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NORTH-WEST LONDON CLINICAL SOCIETY.
487 of very dissimilar patterns, and claims for himself the credit of discarding the screw connecting the two blades. In 1724 appeared ’The Female Physician, containing all the Diseases incident to that Sex in Virgins, Wives, and Widows,’ by John Manbray, M.D. Denman says that Dr. Maubray is reported to have been the first lecturer on midwifery in Great Britain. He gave lectures in his house in New Bond-street about 1724. Sir Fielding Ould, man-midwife, in a treatise on Midwifery in three parts, published in Dublin in 1724, was the first to describe the mechanism of labour in head presentation. The first lying-in hospital in London-viz., the British-was founded in 1749 ; the City of London Lying-in Hospital followed in 1750, Queen Charlotte’s in 1752, and the General Lying-in Hospital in 1765. The first English obstetrical society was founded in 1825, with Sir Charles Clarke as its President, one of its objects beingto raise to a proper and dignified station the practitioner in midwifery.’ It had, however, to encounter strenuous opposition. Sir Anthony Carlisle, F.R.S., surgeon to the King and to the Westminster Hospital, published- in the Times of May 1st, 1827, an ’Address to His Majesty’s Judges, Coroners, and Justices of the Peace,’ cautioning them against the worldly designs and the injurious practices of man-midwives. Similar arguments were used by other opponents, but the agitation was fortunately unsuccessful, and the first Obstetrical after exertions continued three Society, years, secured during the following points: (1) A recognition of the honourable position of obstetricians among the medical practitioners of the three corporate bodies ; (2) an examination in midwifery by the Apothecaries’ Company ; (3) the admission of persons practising midwifery (being members of the College of Surgeons) to be eligible for a post on the Council ; (4) the concession by the College of Physicians that Licentiates practising midwifery shall not be ineligible for the Fellowship of the College. The barriers to the undertaking of midwifery by men being thus removed, obstetric practice soon fell largely into their hands, as, in fact, had already been the case in France for more than a century. Midwifery and gynaecology being essentially surgical, it is strange that those who profess and teach these subjects are ranked among the physicians in our great hospitals and medical schools. I referred to this anomaly in my presidential address in the Obstetric Section of the British Medical Association in Belfast in 1884, and I hope that the time is not far distant when the title of obstetric surgeon shall be substituted for that of physician acooucheur; and when the obstetrician shall be ranked on the surgical side of the hospitals."" The following specimens were shown :— Dr. MACNAUGHTON JONES : An Intra- uterine Non-
pedunculated Fibroid, removed two years, recently married. Dr. LEITH NAPIER: Senile hysterectomy for Procidentia.
from
a
I
The PRESIDENT inquired upon what grounds Mr. Treves maintained that the occurrence of an abscess tended to cure the condition, and, commenting upon the subject of diet, said that he was unable to join in Mr. Treves’ strictures upon milk as a food for invalids.
NORTH-WEST LONDON CLINICAL SOCIETY. Exhibition of Specimens and Cases. A MEETING of this society was held on Feb. 13th, Mr. MAYO COLLIER, in the absence of the President, Sir R. Quain, being in the chair. Dr. KNOWSLEY SIBLEY exhibited the Supra-renal Capsules of a woman in whom the symptoms of Addison’s disease had developed rapidly, leading to death saddenly and by exhaustion.-Dr. HARRY CAMPBELL pointed out that the sudden death in this case was noteworthy.-Dr. GUTHRIE dwelt on the fact that the degree of pigmentation in Addison’s disease was not a guide in prognosis. He related cases of Bright’s and Graves’ diseases in which very extensive pigmentation had been observed. Dr. STOWERS showed a case of Lupus Erythematosus, and described the method of scarification.-Mr. Jackson Clarke, Dr. Wilbe, and Mr. Collier took part in the discussion.Dr. STOWERS also showed a rare iorm of Tertiary Dermato-
syphilis, simulating erythematous lupus. Dr. HARRY CAMPBELL showed the Heart of a Man who had died from acute aortic obstruction, there being no evidence of regurgitation.-Dr. GILL related two similar cases
occurring in one family. Mr. MAYO COLLIER showed a case of Contracture of the Posterior Tibial Group of Muscles in a girl who had infantile paralysis and advocated division of the tendo Acbillis in such cases as a complete and sufficient treatment.-Dr. CAGNEY objected that there were a great many cases in which much more should be done in order to develop the immature muscular fibres, and contended that in this respect the subjects of infantile paralysis were lamentably neglected.-Mr. COLLIER also showed a case of Flatfoot, and demonstrated the mechanism of its production upon the skeleton.-Mr. JACKSON CLARKE observed that he had found a system of gymnastic exercises of great service in flatfoot.
LIVERPOOL MEDICAL INSTITUTION.
Ligat2cre nf Right Femoral and Left External Iliac Arteries for Arceurysnas.-.’Ino Cases of Beri-berz.-Lnt2tssnseeption, successful approximation by Murphey’s Button. Carcznont,ato2cs Stricture of Transverse Colon, sttccesafttl approxi by vaginal ntatiora by Murphy’s Button.-Fourteen Cases of Excision
patient, aged thirty-
,
-
Uterus, removed
’
of the Rectum for Cancer. society
A MEETING, of this
HARVEIAN SOCIETY OF LONDON.
was held on Feb. 14th, the President, Mr. CHAUNCY PUZEY, being in the chair.
Mr. ROBERT JONES showed a patient in whom he had tied the External Iliac Artery on the left side for Femoral Aneurysm, Relapsing Typlllitis. and also the Femoral Artery on the right side for Popliteal A MEETING of this society was held on Feb. 7th, the Aneurysm. He applied a double ligature on the external iliac President, Sir JOHN WILLIAMS, being in the chair. by the extra-peritoneal method. Thepsttifnt was able to Mr. TREVES gave an account of an additional series of resume his work in two months, and had had no circulatory eighteen cases of Relapsing Typhlitis in which he had disturbance. Dr. ABRAM showed two cases of Beii-berL The patients removed the appendix during the quiescent period. He ’, pointed out the morbid conditions of the appendix which are were the captain and mate of a Norwegian barque just arrived most commonly met with in this affection, and mentioned in Liverpool after being some two months on tile coast of the fact that when once an abscess had formed the trouble Brazil. The captain showed the typical signs of neuritis, The mate still had muscular very seldom indeed relapsed. The difficulties of the opera- most marked on the legs. tion depended mainly upon adhesions. If no adhesions tenderness in the calves, but the knee-jerks had returned. existed the procedure was most simple. In some of the cases Both gave a history of cedema, which in the captain was in the series perforations in the cæcum and in the ileum had limited to the legs and in the mate was general. Both had had been laid bare during the operation and had been closed by palpitation and dyspnœa, and the captain bad severe vomiting sutmes. Many concretions had been removed, and in one for five days. Inoculations from the blood were negative. instance the appendix was found firmly attached to the No malarial organisms were found on examination of fresh rectum. Mr. Treves alluded to the medical measures blood. Rapid improvement was taking place under general employed to ward off attacks and especially to the questions tonics and regular massage. of diet, the avoidance of milk, the care of the bowels, the Mr. BANKS related the case of a boy seven years of age importance of perfect mastication, the use of such an intes- who for some little time had suffered from irregularity of the antiseptic as salol (in a powder of ten grains), and the bowels with abdominal pain after going to stool. A week before Mr. Banks saw the case the child complained of pains employment of massage. all over him and general malaiac. Two days later he had 1 Obstetrical severe abdominal pain and vomiting, and from that time no Society’s Transactions, vol. i.
tinal
pedunculated Fibroid, removed two years, recently married. Dr. LEITH NAPIER: Senile hysterectomy for Procidentia.
from
a
I
The PRESIDENT inquired upon what grounds Mr. Treves maintained that the occurrence of an abscess tended to cure the condition, and, commenting upon the subject of diet, said that he was unable to join in Mr. Treves’ strictures upon milk as a food for invalids.
NORTH-WEST LONDON CLINICAL SOCIETY. Exhibition of Specimens and Cases. A MEETING of this society was held on Feb. 13th, Mr. MAYO COLLIER, in the absence of the President, Sir R. Quain, being in the chair. Dr. KNOWSLEY SIBLEY exhibited the Supra-renal Capsules of a woman in whom the symptoms of Addison’s disease had developed rapidly, leading to death saddenly and by exhaustion.-Dr. HARRY CAMPBELL pointed out that the sudden death in this case was noteworthy.-Dr. GUTHRIE dwelt on the fact that the degree of pigmentation in Addison’s disease was not a guide in prognosis. He related cases of Bright’s and Graves’ diseases in which very extensive pigmentation had been observed. Dr. STOWERS showed a case of Lupus Erythematosus, and described the method of scarification.-Mr. Jackson Clarke, Dr. Wilbe, and Mr. Collier took part in the discussion.Dr. STOWERS also showed a rare iorm of Tertiary Dermato-
syphilis, simulating erythematous lupus. Dr. HARRY CAMPBELL showed the Heart of a Man who had died from acute aortic obstruction, there being no evidence of regurgitation.-Dr. GILL related two similar cases
occurring in one family. Mr. MAYO COLLIER showed a case of Contracture of the Posterior Tibial Group of Muscles in a girl who had infantile paralysis and advocated division of the tendo Acbillis in such cases as a complete and sufficient treatment.-Dr. CAGNEY objected that there were a great many cases in which much more should be done in order to develop the immature muscular fibres, and contended that in this respect the subjects of infantile paralysis were lamentably neglected.-Mr. COLLIER also showed a case of Flatfoot, and demonstrated the mechanism of its production upon the skeleton.-Mr. JACKSON CLARKE observed that he had found a system of gymnastic exercises of great service in flatfoot.
LIVERPOOL MEDICAL INSTITUTION.
Ligat2cre nf Right Femoral and Left External Iliac Arteries for Arceurysnas.-.’Ino Cases of Beri-berz.-Lnt2tssnseeption, successful approximation by Murphey’s Button. Carcznont,ato2cs Stricture of Transverse Colon, sttccesafttl approxi by vaginal ntatiora by Murphy’s Button.-Fourteen Cases of Excision
patient, aged thirty-
,
-
Uterus, removed
’
of the Rectum for Cancer. society
A MEETING, of this
HARVEIAN SOCIETY OF LONDON.
was held on Feb. 14th, the President, Mr. CHAUNCY PUZEY, being in the chair.
Mr. ROBERT JONES showed a patient in whom he had tied the External Iliac Artery on the left side for Femoral Aneurysm, Relapsing Typlllitis. and also the Femoral Artery on the right side for Popliteal A MEETING of this society was held on Feb. 7th, the Aneurysm. He applied a double ligature on the external iliac President, Sir JOHN WILLIAMS, being in the chair. by the extra-peritoneal method. Thepsttifnt was able to Mr. TREVES gave an account of an additional series of resume his work in two months, and had had no circulatory eighteen cases of Relapsing Typhlitis in which he had disturbance. Dr. ABRAM showed two cases of Beii-berL The patients removed the appendix during the quiescent period. He ’, pointed out the morbid conditions of the appendix which are were the captain and mate of a Norwegian barque just arrived most commonly met with in this affection, and mentioned in Liverpool after being some two months on tile coast of the fact that when once an abscess had formed the trouble Brazil. The captain showed the typical signs of neuritis, The mate still had muscular very seldom indeed relapsed. The difficulties of the opera- most marked on the legs. tion depended mainly upon adhesions. If no adhesions tenderness in the calves, but the knee-jerks had returned. existed the procedure was most simple. In some of the cases Both gave a history of cedema, which in the captain was in the series perforations in the cæcum and in the ileum had limited to the legs and in the mate was general. Both had had been laid bare during the operation and had been closed by palpitation and dyspnœa, and the captain bad severe vomiting sutmes. Many concretions had been removed, and in one for five days. Inoculations from the blood were negative. instance the appendix was found firmly attached to the No malarial organisms were found on examination of fresh rectum. Mr. Treves alluded to the medical measures blood. Rapid improvement was taking place under general employed to ward off attacks and especially to the questions tonics and regular massage. of diet, the avoidance of milk, the care of the bowels, the Mr. BANKS related the case of a boy seven years of age importance of perfect mastication, the use of such an intes- who for some little time had suffered from irregularity of the antiseptic as salol (in a powder of ten grains), and the bowels with abdominal pain after going to stool. A week before Mr. Banks saw the case the child complained of pains employment of massage. all over him and general malaiac. Two days later he had 1 Obstetrical severe abdominal pain and vomiting, and from that time no Society’s Transactions, vol. i.
tinal