- Email: [email protected]
ON A CASE OF SEVERE DYSPEPSIA.
593
inability to the guardians of the poor, they are authorized which an amendment was moved by Mr. Brown, and seconded Dr. Roget,ň" That Mr. Thomas Bell be recommended as and required to undertake the cleansing and purification of the premises. Also, " to visit, from time to time, or cause to secretary," which amendment was negatived; the original be visited, the several dwellings and places where there may motion was then put and carried. The effect of this recommendation is to constitute the exebe ground for believing that necessity will arise for executing cutive officers of the Society entirely of cultivators of physical such directions." The eighth provides for the interference of the parochial auleaving the natural sciences without an officer capable thorities, in the event of default or delay of the cleansing of of abstracting an anatomical, physiological, or natural history or of giving an opinion on its merits. premises by their owners or occupiers in ascase " the medical It cannot therefore be matter of surprise that such a deliaforesaid, shall paper, officer, or other person duly authorized berate and total neglect of the interests and feelings of the certify that the same requires immediate attention." The ninth regulation requires that the guardians of the anatomists, physiologists, zoologists, and botanists, who form poor in Unions shall direct their clerk to make out a list of so large and highly important a portion of the Society, should places where epidemic, endemic, and contagious diseases have have stimulated a considerable number of the fellows to endeavour to secure to the natural sciences one officer in the of late been frequent. Tenth and eleventh: the medical officers of the Union shall executive, capable of superintending the publication of their visit such places, and certify to the Board of Guardians all works, either in abstracts in the proceedings, or in detail in
Iby
science,
the transactions. The committee consider this the more necessary, as it will be seen that in the new council, as proposed by the present one, there is a most unequal apportionment of the members to the respective sciences which are supposed to be represented in that body ;-there being eight members to represent the physical sciences, five geologists, and two chemists; while there is but one for comparative anatomy, one for physiology, and one for zoology, and not one representative of botany. Thus, of the whole council of twenty-one members, three only represent the natural sciences. The committee therefore beg to place in your hands the enclosed revised balloting list, in which the only change is the reversal of the position of the names of Mr. Bell and Mr. hope that by your attendance and use of it on the day of election, instead of that proposed by the present council, you will aid them in endeavouring to restore to all classes of the fellows of the Society some share of that just representation and liberal treatment which should at all times characterize the executive of this and every other body of men. Mr. Bell has stated, that " Should the majority think me deserving of the honour, and if I am elected, I shall consider it my duty to support the principle of a just recognition of the claims of a large and important part of the Society by accepting the trust." The committee comprise forty-four fellows of the Royal
such places as are in a state dangerous to health. Twelfth: each medical officer shall "forthwith, upon any case of cholera, or of typhus, or other epidemic," &c., report the same to the guardians; who, by regulation thirteen, are required to provide sufficient medical aid for the sick. By regulation fourteen, suitable rooms or places are to be found by the guardians of the poor, 11 to which persons; attacked by cholera, who cannot be properly treated in their: .
,
houses, shall be conveyed." The fiifteenth provides for the removal of persons in the vicinity of the patients attacked with epidemic disease, to placess of refuge provided for the purpose, during the purification of their dwellings by the owners or the guardians of the poor; and by regulation sixteen the medical officer of the Union is empowered to order the removal of such persons. Seventeenth and eighteenth: In case of death by cholera, or other epidemic disease, the last medical attendant, or person present at the death, is required to notify the fact of the death to the medical officer of the district, " who is charged with the execution of these orders for the prevention of the spread of such disease. And we do hereby authorize such medical officer to give such directions as may appear to him to be needful, in respect to the care, removal, and the time of interment, of the body, for preventing the communication or spread of disease :’ regulations nineteen and twenty the guardians are, directed " to make arrangements for obtaining daily lists of, persons attacked by cholera, or other epidemic disease;" also. Society. to appoint additional medical or other officers, if necessary,, *** We believe a committee of Professor Grove’s friends and to publish and circulate the provisions of the Act for also been formed, and that the most strenuous exertions has the Prevention of Nuisances "by printed handbills or other are being made to secure that gentleman’s election.-ED. L. means:’ " Given under our hands, and under the seal of the General Board of Health, this 20th day of October, 1848. ON A CASE OF SEVERE DYSPEPSIA. " "CARLISLE, CARLISLE, 1’Q the Editor of THE .LANCET. EDWIN CHADWICK, T. SOUTHWOOD SMITH." S311TH.91 SiR,-A man, aged thirty-eight years, was affected, from his twentieth to his thirty-fifth year, with intense acidity of the stomach. Every remedy used only relieved temporarily; ELECTION OF SECRETARY TO THE ROYAL until, at length, electricity through the spine and stomach, SOCIETY. THE following circular relates to the opposition to the and frictions of the spinal column with various embrocations, effected its entire removal. But after about a year’s respite, election of Professor Grove, as the new secretary of the Royal and on recovering from a severe attack of influenza, symptoms no less distressing succeeded, and have continued during Society :The committee formed to promote the election of Professor the last two years. I have seen many cases and varieties of Thomas Bell to the secretaryship of the Royal Society, about dyspepsia, but I have never seen a case which exhibited a to be resigned by Dr. Roget, beg leave to submit to the fel- similar train of symptoms. I shall state these in the order of lows the following statement of facts and observations their severity. I may observe, that the first three symptoms thereon. are particularly troublesome, especially the almost constant At a meeting of the committee of zoology and animal II hawking and spitting, and often exclude the party from physiology of the Royal Society, h?ld July 4,1848, the follow- society. lst. A large and almost constant secretion of mucus from ing resolution was moved by Professor Owen, seconded by Mr. Gray, and unanimously agreed to:ň" That the committee, the fauces, root of the tongue, palate and larynx, mixed, and taking into consideration the large proportion of papers com- more or less diluted, with a considerable flow of saliva; the municated to the Royal Society on subjects of anatomy, phy- secretion is particularly abundant while taking food or drink siology, and other branches of natural history, and the loss of any kind, even a mouthful of water. Attempts to swallow which the Society is about to sustain by the retirement of a it, when very tenacious, are always followed by nausea, somesecretary eminent for his acquaintance with those sciences, times retching, and occasionally vomiting, (urine normal in beg respectfully to request the attention of the council to the quantity and quality.) 2nd. Flatulence of stomach during advantage and desirableness of having one of the secretaries digestion, which is performed with a painful feeling ; there is conversant with those branches of knowledge." no pain, however, at any time, on pressing the prsecordia, or " Resolved,ňThat the secretary be instructed to communi- any part of the abdomen. The first symptom is always worse cate the above resolution to the council." during the digestive process, and subsides a little as the stoThis resolution of the physiological committee having mach becomes empty. 3rd. Frequent involuntary twitches been duly communicated to the council, it was proposed in of the upper eyelids. 4th. Tongue large, pale, and tremulous, council by Sir Charles Lyell, and seconded by Mr. Gassiot,- and covered with a thick, yellowish-white fur. 5th. A pre"That Mr. Grove be recommended by the council to the dryness of the nostrils, and a painful condition of Society for election as secretary at the next anniversary;" on their lining membrane. 6th. A torpid state of the liver and
own
-
Grove, in the
By
’
’
ternatural
594 colon, with a strong tendency to constipation. There is evi- ture to the test; and as regards cholera, I have not even that dently a superabundance of secretion from the upper portion experience to offer. During the prevalence of Irish fever, I of the digestive organs and a deficiency in the lower; but believe I did obtain a little negative evidence in support of every remedy tried has failed to reverse or equalize this con- my opinion, but not nearlv sufficient to establish it. dition. 7th. Mind dull, confused, and apathetic, whereas it Taken in the form of pill along with solid food, iron scarcely was clear and active during the reign of the acidity. ever disagrees, provided neither fever nor active inflammation I shall feel g·eatly obliged, should any of your numerous be present. Any one disposed to try it against the contagion correspondents give their advice in this case. Perhaps Dr. - for such I believe it-of cholera, will find a grain or two of Marshall Hall or Dr. Dick will kindly condescend to give the sulphate, made into a pill, with extract of gentian, to be their masterly opinion as to the cause of the symptoms, and taken during, or immediately after, each of the principal especially their suggestive treatment. They may do so the meals, a convenient method: Your obedient servant, If they will, a M. D. more readily, as the writer is the sufferer. Cheshire, November, 1848. great favour will be conferred on, Sir, your very humble servant, Sept. 30, 1848.
A COUNTRY SURGEON.
Medical News. THE CITY OF LONDON SANITARY REGULATIONS. ROYAL COLLEGE OF SURGEONS.—The following gentlemen AT a meeting of the medical officers of the City of London, having undergone the necessary examinations for the diploma, East London, and West London Poor-Law Unions, held at were admitted members of the college, at the meeting of the the residence of Mr. Hutchinson, it was unanimously resolved, Court of Examiners, on the 17th instant :on behalf of the medical officers of the City of London, and of BARNES, ROBERT, Wigton, Cumberland. the East London Poor-Law Unions, that having heard the CoopER, GEORGE FRANCIS, Brentford. letter read which was sent to the Board of Guardians of the ALFRED HORATIO, Newport-Pagnell, Bucks. DANIELL, its West London Union by medical officers, we cheerfully and DUNSTAN, ALFRED DREW, Wadebridge, Cornwall. cordially approve the sentiments contained therein. HARVEY, CHARLES TYSOE, Manchester. Resolved,-" That we will, under the prevalence of epideHEwETSON, WILLIAM, Stanhope, Durham. mic, endemic, or contagious disease, gladly and freely afford HowARD, WILLIAM LACY, Cape of Good Hope. our individual or collective advice to every legally constituted MORRIS, CHARLES WILLIAM, Cheltenham. Board of Health for the City, or our surrounding localities." SCHOLEFIELD, WILLIAM WALKER, Manchester. in Resolved,-" That the present state of the health of the WILLIAMS, JAMES, Holywell, Flintshire. City, we do not feel called upon to furnish weekly professional APOTHECARIES’ HALL.-Names of gentlemen who passed reports, such as those so recently required from us by the Commissioners of Sewers, to bodies not legally empowered to their examination in the science and practice of medicine, demand the same, unless specially appointed and fairly remu- and received certificates to practise on Thursday, nerated for such onerous duties, demanding so much time and November 16th, 1848. labour, in addition to our ordinary services as medical officers CROMPTON, ABEL, Crompton, near Oldham, Lancashire. I to our respective Boards of Guardians." DALE, THOMAS, Liverpool. FRANCIS BULLIN, FRANCIS HUTCHINSON, EDWARD FussELL, EDWARD FRANCIS, Warminster, Wilts. DIGBY,—Medical Officers of the West London HINNELL, GEORGE JoHN, Bury St. Edmunds. Union. PEARCE, WILLIAM BRITTON, Mevagissey, Cornwall. WILLIAM LOBB, THOMAS PORTER, THOMAS LLOYD, SEDGWICK, WILLIAM. MAURICE DYTE,—Medical Officers of the East STEDDY, EDWARD AUSTEN, Chatham. London Union. UNIVERSITY OF LONDON. - SECOND EXAMINATION FOR THE J. G. SPARKE, M.D., JNO. ROBERTS, HENRY BLEN-II)EGREE OF BACHELOR OF MEDICINE, 1848.- Examiners:KARNE, CORNELIUS SMITH,—Medical Officers of Dr. Carpenter, F.R.S.-Surgery: Sir Stephen L. Physiology : the City of London Union. Hammick, Bart., and Cæsar H. Hawkins, Esq.-Medicine: Dr. Billing, F.R.S., and Dr. Tweedie, F.R.S. -Midwifery: Dr. Rigby-Forensic Medicine: W. T. Brande, Esq., F.R.S., Dr. CHOLERA IN THE PECKHAM HOUSE ASYLUM. Pereira, F.R.S., and Dr. Rigby. To the Editor of THE LANCET. First division.-Copeman, Arthur Charles, King’s College; SIR,—May I, through your journal, ask Dr. James Hill, Drury, James Samuel, adjoining St. George’s Hospital; Evans, whose communication, dated from Peckham Asylum, on the John Owen, University College; Gill, Walter Battershell, use of chloroform in cholera, was inserted in the Times newsKing’s College; Habershon, Samuel Osborne, Guy’s Hospital; paper about a fortnight since, under the puffing heading of Hassall, Arthur Hill, Royal College of Surgeons in Ireland; " Chloroform a New Remedy in Cholera," and in your journal Hooper, Daniel, Guy’s Hospital; McCrea, William, St. on Saturday last, a candid answer to the following quesGeorge’s Hospital; Palmer, Edward, University College; tions :Payne, Arthur James, King’s College; Savory, William ScoIs it true that there are from 700 to 800 pauper lunatics in vell, St. Bartholomew’s Hospital; Shelley, Hubert, Guy’s Hosthe Peckham Asylum ? pital ; Sibson, Francis, University of Edinburgh; Wilks, Is it true that the cesspools and drains (the latter little Samuel, Guy’s Hospital; Woodforde, William Thomas Garbetter than elongated cesspools) of the establishment have rett, University College. Second division.-J ago, Frederick William Pearce, London recently been emptied for the first time for many years past ? Is it true that a large number of swine are kept on the Hospital; Lang, Henry, University College; Pyper, Robert premises, and that the disgusting stench from them has been Deverell, Middlesex Hospital; Ryan, William, Middlesex complained of by families residing in the neighbourhood, and and Jervis-street Hospitals; Sankey, William Henry Octavius, that one lady has even sent a formal complaint against the St. Bartholomew’s Hospital. At a meeting of the guarSANITARY APPOINTMENTS. nuisance to the Board of Guardians ? dians of the town of Cheltenham, on Thursday, Nov. 16th, it What is the dietary of the poor unfortunate lunatics ? What probable cause does he assign for the great preva- was unanimously agreed, on the recommendation of the sanilence and mortality of cholera in this Asylum, over every tary committee, to appoint Mr. Philpot Brookes, Esq., M.D., and Frederick Hyett, Esq., Medical Inspectors of Nuisances other place in the metropolis ? for the town, and to fully carry out the removal of nuisance I am, Sir, your obedient servant, Bill in the town of Cheltenham. T. A. London, November 20, 1848. MEDICAL MEN IN ITALY.-We hear a great deal in this about the insufficient estimation in which the medical country A AS IRON PROPHYLACTIC THE USE OF AGAINST is held, but it appears that in Italy, and in Rome profession CHOLERA. in particular, things have come to a sad pass. According to To the Editor of THE LANCET. a paragraph in L’ Union Médicale, it would seem that in the SIR,—I wish to suggest to those exposed to the influence of eternal city the greater number of practitioners repair to the chemist in the morning, where they instal themselves in a cholera, the internal use of iron as a prophylactic. I conjecture that when the blood is well impregnated with room, much resembling a public-house, and wait for patients. iron, it is rendered less prone to undergo the morbid change When called out, they hasten wherever they are wanted, and in which many epidemic diseases primarily consist. The immediately return to this unworthy place. They make experience of an individual is insufficient to put this conjec- nothing of pulling a penny-loaf and a sausage out of their -
-
inability to the guardians of the poor, they are authorized which an amendment was moved by Mr. Brown, and seconded Dr. Roget,ň" That Mr. Thomas Bell be recommended as and required to undertake the cleansing and purification of the premises. Also, " to visit, from time to time, or cause to secretary," which amendment was negatived; the original be visited, the several dwellings and places where there may motion was then put and carried. The effect of this recommendation is to constitute the exebe ground for believing that necessity will arise for executing cutive officers of the Society entirely of cultivators of physical such directions." The eighth provides for the interference of the parochial auleaving the natural sciences without an officer capable thorities, in the event of default or delay of the cleansing of of abstracting an anatomical, physiological, or natural history or of giving an opinion on its merits. premises by their owners or occupiers in ascase " the medical It cannot therefore be matter of surprise that such a deliaforesaid, shall paper, officer, or other person duly authorized berate and total neglect of the interests and feelings of the certify that the same requires immediate attention." The ninth regulation requires that the guardians of the anatomists, physiologists, zoologists, and botanists, who form poor in Unions shall direct their clerk to make out a list of so large and highly important a portion of the Society, should places where epidemic, endemic, and contagious diseases have have stimulated a considerable number of the fellows to endeavour to secure to the natural sciences one officer in the of late been frequent. Tenth and eleventh: the medical officers of the Union shall executive, capable of superintending the publication of their visit such places, and certify to the Board of Guardians all works, either in abstracts in the proceedings, or in detail in
Iby
science,
the transactions. The committee consider this the more necessary, as it will be seen that in the new council, as proposed by the present one, there is a most unequal apportionment of the members to the respective sciences which are supposed to be represented in that body ;-there being eight members to represent the physical sciences, five geologists, and two chemists; while there is but one for comparative anatomy, one for physiology, and one for zoology, and not one representative of botany. Thus, of the whole council of twenty-one members, three only represent the natural sciences. The committee therefore beg to place in your hands the enclosed revised balloting list, in which the only change is the reversal of the position of the names of Mr. Bell and Mr. hope that by your attendance and use of it on the day of election, instead of that proposed by the present council, you will aid them in endeavouring to restore to all classes of the fellows of the Society some share of that just representation and liberal treatment which should at all times characterize the executive of this and every other body of men. Mr. Bell has stated, that " Should the majority think me deserving of the honour, and if I am elected, I shall consider it my duty to support the principle of a just recognition of the claims of a large and important part of the Society by accepting the trust." The committee comprise forty-four fellows of the Royal
such places as are in a state dangerous to health. Twelfth: each medical officer shall "forthwith, upon any case of cholera, or of typhus, or other epidemic," &c., report the same to the guardians; who, by regulation thirteen, are required to provide sufficient medical aid for the sick. By regulation fourteen, suitable rooms or places are to be found by the guardians of the poor, 11 to which persons; attacked by cholera, who cannot be properly treated in their: .
,
houses, shall be conveyed." The fiifteenth provides for the removal of persons in the vicinity of the patients attacked with epidemic disease, to placess of refuge provided for the purpose, during the purification of their dwellings by the owners or the guardians of the poor; and by regulation sixteen the medical officer of the Union is empowered to order the removal of such persons. Seventeenth and eighteenth: In case of death by cholera, or other epidemic disease, the last medical attendant, or person present at the death, is required to notify the fact of the death to the medical officer of the district, " who is charged with the execution of these orders for the prevention of the spread of such disease. And we do hereby authorize such medical officer to give such directions as may appear to him to be needful, in respect to the care, removal, and the time of interment, of the body, for preventing the communication or spread of disease :’ regulations nineteen and twenty the guardians are, directed " to make arrangements for obtaining daily lists of, persons attacked by cholera, or other epidemic disease;" also. Society. to appoint additional medical or other officers, if necessary,, *** We believe a committee of Professor Grove’s friends and to publish and circulate the provisions of the Act for also been formed, and that the most strenuous exertions has the Prevention of Nuisances "by printed handbills or other are being made to secure that gentleman’s election.-ED. L. means:’ " Given under our hands, and under the seal of the General Board of Health, this 20th day of October, 1848. ON A CASE OF SEVERE DYSPEPSIA. " "CARLISLE, CARLISLE, 1’Q the Editor of THE .LANCET. EDWIN CHADWICK, T. SOUTHWOOD SMITH." S311TH.91 SiR,-A man, aged thirty-eight years, was affected, from his twentieth to his thirty-fifth year, with intense acidity of the stomach. Every remedy used only relieved temporarily; ELECTION OF SECRETARY TO THE ROYAL until, at length, electricity through the spine and stomach, SOCIETY. THE following circular relates to the opposition to the and frictions of the spinal column with various embrocations, effected its entire removal. But after about a year’s respite, election of Professor Grove, as the new secretary of the Royal and on recovering from a severe attack of influenza, symptoms no less distressing succeeded, and have continued during Society :The committee formed to promote the election of Professor the last two years. I have seen many cases and varieties of Thomas Bell to the secretaryship of the Royal Society, about dyspepsia, but I have never seen a case which exhibited a to be resigned by Dr. Roget, beg leave to submit to the fel- similar train of symptoms. I shall state these in the order of lows the following statement of facts and observations their severity. I may observe, that the first three symptoms thereon. are particularly troublesome, especially the almost constant At a meeting of the committee of zoology and animal II hawking and spitting, and often exclude the party from physiology of the Royal Society, h?ld July 4,1848, the follow- society. lst. A large and almost constant secretion of mucus from ing resolution was moved by Professor Owen, seconded by Mr. Gray, and unanimously agreed to:ň" That the committee, the fauces, root of the tongue, palate and larynx, mixed, and taking into consideration the large proportion of papers com- more or less diluted, with a considerable flow of saliva; the municated to the Royal Society on subjects of anatomy, phy- secretion is particularly abundant while taking food or drink siology, and other branches of natural history, and the loss of any kind, even a mouthful of water. Attempts to swallow which the Society is about to sustain by the retirement of a it, when very tenacious, are always followed by nausea, somesecretary eminent for his acquaintance with those sciences, times retching, and occasionally vomiting, (urine normal in beg respectfully to request the attention of the council to the quantity and quality.) 2nd. Flatulence of stomach during advantage and desirableness of having one of the secretaries digestion, which is performed with a painful feeling ; there is conversant with those branches of knowledge." no pain, however, at any time, on pressing the prsecordia, or " Resolved,ňThat the secretary be instructed to communi- any part of the abdomen. The first symptom is always worse cate the above resolution to the council." during the digestive process, and subsides a little as the stoThis resolution of the physiological committee having mach becomes empty. 3rd. Frequent involuntary twitches been duly communicated to the council, it was proposed in of the upper eyelids. 4th. Tongue large, pale, and tremulous, council by Sir Charles Lyell, and seconded by Mr. Gassiot,- and covered with a thick, yellowish-white fur. 5th. A pre"That Mr. Grove be recommended by the council to the dryness of the nostrils, and a painful condition of Society for election as secretary at the next anniversary;" on their lining membrane. 6th. A torpid state of the liver and
own
-
Grove, in the
By
’
’
ternatural
594 colon, with a strong tendency to constipation. There is evi- ture to the test; and as regards cholera, I have not even that dently a superabundance of secretion from the upper portion experience to offer. During the prevalence of Irish fever, I of the digestive organs and a deficiency in the lower; but believe I did obtain a little negative evidence in support of every remedy tried has failed to reverse or equalize this con- my opinion, but not nearlv sufficient to establish it. dition. 7th. Mind dull, confused, and apathetic, whereas it Taken in the form of pill along with solid food, iron scarcely was clear and active during the reign of the acidity. ever disagrees, provided neither fever nor active inflammation I shall feel g·eatly obliged, should any of your numerous be present. Any one disposed to try it against the contagion correspondents give their advice in this case. Perhaps Dr. - for such I believe it-of cholera, will find a grain or two of Marshall Hall or Dr. Dick will kindly condescend to give the sulphate, made into a pill, with extract of gentian, to be their masterly opinion as to the cause of the symptoms, and taken during, or immediately after, each of the principal especially their suggestive treatment. They may do so the meals, a convenient method: Your obedient servant, If they will, a M. D. more readily, as the writer is the sufferer. Cheshire, November, 1848. great favour will be conferred on, Sir, your very humble servant, Sept. 30, 1848.
A COUNTRY SURGEON.
Medical News. THE CITY OF LONDON SANITARY REGULATIONS. ROYAL COLLEGE OF SURGEONS.—The following gentlemen AT a meeting of the medical officers of the City of London, having undergone the necessary examinations for the diploma, East London, and West London Poor-Law Unions, held at were admitted members of the college, at the meeting of the the residence of Mr. Hutchinson, it was unanimously resolved, Court of Examiners, on the 17th instant :on behalf of the medical officers of the City of London, and of BARNES, ROBERT, Wigton, Cumberland. the East London Poor-Law Unions, that having heard the CoopER, GEORGE FRANCIS, Brentford. letter read which was sent to the Board of Guardians of the ALFRED HORATIO, Newport-Pagnell, Bucks. DANIELL, its West London Union by medical officers, we cheerfully and DUNSTAN, ALFRED DREW, Wadebridge, Cornwall. cordially approve the sentiments contained therein. HARVEY, CHARLES TYSOE, Manchester. Resolved,-" That we will, under the prevalence of epideHEwETSON, WILLIAM, Stanhope, Durham. mic, endemic, or contagious disease, gladly and freely afford HowARD, WILLIAM LACY, Cape of Good Hope. our individual or collective advice to every legally constituted MORRIS, CHARLES WILLIAM, Cheltenham. Board of Health for the City, or our surrounding localities." SCHOLEFIELD, WILLIAM WALKER, Manchester. in Resolved,-" That the present state of the health of the WILLIAMS, JAMES, Holywell, Flintshire. City, we do not feel called upon to furnish weekly professional APOTHECARIES’ HALL.-Names of gentlemen who passed reports, such as those so recently required from us by the Commissioners of Sewers, to bodies not legally empowered to their examination in the science and practice of medicine, demand the same, unless specially appointed and fairly remu- and received certificates to practise on Thursday, nerated for such onerous duties, demanding so much time and November 16th, 1848. labour, in addition to our ordinary services as medical officers CROMPTON, ABEL, Crompton, near Oldham, Lancashire. I to our respective Boards of Guardians." DALE, THOMAS, Liverpool. FRANCIS BULLIN, FRANCIS HUTCHINSON, EDWARD FussELL, EDWARD FRANCIS, Warminster, Wilts. DIGBY,—Medical Officers of the West London HINNELL, GEORGE JoHN, Bury St. Edmunds. Union. PEARCE, WILLIAM BRITTON, Mevagissey, Cornwall. WILLIAM LOBB, THOMAS PORTER, THOMAS LLOYD, SEDGWICK, WILLIAM. MAURICE DYTE,—Medical Officers of the East STEDDY, EDWARD AUSTEN, Chatham. London Union. UNIVERSITY OF LONDON. - SECOND EXAMINATION FOR THE J. G. SPARKE, M.D., JNO. ROBERTS, HENRY BLEN-II)EGREE OF BACHELOR OF MEDICINE, 1848.- Examiners:KARNE, CORNELIUS SMITH,—Medical Officers of Dr. Carpenter, F.R.S.-Surgery: Sir Stephen L. Physiology : the City of London Union. Hammick, Bart., and Cæsar H. Hawkins, Esq.-Medicine: Dr. Billing, F.R.S., and Dr. Tweedie, F.R.S. -Midwifery: Dr. Rigby-Forensic Medicine: W. T. Brande, Esq., F.R.S., Dr. CHOLERA IN THE PECKHAM HOUSE ASYLUM. Pereira, F.R.S., and Dr. Rigby. To the Editor of THE LANCET. First division.-Copeman, Arthur Charles, King’s College; SIR,—May I, through your journal, ask Dr. James Hill, Drury, James Samuel, adjoining St. George’s Hospital; Evans, whose communication, dated from Peckham Asylum, on the John Owen, University College; Gill, Walter Battershell, use of chloroform in cholera, was inserted in the Times newsKing’s College; Habershon, Samuel Osborne, Guy’s Hospital; paper about a fortnight since, under the puffing heading of Hassall, Arthur Hill, Royal College of Surgeons in Ireland; " Chloroform a New Remedy in Cholera," and in your journal Hooper, Daniel, Guy’s Hospital; McCrea, William, St. on Saturday last, a candid answer to the following quesGeorge’s Hospital; Palmer, Edward, University College; tions :Payne, Arthur James, King’s College; Savory, William ScoIs it true that there are from 700 to 800 pauper lunatics in vell, St. Bartholomew’s Hospital; Shelley, Hubert, Guy’s Hosthe Peckham Asylum ? pital ; Sibson, Francis, University of Edinburgh; Wilks, Is it true that the cesspools and drains (the latter little Samuel, Guy’s Hospital; Woodforde, William Thomas Garbetter than elongated cesspools) of the establishment have rett, University College. Second division.-J ago, Frederick William Pearce, London recently been emptied for the first time for many years past ? Is it true that a large number of swine are kept on the Hospital; Lang, Henry, University College; Pyper, Robert premises, and that the disgusting stench from them has been Deverell, Middlesex Hospital; Ryan, William, Middlesex complained of by families residing in the neighbourhood, and and Jervis-street Hospitals; Sankey, William Henry Octavius, that one lady has even sent a formal complaint against the St. Bartholomew’s Hospital. At a meeting of the guarSANITARY APPOINTMENTS. nuisance to the Board of Guardians ? dians of the town of Cheltenham, on Thursday, Nov. 16th, it What is the dietary of the poor unfortunate lunatics ? What probable cause does he assign for the great preva- was unanimously agreed, on the recommendation of the sanilence and mortality of cholera in this Asylum, over every tary committee, to appoint Mr. Philpot Brookes, Esq., M.D., and Frederick Hyett, Esq., Medical Inspectors of Nuisances other place in the metropolis ? for the town, and to fully carry out the removal of nuisance I am, Sir, your obedient servant, Bill in the town of Cheltenham. T. A. London, November 20, 1848. MEDICAL MEN IN ITALY.-We hear a great deal in this about the insufficient estimation in which the medical country A AS IRON PROPHYLACTIC THE USE OF AGAINST is held, but it appears that in Italy, and in Rome profession CHOLERA. in particular, things have come to a sad pass. According to To the Editor of THE LANCET. a paragraph in L’ Union Médicale, it would seem that in the SIR,—I wish to suggest to those exposed to the influence of eternal city the greater number of practitioners repair to the chemist in the morning, where they instal themselves in a cholera, the internal use of iron as a prophylactic. I conjecture that when the blood is well impregnated with room, much resembling a public-house, and wait for patients. iron, it is rendered less prone to undergo the morbid change When called out, they hasten wherever they are wanted, and in which many epidemic diseases primarily consist. The immediately return to this unworthy place. They make experience of an individual is insufficient to put this conjec- nothing of pulling a penny-loaf and a sausage out of their -
-