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NORTH OF ENGLAND OBSTETRICAL AND GYNECOLOGICAL SOCIETY.
1683 At the period when the congestion of the was found impacted in for them. the bulbous urethra and was cut down upon. hospitals had attained its maximum small-pox broke out on Mr. J. P. HOLYOAKE and Mr. E. H. ADDENBROOKE also the south side of the city, and no hospital was in a position to admit the first three patients, but fortunately the disease described cases of Urethral Calculi. did not spread. In any future epidemic of small-pox it would be desirable to have hospital accommodation outside the city. As regards measles there will always be a diffiNORTH OF ENGLAND OBSTETRICAL AND culty in providing accommodation for its victims on account of the great number of patients. In Glasgow a determinaGYNECOLOGICAL SOCIETY. tion has recently been arrived at to provide full accommodation to meet the wants of the largest epidemic of this Treatment of Puerperal Septicœmia.—Exhibition, of disease, and in Edinburgh the foundation-stone of a fever Specimens. has just been laid which will accommodate 600 hospital A MEETING of this society was held in the board room of patients, including measles cases. Sir Charles Cameron was, the Medical School, Leeds, on May 27th, Mr. H. BRIGGS, on the above grounds, still of opinion that an infectious President, being in the chair. diseases hospitals board should be constituted for the Dublin Dr. BRAITHWAITE (Leeds) contributed a paper on the district, and that the board should establish a small hospital, Treatment of Puerperal Septicæmia, based upon sixty-three a home for convalescents, and make provision for epidemics cases seen in the last eight years. In four cases he had used of measles or scarlet fever. Dr. FALKINER said that the hospital accommodation in anti-streptococcic serum, and in three out of the four a considerable reduction of temperature followed, but it was Dublin was quite insufficient in the event of three or four uncertain how much of this was due to douching, purgatives, epidemics occurring at the same time. He considered that and other treatment. The serum should be employed at measles was not a disease which must spread broadcast of the onset of the fever.-A discussion followed, in which necessity. the PRESIDENT, Professor C. J. WRIGHT, Mr. CROFT, Mr. Dr. J. W. MOORE strongly advocated an isolation hospital RICHARDSON, Dr. HELLIER, and Dr. GEMMELL took part. for small-pox, and thought it a disgrace that Dublin did not Professor C. J. WRIGHT (Leeds) showed the following possess such a hospital. specimens : (1) Some Molar Masses removed from a Uterus four weeks atter the birth of a living child ; there had
Some few months later the seventh
been a twin conception with one ovum blighted; the masses consisted of granulation tissue and contained a few bits of placental structure ; and (2) the Placenta from a case of Triplets ; this was one large placenta with two cords and a smaller one with one cedematous funis ; the amniotic
probably
sacs were
separate.
Mr. W. A. STOTT (Leeds) showed specimens of CarcinoOvaries, Double Hydrosalpinx, and Double Pyo-
matous
salpinx.
Mr. CROFT (Leeds) showed a Ruptured Female Bladder. The patient had been operated upon for heamorrhoids; there On was no subsequent retention of urine or catheterisation. the eighth day there were abdominal pain and distension, followed by a diminution in the quantity of urine passed and symptoms of ursemia. The patient died from urasmia, and post mortem there was no evidence of peritonitis, adhesions, tubercle, or abscess in the pelvis or abdomen.
ROYAL ACADEMY OF MEDICINE IN IRELAND. STATE MEDICINE. Hospital Accommodation in Dublin. A MEETING of this section was held on May 10th, Dr. J. M. RBDMOND, President, being in the chair. Sir CHARLES CAMERON read a paper on the Recent Failure of Hospital Accommodation in Dublin. He mentioned that in 1895 he proposed the institution of a hospitals board for Dublin city and county on the lines of the London Asylums Board, and the scheme was approved of by several of the local authorities, particularly by the North Dublin Board of Guardians, but it was opposed by the council of the Dublin Sanitary Association and by the physicians of several of the Dublin hospitals. Three arguments were used against it: (1) that it would be enormously costly ; (2) that there was ample accommodation for the treatment of infectious diseases in existing hospitals ; and (3) that it would interfere with medical education. Sir Charles Cameron, however, argued that the existing hospital accommodation was last year proved to be quite insufficient, and that the scheme would, as alleged, seriously interfere with medical education seems improbable, for no one can deny that Edinburgh and Glasgow are medical schools of the first rank, and yet the students in those cities have to go to special fever hospitals to acquire a knowledge of contagious diseases. It is the same in London and other places. Last year when measles became epidemic in Dublin scarlet fever also was prevalent, and the severer cases of those diseases were so numerous that the hospitals were crowded with them. Very bad cases of measles and erysipelas had to be retained in tenements of the most wretched kind, as no hospital accommodation could be procured
SECTION The Recent Failure of
OF
Reviews
and
Notices of Books.
Practical Manual of Diseases of Women and Uterine Thera. peutics for Students and Practitioners. By H. MACNAUGHTON-JONES, M.D., M.Ch., M.A.O. (Honoris Causâ) R.U.I., &e. Seventh Edition. Revised and enlarged, with 565 Illustrations. London; Bailliere, Tindall, and Cox. 1897. Price 15s. WE are told in the preface " that no previous issue of this work has undergone such complete revision and re-construction as the present one, both in the re-arrangement of the order in which the subject is dealt with, the numerous additions which have been made to the text, and in the large number of illustrations it contains." We observe that attention is called to a recent trial which " has shown how careful the operator and those assisting him should be to make no observation on the case while the patient is in the condition of semi-anassthesia." The author has not apparently shaken himself entirely free from the teachings of the mechanical system of uterine pathology, so much in fashion twenty years or more ago, as version and flexion his list as causes of dysmenorrhoea, are retained on and a large number of pessaries, including intra-uterine stem pessaries, are still figured. Dr. Macnaughton-Jones advocates forcible dilatation of the sphincters under ether in obstinate constipation. He relates the following case:"A lady from - consulted me for constipation she had ever since [her confinement] been relieved by enemata and with difficulty....... On examination I found the uterus healthy and in its normal position, the rectum loaded and The hæmorrhoidal. There was a vaginal leucorrhoea. following day, under ether, I forcibly, with my hand, dilated the sphincters. A few fibres of the external were ruptured; the rectum was emptied of its contents. An olive oil enema She was placed on cascara was given the next morning. sagrada and a mild pill of belladonna and nux vomica, and from this to the day she left England, a period of four months," the bowel was regular, and she never used an enema. It is not very easy to see what harm there would have been in trying the effect of the olive oil enema followed by cascara and the mild pill before stretching this patient’s sphincters forcibly with the hand, especially as she was not leaving England till four months later, but no doubt the author had his own reasons for the course adopted. We do not think the author describes Hegar’s sign of pregnancy quite correctly. He says it consists in the ......
Some few months later the seventh
been a twin conception with one ovum blighted; the masses consisted of granulation tissue and contained a few bits of placental structure ; and (2) the Placenta from a case of Triplets ; this was one large placenta with two cords and a smaller one with one cedematous funis ; the amniotic
probably
sacs were
separate.
Mr. W. A. STOTT (Leeds) showed specimens of CarcinoOvaries, Double Hydrosalpinx, and Double Pyo-
matous
salpinx.
Mr. CROFT (Leeds) showed a Ruptured Female Bladder. The patient had been operated upon for heamorrhoids; there On was no subsequent retention of urine or catheterisation. the eighth day there were abdominal pain and distension, followed by a diminution in the quantity of urine passed and symptoms of ursemia. The patient died from urasmia, and post mortem there was no evidence of peritonitis, adhesions, tubercle, or abscess in the pelvis or abdomen.
ROYAL ACADEMY OF MEDICINE IN IRELAND. STATE MEDICINE. Hospital Accommodation in Dublin. A MEETING of this section was held on May 10th, Dr. J. M. RBDMOND, President, being in the chair. Sir CHARLES CAMERON read a paper on the Recent Failure of Hospital Accommodation in Dublin. He mentioned that in 1895 he proposed the institution of a hospitals board for Dublin city and county on the lines of the London Asylums Board, and the scheme was approved of by several of the local authorities, particularly by the North Dublin Board of Guardians, but it was opposed by the council of the Dublin Sanitary Association and by the physicians of several of the Dublin hospitals. Three arguments were used against it: (1) that it would be enormously costly ; (2) that there was ample accommodation for the treatment of infectious diseases in existing hospitals ; and (3) that it would interfere with medical education. Sir Charles Cameron, however, argued that the existing hospital accommodation was last year proved to be quite insufficient, and that the scheme would, as alleged, seriously interfere with medical education seems improbable, for no one can deny that Edinburgh and Glasgow are medical schools of the first rank, and yet the students in those cities have to go to special fever hospitals to acquire a knowledge of contagious diseases. It is the same in London and other places. Last year when measles became epidemic in Dublin scarlet fever also was prevalent, and the severer cases of those diseases were so numerous that the hospitals were crowded with them. Very bad cases of measles and erysipelas had to be retained in tenements of the most wretched kind, as no hospital accommodation could be procured
SECTION The Recent Failure of
OF
Reviews
and
Notices of Books.
Practical Manual of Diseases of Women and Uterine Thera. peutics for Students and Practitioners. By H. MACNAUGHTON-JONES, M.D., M.Ch., M.A.O. (Honoris Causâ) R.U.I., &e. Seventh Edition. Revised and enlarged, with 565 Illustrations. London; Bailliere, Tindall, and Cox. 1897. Price 15s. WE are told in the preface " that no previous issue of this work has undergone such complete revision and re-construction as the present one, both in the re-arrangement of the order in which the subject is dealt with, the numerous additions which have been made to the text, and in the large number of illustrations it contains." We observe that attention is called to a recent trial which " has shown how careful the operator and those assisting him should be to make no observation on the case while the patient is in the condition of semi-anassthesia." The author has not apparently shaken himself entirely free from the teachings of the mechanical system of uterine pathology, so much in fashion twenty years or more ago, as version and flexion his list as causes of dysmenorrhoea, are retained on and a large number of pessaries, including intra-uterine stem pessaries, are still figured. Dr. Macnaughton-Jones advocates forcible dilatation of the sphincters under ether in obstinate constipation. He relates the following case:"A lady from - consulted me for constipation she had ever since [her confinement] been relieved by enemata and with difficulty....... On examination I found the uterus healthy and in its normal position, the rectum loaded and The hæmorrhoidal. There was a vaginal leucorrhoea. following day, under ether, I forcibly, with my hand, dilated the sphincters. A few fibres of the external were ruptured; the rectum was emptied of its contents. An olive oil enema She was placed on cascara was given the next morning. sagrada and a mild pill of belladonna and nux vomica, and from this to the day she left England, a period of four months," the bowel was regular, and she never used an enema. It is not very easy to see what harm there would have been in trying the effect of the olive oil enema followed by cascara and the mild pill before stretching this patient’s sphincters forcibly with the hand, especially as she was not leaving England till four months later, but no doubt the author had his own reasons for the course adopted. We do not think the author describes Hegar’s sign of pregnancy quite correctly. He says it consists in the ......