trust that their praiseworthy example will at once be folJones, Charles Marchant, L.R.C.P. Lond, Amoy, China; Feb. 27,1857. and that medical without of lowed, graduate exception every Lloyd, Edw. Harford, Al.13. Univ. Lond., Thornburv, Bristol; April 7,1SS3. the University in the United Kingdom will be enrolled as a Newman, William, M.D. Univ. Lond., St. Martin’s, Stamford, Lincolnshire ; Oct. 6, 1854. member of the association to repel that which can only be Norton, Arthur Trehern, Upper Berkeley-street; Nov. 18, 1862. viewed as a gross act of injustice and an insult to our profession. Orton, George Hunt, Narborough Hall, Leicestershire; May 6,1863. I would suggest that in each parliamentary division of a Plaskitt, Joshua, Chapel-street, S.W.; May 21, 1855. the medical should therein not Richards, Frederick William, L.R.C.P. Lond., Winchester; April 28,1864. county graduates residing only Swain, William Paul, Devonport; May 1, 1857. use their own individual interest, but as a united body press 1’enniu,-, Edgcombe, L.R.C.P. Lond., Army; Aug. 2, 1858. their members of Parliament the of the and cause, upon I Of the unprecedented large number of 32 candidates who preendeavour to obtain the promise of their support. sented themselves for the above distinction, it appears that 15 T Hm ir_ vonr obedient carvant went up for the Anatomical and Physiological examination GEORGE H. LA F. M.D. Juns 1867. FARGUE, Godalming, 3rd, only, out of which number it is stated that 4 failed to acquit themselves to the satisfaction of the Court, and were consequently referred to their studies for the period of six months. Intel igence. Parliamentary The remaining 17 candidates-viz., 12 seniors and5 juniorswent up for the full examination for the Fellowship, and it is stated that out of the number only 2 seniors failed to satisfy the Court as to their proficiency, and were therefore referred HOUSE OF COMMONS. to their professional studies for one year. JUNE 6TH. am

justice

THE

"BLACK DEATH."

Mr. VERNER asked the Chief Secretary for Ireland whether he had received any information from the Registrar-General or other authority with regard to the very fatal disease called in the newspapers "black death," which had of late been prevalent in the neighbourhood of Dublin.

APOTHECARIES’ HALL.

-

The

following gentlemen

passed their examination in the Science and Practice of Medicine, and received certificates to practise, on June 6the :Clay, George Langsford, Birmingham. Havard, David, lewport, Pembrokeshire. Richardson, John Ashton, Hull Infirmary. Sangster, Charles, 1,ambeth-walk. Truman, Samuel John, Poultry, Nottingham.