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NORTHUMBERLAND AND DURHAM MEDICAL REGISTRATION ASSOCIATION.
THE NAVAL MEDICAL SERVICE. Tothe Editor of THE LANCET.
few professional brethren of their kind wishes, as a mark yours respectfully, ALEX. MORTON.
the enclosed contribution from
a
: the North will be accepted, with
I am, Sir, of sympathy. that candidates for the appointment of Abbotsford-place, Glasgow, Nov 10th 1858 are still presenting themselves before the to a few allow columns, Navy Board, me, through your say A. Morton, Esq., Abbotsford-place words to those who are thinking of so rash an act as entering P. Stewart, Esq., Cumberland-street ... the navy at the present time. D. Tindal, Esq., Apsley-place 1st. It is absurd to suppose that all assistant-surgeons have R. Parker, Esq., Maxwelton-place...... cabins, because there is a little clause in the regulation which Jas. E. Newman, Esq., Carlton-place says it is to ba granted. "when the exigencies of the service will Bryce Rankine, Esq., Nicholson-street ... allow," or words to that effect; which is a very convenient John Leech, Esq., Portland-street...... loop-hole at any time for it to be refused. H. R. Howat, Esq., Apsley-place 2nd. The position and pay of the naval medical officers will Andrew McFarlan, Esq., Dundas-stret never be made equal to that of the army so long as men are W. F.Lonergan, Esq., Abbotsford-place found to enter when there is higher rank, better pay, and more Wm. Litster, Esq., Eglinton-street comfort in the army. Several naval assistant-surgeons have W. A. Perston, Esq., Adelphi-street lately resigned and entered the army; and I am led to believe that others are about to do so. Can anything speak more forcibly than this ?‘? 3rd. In the navy, a second examination has to be passed Expenses after three years’ service, thus compelling us to work up all the minutiae which experience has taught us are of little real value in practice. It was, and is, all very well for those men who By J. WIBLIN, Esq., of Southampton are not qualified for practice on shore, but not being required Robert Marchant, Esq., North Currey... by the army, where all are qualified, this remnant of the old B. Orridge, Esq., Bucklersbury system of red tape and routine ought to be blotted out, at least in the case of those who have the proper diplomas previous to entry. Considering these facts, the tardiness with which THE LONDON MEDICAL REGISTRATION anything is granted to us in the navy, and the good which was effected by the combination of the whole body of students ASSOCIATION. in 1854-55,I would suggest that meetings should be called in A MEETING of the Committee took place on Tuesday evening the different medical schools, to consider these matters, and of the Royal Medical Benevolent (as was at that time agreed) resolve that they will not enter last, Nov. 16th, at the rooms the service until they are placed in a similar position to army College, 37, Soho-square, Dr. GEORGE WEBSTER in the chair. Amongst the resolutions carried unanimously, were the folmedical officers; because by doing so, they are injuring not lowing ;in but who are the themselves their brethren service, only "That Dr. George Webster be President of the London also. I am, Sir, your obedient servant, Medical Registration Association." AN ASSISTANT-SURGEON, R.N. November, 1858. The acceptance of which office was, in suitable terms, acknowledged by Dr. Webster. " That Mr. Propert be invited to become one of the ViceEPIDEMIC VARICELLA. Presidents of this Association." THE To the Editor of LANCET. " That Mr. Lavies, of Westminster, be elected a Vice-PreSIR,-I take an opportunity of informing you of the occur- sident of this Association." rence of an epidemic vesicular varicella in this town and neighMr. Lavies, who was present at the meeting, accepted the bourhood. Few children have escaped its contagion. The office of Vice-President. febrile symptoms were in most cases severe, and in infants ac"That Dr. Ladd, of Lambeth, be one of the Honorary companied with vomiting. The appearance of an epidemic Secretaries of this Association."" varicella in a country where small-pox is unknown may be of The office of Secretary was accepted and undertaken by sufficient interest to insure this a place in your journal. Dr. Ladd. I am, Sir, your obedient servant, "That Mr. William Adams, of Harrington-square, and Dr. EDWARD HULME, M.D., &c., H. G. Wright, of Somerset-street, Portman-square, be elected Dunedin, New Zealand, Surgeon to the Government Hospital, and members of the committee." Colonial Surgeon. July 27th, 185S. The rules of the Association were considered, as also the heads of an address to the profession, drawn up by a sub-committee appointed at the previous meeting. MEDICAL CERTIFICATES. It was then resolved,To the Editor of THE LANCET. ’’ That an abstract of the proceedings of the meeting be sent SIR,-The registration of qualified medical practitioners is a to THE LANCET, and other medical journals, with a request for step in the right direction; but will it not be necessary to give its insertion and publication in their respective forthcoming the governing body some authority similar to that of striking numbers." an attorney off the rolls for misconduct ? such, for instance, After a vote of thanks to the Council of the Royal Medical as a qualified medical man giving certificates of death in cases Benevolent College, for the use of their rooms on the occasion, which his unqualixed friend has attended up to the time that the meeting terminated. any hope of life remains, and then paying a visit simply to make himself the " last medical attendant." In some cases NORTHUMBERLAND AND DURHAM MEDICAL even this ceremonial visit has been omitted, and the certificate nevertheless granted. REGISTRATION ASSOCIATION. I am, Sir, your obedient servant, A MEETING of the medical profession of Newcastle-uponW. H. BUTTERFIELD, M.R.C.S. Islington-green,Nov.1858. Tyne and surrounding district took place on Saturday, November 13th, in the library of the Newcastle Infirmary, for the Registration Society for the counTHE FUND FOR THE RELIEF OF MRS. ROLPH. purpose of forming a Medical ties of Northumberland and Durham. There were present To the Editor of THE LANCET. Drs. Greenhow, White, Charlton, Humble, Jollie, and Burnup; SIR,—In terms of a motion passed at the Glasgow Southern and Messrs. Sang, Bennett, Harvey, Hardcastle, Pyle, Wilson, Medical Society, I have collected from a few of the members, Thompson, Stevens, Watson (Burnopfield), Scott, Cruddace for the behoof of the widow of the late Dr. Thomas Rolph, of(Washington), Alison, Jones (Washington), Bolton, Peart, and Pyle (Durham). Portsmouth, £5 17s., which I hereby forward to you. The contributors deeply sympathize with the widow in her Upon the proposition of Dr. WHITE, carried byacclamalate painful bereavement, and they sincerely hope that the tion, Dr. GREENHOW took the chair, and in his opening tokens of respect which the medical profession of the South remarks he dwelt on the advantages, in point of the general havetendered to her will render the loss she has sustained, ifeducation of the profession, which might be expected to result not less severe at least easier endure1 They alan bone that from the working of the new Medical Act.
SIR,-Hearing assistant-surgeon
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540
Dr. WHITE moved the first resolution,-" That a society be row formed to be called the Medical Registration Society of Northumberland and Durham, for the purpose of aiding the meiical Registrar in carryingout the provisions of the Medical Act in those counties." He added, so faras I understand, there is only to be one medical registrar for England, another for Scotland, and another for Ireland ; if such be the case, probably there will be a few deputy-registrars scattered about the various counties. Therefore, under such circumstances probably it may be a very great assistance to them to receive hints from time to time; and this is the object of this intended association. Of course we are well aware, as the chairman has saitl, thatagreat number of individuals givethemselves names and carry out a kind of pseudo-profession which does the profession very great discredit. We who are here will be able to give such hints, and indeed such advice to the Registrar as will be of very considerable assistance. I therefore beg to move that this resolution be adopted. (Applause.) Dr. CHARLTON.-I would remark that it is necessary for us
of the Association is to assist the Registrar the Medical Council to carry out the provisions of the new Medical Act. ’ 3. The business of the Association to be conducted either as ageneral meeting, to be called from to time as circumstances demand-three members forming a quorum, or by co: r,3with the honorary secretary. 4. Voting by proxy allowed. 5. Any member to call a meeting of the Association may do so by giving fourteen days’ notice to the honorary secretary, the object of such meeting being specified in writing. 6. No one to be admitted a member of this Association unless qualitied to register in conformity with the said Medical Act. 7. The admission fee to be Is., to be repeated annually, if necessary. 8. The honorary secretary and treasurer to be voted for by a majority of the members, and to remain in office during their
2. The
may spondence
particularly to assist in carrying out the provisions of this Act, because it is evident that by banding the medical profession together, and by our gaining a voice in the Legislature, which we have not had before, we have got the thin end of the wedge
shall be enabled to drive it home to such a point shall bring the medical profession up to the status which it ought to hold, and which it avowedly holds in other countries. There can be no question but that in this country the patronage that has been given to quacks by the Government has had a most serious and injurious effect upon the medical profession. The public, up to the present time, have been totally unable to judge which were the licensed men and which were the unlicensed. The wide distinction can now be made; each man’s qualifications will be thoroughly sifted and inquired into, and he will have to undergo a searching investigation as to the claims which he puts forward, and in every doubtful case it will be found that the assistance of the medical profession in the neighbourhood will be of the utmost value to the registrar, who in all probability, will be quite a stranger to the district. It is possible that deputy-registrars may be appointed, but if these were medical men we cannot expect that they would be so thoroughly acquainted with the various claimants for medical practice that sprang up in almost every populous district, unless they have the assistance of the medical practitioners, meeting together and talking over the probable claims that each man has to be considered as a truly professional man. It is perhaps the peculiarity in very populous districts of the counties of Durham and Northumberland, where large manufactories, collieries, and other works of industry, have rapidly sprung up, that we find the illegal practitioner coming in-men claiming to hold titles which assuredly they never have obtained. Those men we shall now be able to separate from. We shall be able to show to the public that those men have no claim whatsoever to be considered as professional men. If we can show that we are the only legal men-the only educated members of the profession, the public will sooner or later grant us their confidence-a confidence which has been most fearfully abused by men who have pretended to a science which they have not. The resolution was then agreed to unanimously. Mr. BENNETT next moved, "That the officers of this Society shall consist of a president, a secretary, and a treasurer, with six members of the Council to be selected to-day, the number to be extended to twelve at the next meeting of the Society. After the cordial reception they gave to the remarks of Dr. White, he also moved that Dr. Greenhow, as an old and most consistent medical reformer, be president. (Loud applause.) He also asked Dr. Humble to favour them with his services as secretary. Mr. HARVEY seconded the resolution, and it was unani and in, that
we
we
mously agreed
to.
At the suggestion of Dr. WHITE, the secretary was consti tuted treasurer also. The members of the Council were then ballotted for, a,nc the scrutiny showed that Mr. Bennett, Dr. White, Dr. Charlton, Mr. Harvey, Dr. Embleton, and Mr, Sang, were elected. A vote of thanks to the Chairman terminated the proceedings
THE GAINSBOROUGH MEDICAL REGISTRATION ASSOCIATION. 1. WE, the undersigned medical practitioners of Gainsboand neighbourhood, hereby form ourselves into an Association, to be called " The Gainsborough Medical Registration
rough
Association."
object
appointed by
wishing
pleasure.
9. All meetings to be held at Gainsborough. 10. The birth of this Association to be synchronous with the Act of Parliament which called it into existence-Oct. 1st, 1858. W. B. Peacock, M.D., G. Jepson, M.R.C.S.E., R. Cook (in practice before 1815), J. Duigan, M.D., A.
Fairchild,M.R.C.S.E. , J. Taylor Sharp,M.R.C.S.E., W. W. Watson, M.D., J. Oldman, M.R.C.S.E., Octavius Jepson, M.D., and J. C. B. Smallman, M.D., Gainsborough; J. H. Williams, M. R. C. S. E., West Stockwith ; W. Trousdale, F.R,.C.S.E., West Butterwick; T. Trousdale, M.R.C.S.E., West. Ferry; A. Trousdale, M. R. C. S. E., Epworth; W. Murphy. M. R. C. S. E., Willingham ; Reginald Moore Willan, M.R.C.S.E., Newton-on-Trent; J. H. Bennett, M,D., Haxey; S. Ross, M.P,.C.S.E., Haxey; R. Eminson, M.R.C.S.E., Scotter. D. MACKINDER, M.D., &c., Gainsborough, Hon. Sec. and Treasurer, pro. tem. COLLEGE OF DENTISTS OF ENGLAND. ON Tuesday evening, Dr. RICHARDSON delivered his second lecture on ’’ The Medical History and Treatment of Diseases of the Teeth." The attendance of members was excellent. The subject of the lecture on this occasion was " The Hæmorrhagic Diathesis in its bearings on Dental Practice."" After defining the term "hsemorrhagic diathesis," Dr. Richardson proceeded to show that this diathesis must not be accepted as indicating a disease in itself, but as being a symptom based on certain diseases, such as scurvy, purpura, and anarmia. He then gave an account of the constituent parts of the blood, centralizmg his teaching in this part to the fibrinous constituent, as that constituent upon which the tendency to effusion of blood rested. The fibrine might be deficient in quantity, it might be in imperfect solution, it might be too freely dissolved in alkaline serum. Under each and all of these conditions, the hæmorrhagic diathesis might be said to be present. From the blood, the
lecturer passed to the circulating machinery, and in describing the organs in which the circulation of the blood takes place, he seized the opportunity of explaining the three kinds of haemorrhage— venous, capillary, and arterial. Basinthe after part of his lecture on the physiological proportions which had thus been adduced, Dr. Richardson passed in review the diseases which ordinarily give rise to the hæmorrhagic tendency, describing their symptoms, pathology, and cause, together with the accidents which may occur in dental operations during the existence of the diathesis. Thence he discussed the question of hæmorrhage during dental operations, and especially after tooth extraction, in which the diathesis was not present. Adducing some striking illustrations of this class of cases, Dr. Richardson showed, that as the diathesis in such instances was: not marked, as the blood possessed firm coagulating power, thecause of the haemorrhage must be in the artery divided by the extraction; and indicated the probability that the loss of blood was due to a circumferential attachment of the vessel at its divided point with the surrounding structure, so that contraction of the vessel was prevented. The concluding section of the lecture was devoted to the consideration of treatment ; first, of the treatment of the hsemorrhagio diathesis by general remedies; and, secondly, of the treatment of activehaemorrhage after extraction. In i meeting this last-named accident, Dr. Richardson recommended
541
few professional brethren of their kind wishes, as a mark yours respectfully, ALEX. MORTON.
the enclosed contribution from
a
: the North will be accepted, with
I am, Sir, of sympathy. that candidates for the appointment of Abbotsford-place, Glasgow, Nov 10th 1858 are still presenting themselves before the to a few allow columns, Navy Board, me, through your say A. Morton, Esq., Abbotsford-place words to those who are thinking of so rash an act as entering P. Stewart, Esq., Cumberland-street ... the navy at the present time. D. Tindal, Esq., Apsley-place 1st. It is absurd to suppose that all assistant-surgeons have R. Parker, Esq., Maxwelton-place...... cabins, because there is a little clause in the regulation which Jas. E. Newman, Esq., Carlton-place says it is to ba granted. "when the exigencies of the service will Bryce Rankine, Esq., Nicholson-street ... allow," or words to that effect; which is a very convenient John Leech, Esq., Portland-street...... loop-hole at any time for it to be refused. H. R. Howat, Esq., Apsley-place 2nd. The position and pay of the naval medical officers will Andrew McFarlan, Esq., Dundas-stret never be made equal to that of the army so long as men are W. F.Lonergan, Esq., Abbotsford-place found to enter when there is higher rank, better pay, and more Wm. Litster, Esq., Eglinton-street comfort in the army. Several naval assistant-surgeons have W. A. Perston, Esq., Adelphi-street lately resigned and entered the army; and I am led to believe that others are about to do so. Can anything speak more forcibly than this ?‘? 3rd. In the navy, a second examination has to be passed Expenses after three years’ service, thus compelling us to work up all the minutiae which experience has taught us are of little real value in practice. It was, and is, all very well for those men who By J. WIBLIN, Esq., of Southampton are not qualified for practice on shore, but not being required Robert Marchant, Esq., North Currey... by the army, where all are qualified, this remnant of the old B. Orridge, Esq., Bucklersbury system of red tape and routine ought to be blotted out, at least in the case of those who have the proper diplomas previous to entry. Considering these facts, the tardiness with which THE LONDON MEDICAL REGISTRATION anything is granted to us in the navy, and the good which was effected by the combination of the whole body of students ASSOCIATION. in 1854-55,I would suggest that meetings should be called in A MEETING of the Committee took place on Tuesday evening the different medical schools, to consider these matters, and of the Royal Medical Benevolent (as was at that time agreed) resolve that they will not enter last, Nov. 16th, at the rooms the service until they are placed in a similar position to army College, 37, Soho-square, Dr. GEORGE WEBSTER in the chair. Amongst the resolutions carried unanimously, were the folmedical officers; because by doing so, they are injuring not lowing ;in but who are the themselves their brethren service, only "That Dr. George Webster be President of the London also. I am, Sir, your obedient servant, Medical Registration Association." AN ASSISTANT-SURGEON, R.N. November, 1858. The acceptance of which office was, in suitable terms, acknowledged by Dr. Webster. " That Mr. Propert be invited to become one of the ViceEPIDEMIC VARICELLA. Presidents of this Association." THE To the Editor of LANCET. " That Mr. Lavies, of Westminster, be elected a Vice-PreSIR,-I take an opportunity of informing you of the occur- sident of this Association." rence of an epidemic vesicular varicella in this town and neighMr. Lavies, who was present at the meeting, accepted the bourhood. Few children have escaped its contagion. The office of Vice-President. febrile symptoms were in most cases severe, and in infants ac"That Dr. Ladd, of Lambeth, be one of the Honorary companied with vomiting. The appearance of an epidemic Secretaries of this Association."" varicella in a country where small-pox is unknown may be of The office of Secretary was accepted and undertaken by sufficient interest to insure this a place in your journal. Dr. Ladd. I am, Sir, your obedient servant, "That Mr. William Adams, of Harrington-square, and Dr. EDWARD HULME, M.D., &c., H. G. Wright, of Somerset-street, Portman-square, be elected Dunedin, New Zealand, Surgeon to the Government Hospital, and members of the committee." Colonial Surgeon. July 27th, 185S. The rules of the Association were considered, as also the heads of an address to the profession, drawn up by a sub-committee appointed at the previous meeting. MEDICAL CERTIFICATES. It was then resolved,To the Editor of THE LANCET. ’’ That an abstract of the proceedings of the meeting be sent SIR,-The registration of qualified medical practitioners is a to THE LANCET, and other medical journals, with a request for step in the right direction; but will it not be necessary to give its insertion and publication in their respective forthcoming the governing body some authority similar to that of striking numbers." an attorney off the rolls for misconduct ? such, for instance, After a vote of thanks to the Council of the Royal Medical as a qualified medical man giving certificates of death in cases Benevolent College, for the use of their rooms on the occasion, which his unqualixed friend has attended up to the time that the meeting terminated. any hope of life remains, and then paying a visit simply to make himself the " last medical attendant." In some cases NORTHUMBERLAND AND DURHAM MEDICAL even this ceremonial visit has been omitted, and the certificate nevertheless granted. REGISTRATION ASSOCIATION. I am, Sir, your obedient servant, A MEETING of the medical profession of Newcastle-uponW. H. BUTTERFIELD, M.R.C.S. Islington-green,Nov.1858. Tyne and surrounding district took place on Saturday, November 13th, in the library of the Newcastle Infirmary, for the Registration Society for the counTHE FUND FOR THE RELIEF OF MRS. ROLPH. purpose of forming a Medical ties of Northumberland and Durham. There were present To the Editor of THE LANCET. Drs. Greenhow, White, Charlton, Humble, Jollie, and Burnup; SIR,—In terms of a motion passed at the Glasgow Southern and Messrs. Sang, Bennett, Harvey, Hardcastle, Pyle, Wilson, Medical Society, I have collected from a few of the members, Thompson, Stevens, Watson (Burnopfield), Scott, Cruddace for the behoof of the widow of the late Dr. Thomas Rolph, of(Washington), Alison, Jones (Washington), Bolton, Peart, and Pyle (Durham). Portsmouth, £5 17s., which I hereby forward to you. The contributors deeply sympathize with the widow in her Upon the proposition of Dr. WHITE, carried byacclamalate painful bereavement, and they sincerely hope that the tion, Dr. GREENHOW took the chair, and in his opening tokens of respect which the medical profession of the South remarks he dwelt on the advantages, in point of the general havetendered to her will render the loss she has sustained, ifeducation of the profession, which might be expected to result not less severe at least easier endure1 They alan bone that from the working of the new Medical Act.
SIR,-Hearing assistant-surgeon
...
......
...
......
...
...
...
...
.........
......
,
-
540
Dr. WHITE moved the first resolution,-" That a society be row formed to be called the Medical Registration Society of Northumberland and Durham, for the purpose of aiding the meiical Registrar in carryingout the provisions of the Medical Act in those counties." He added, so faras I understand, there is only to be one medical registrar for England, another for Scotland, and another for Ireland ; if such be the case, probably there will be a few deputy-registrars scattered about the various counties. Therefore, under such circumstances probably it may be a very great assistance to them to receive hints from time to time; and this is the object of this intended association. Of course we are well aware, as the chairman has saitl, thatagreat number of individuals givethemselves names and carry out a kind of pseudo-profession which does the profession very great discredit. We who are here will be able to give such hints, and indeed such advice to the Registrar as will be of very considerable assistance. I therefore beg to move that this resolution be adopted. (Applause.) Dr. CHARLTON.-I would remark that it is necessary for us
of the Association is to assist the Registrar the Medical Council to carry out the provisions of the new Medical Act. ’ 3. The business of the Association to be conducted either as ageneral meeting, to be called from to time as circumstances demand-three members forming a quorum, or by co: r,3with the honorary secretary. 4. Voting by proxy allowed. 5. Any member to call a meeting of the Association may do so by giving fourteen days’ notice to the honorary secretary, the object of such meeting being specified in writing. 6. No one to be admitted a member of this Association unless qualitied to register in conformity with the said Medical Act. 7. The admission fee to be Is., to be repeated annually, if necessary. 8. The honorary secretary and treasurer to be voted for by a majority of the members, and to remain in office during their
2. The
may spondence
particularly to assist in carrying out the provisions of this Act, because it is evident that by banding the medical profession together, and by our gaining a voice in the Legislature, which we have not had before, we have got the thin end of the wedge
shall be enabled to drive it home to such a point shall bring the medical profession up to the status which it ought to hold, and which it avowedly holds in other countries. There can be no question but that in this country the patronage that has been given to quacks by the Government has had a most serious and injurious effect upon the medical profession. The public, up to the present time, have been totally unable to judge which were the licensed men and which were the unlicensed. The wide distinction can now be made; each man’s qualifications will be thoroughly sifted and inquired into, and he will have to undergo a searching investigation as to the claims which he puts forward, and in every doubtful case it will be found that the assistance of the medical profession in the neighbourhood will be of the utmost value to the registrar, who in all probability, will be quite a stranger to the district. It is possible that deputy-registrars may be appointed, but if these were medical men we cannot expect that they would be so thoroughly acquainted with the various claimants for medical practice that sprang up in almost every populous district, unless they have the assistance of the medical practitioners, meeting together and talking over the probable claims that each man has to be considered as a truly professional man. It is perhaps the peculiarity in very populous districts of the counties of Durham and Northumberland, where large manufactories, collieries, and other works of industry, have rapidly sprung up, that we find the illegal practitioner coming in-men claiming to hold titles which assuredly they never have obtained. Those men we shall now be able to separate from. We shall be able to show to the public that those men have no claim whatsoever to be considered as professional men. If we can show that we are the only legal men-the only educated members of the profession, the public will sooner or later grant us their confidence-a confidence which has been most fearfully abused by men who have pretended to a science which they have not. The resolution was then agreed to unanimously. Mr. BENNETT next moved, "That the officers of this Society shall consist of a president, a secretary, and a treasurer, with six members of the Council to be selected to-day, the number to be extended to twelve at the next meeting of the Society. After the cordial reception they gave to the remarks of Dr. White, he also moved that Dr. Greenhow, as an old and most consistent medical reformer, be president. (Loud applause.) He also asked Dr. Humble to favour them with his services as secretary. Mr. HARVEY seconded the resolution, and it was unani and in, that
we
we
mously agreed
to.
At the suggestion of Dr. WHITE, the secretary was consti tuted treasurer also. The members of the Council were then ballotted for, a,nc the scrutiny showed that Mr. Bennett, Dr. White, Dr. Charlton, Mr. Harvey, Dr. Embleton, and Mr, Sang, were elected. A vote of thanks to the Chairman terminated the proceedings
THE GAINSBOROUGH MEDICAL REGISTRATION ASSOCIATION. 1. WE, the undersigned medical practitioners of Gainsboand neighbourhood, hereby form ourselves into an Association, to be called " The Gainsborough Medical Registration
rough
Association."
object
appointed by
wishing
pleasure.
9. All meetings to be held at Gainsborough. 10. The birth of this Association to be synchronous with the Act of Parliament which called it into existence-Oct. 1st, 1858. W. B. Peacock, M.D., G. Jepson, M.R.C.S.E., R. Cook (in practice before 1815), J. Duigan, M.D., A.
Fairchild,M.R.C.S.E. , J. Taylor Sharp,M.R.C.S.E., W. W. Watson, M.D., J. Oldman, M.R.C.S.E., Octavius Jepson, M.D., and J. C. B. Smallman, M.D., Gainsborough; J. H. Williams, M. R. C. S. E., West Stockwith ; W. Trousdale, F.R,.C.S.E., West Butterwick; T. Trousdale, M.R.C.S.E., West. Ferry; A. Trousdale, M. R. C. S. E., Epworth; W. Murphy. M. R. C. S. E., Willingham ; Reginald Moore Willan, M.R.C.S.E., Newton-on-Trent; J. H. Bennett, M,D., Haxey; S. Ross, M.P,.C.S.E., Haxey; R. Eminson, M.R.C.S.E., Scotter. D. MACKINDER, M.D., &c., Gainsborough, Hon. Sec. and Treasurer, pro. tem. COLLEGE OF DENTISTS OF ENGLAND. ON Tuesday evening, Dr. RICHARDSON delivered his second lecture on ’’ The Medical History and Treatment of Diseases of the Teeth." The attendance of members was excellent. The subject of the lecture on this occasion was " The Hæmorrhagic Diathesis in its bearings on Dental Practice."" After defining the term "hsemorrhagic diathesis," Dr. Richardson proceeded to show that this diathesis must not be accepted as indicating a disease in itself, but as being a symptom based on certain diseases, such as scurvy, purpura, and anarmia. He then gave an account of the constituent parts of the blood, centralizmg his teaching in this part to the fibrinous constituent, as that constituent upon which the tendency to effusion of blood rested. The fibrine might be deficient in quantity, it might be in imperfect solution, it might be too freely dissolved in alkaline serum. Under each and all of these conditions, the hæmorrhagic diathesis might be said to be present. From the blood, the
lecturer passed to the circulating machinery, and in describing the organs in which the circulation of the blood takes place, he seized the opportunity of explaining the three kinds of haemorrhage— venous, capillary, and arterial. Basinthe after part of his lecture on the physiological proportions which had thus been adduced, Dr. Richardson passed in review the diseases which ordinarily give rise to the hæmorrhagic tendency, describing their symptoms, pathology, and cause, together with the accidents which may occur in dental operations during the existence of the diathesis. Thence he discussed the question of hæmorrhage during dental operations, and especially after tooth extraction, in which the diathesis was not present. Adducing some striking illustrations of this class of cases, Dr. Richardson showed, that as the diathesis in such instances was: not marked, as the blood possessed firm coagulating power, thecause of the haemorrhage must be in the artery divided by the extraction; and indicated the probability that the loss of blood was due to a circumferential attachment of the vessel at its divided point with the surrounding structure, so that contraction of the vessel was prevented. The concluding section of the lecture was devoted to the consideration of treatment ; first, of the treatment of the hsemorrhagio diathesis by general remedies; and, secondly, of the treatment of activehaemorrhage after extraction. In i meeting this last-named accident, Dr. Richardson recommended
541