OUR RECENT ARTICLE UPON MEDICAL ORGANISATION IN NOTTINGHAMSHIRE.

OUR RECENT ARTICLE UPON MEDICAL ORGANISATION IN NOTTINGHAMSHIRE.

1646 many times both by the mother nursing her and also by the child’s exertions. When she began to crawl the arms chiefly suffered. Often she would s...

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1646 many times both by the mother nursing her and also by the child’s exertions. When she began to crawl the arms chiefly suffered. Often she would scream and roll over with a broken arm. When she began to walk the thighs, though less fragile than formerly, often broke under the mere weight of the body. The clavicles were often broken Sometimes a fresh and she could not use the arms. fracture would be discovered in the morning while she was in bed. The right arm was known to have been broken nine or ten times, the left about the same number, and the right lower leg 14 times. The left lower limb was broken much more often than the right. Many fractures which occurred were forgotten and are not included in the above list. Altogether at least 40 fractures occurred. In the second case the patient was a boy, aged seven years. At birth one arm and the right leg were broken. The right thigh was broken by a surgeon during examination while taking hold of the limb to turn the child over. Both thighs were broken in the cradle. One arm was broken three times and the other four times during suckling. Altogether over 20 fractures were remembered to have occurred. In both children the fractures united well with only slight deformity. Radioscopy showed a welldefined contour of the fractured bones and there did not appear to be any atrophy of bone-a difference from senile fragility. In both cases there was great bowing of the femora laterally and of the tibias forwards. The tibiæ were sabre-shaped with a prominent sharp anterior ridge. There were five other children who were healthy. No hereditary influence could be traced. Thus the cases were examples of " a family disease " in the sense we have recently explained. With the progress of time both cases seemed to be im-

proving.

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OUR RECENT ARTICLE UPON MEDICAL ORGANISATION IN NOTTINGHAMSHIRE. IN an article entitled " The Organisation of the Profession," which appeared in THE LANCET of Dec. 6th, p. 1579, our Special Commissioner narrated the position of affairs in

held into this long-standing quarrel, investigation that will shortly be furnished to presume one

but

we

us.

Mr. C. S. Weatherill has bequeathed a sum of about to the Leeds Infirmary. This bequest, however, does not take effect at once, for the sum is charged with an annuity of Z360 per annum to be paid to the testator’s sister and to three trustees during the life of the sister. Until she dies the residue of the estate is to accumulate at compound interest. At the sister’s death the whole sum, principal and accumulations, is to be paid over to the then treasurer of the infirmary, who is to devote the money as follows : firstly, to found, to equip, and to endow an accident ward in the infirmary, to be called " The C. S. Weatherill Accident Ward" ; secondly, to erect in such ward a white marble statue of the testator with a suitable inscription ; and, thirdly, to apply the surplus to the general surgical purposes of the institution.

.6112,000

____

authorities have resolved, in gift of Sir A. Conan Doyle of £1000 from the profits of the sale of his history of the war, to offer a bursary of the annual value of £40, the recipient being the best THE

respect

Edinburgh University to the

South African student of the year, whether of British Dutch birth. The bursary will bear the donor’s name.

or

of

WE are requested to state that applications for typhoid vaccine may in future be made to Dr. A. E. Wright at the Pathological Department of St. Mary’s Hospital.

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FROM

THE LANCET, SATURDAY, DEC. 11, 1824.

Nottinghamshire in accordance with statements made to him When acute inflammation of the brain or membranes by certain officials of the Midland Medical Union and others. occurs, the legal maxim,- "Nullum tempus occurrit regi," Immediately the article appeared we received a letter might be changed thus,-’ "Nullum tempus occurrit medico ; informing us that during that very week an investigation for time then is of inestimable value, if properly employed. had been held at which delegates appointed by the Midland But if, in such cases, hour after hour be lost in doubt and Medical Union had investigated the charges formulated indecision, the patient assuredly is sacrificed. If I wished to inspire students with the highest confidence in the against Dr. Crawford and Mr. Farman by Dr. Rainsbury and remedial powers of physic ; I would take them, at the outDr. Mitchell, and found those charges unfounded. We also set, to a series of cases connected with acute or sub-acute received a letter from the secretary of the Midland Medical inflammation, which, rightly managed then, would nearly Union, protesting against the publication of any information always end favourably. If I wished to make a man a comwhich he had given. We at once wrote to the President plete sceptic in physic, I would show him cases which had of the Midland Medical Union, Mr. J. G Shea, being been neglected or maltreated in the commencement, for most of such, unh 1 ppily, would have an unfavourable termination. quite ready to publish a statement that would correct any A Frenchman once observed, that the only difference which wrong impressions that we had given. Just as we are going he knew between the English and French physicians was to press we have received a letter from Dr. Crawford’s this: the English killed their patients by their heroic or solicitors, demanding the insertion of a full and ample active treatment, whereas the French allowed theirs to die by expectant or inert treatment. If you take the practice apology in this week’s issue to their client, Dr. Crawford, their of most physicians, you will find that they are remarkably including his partner, Mr. Farman. There need not be the attached to some particular practice, which is pushed beyond slightest hesitation on our part in giving to Dr. Crawford and the legitimate boundary. One is too partial to bleeding, Mr. Farman the satisfaction that they ,eek. We are ex- another to purging, a third to bark, a fourth to blue pill, tremely sorry to have been betrayed into errors that we can and so on ; but the fact is, that if any man wish to understand must have given both these gentlemen pain, practise with general success he must not be attached to one plan, but vary his treatment according to the circumand we are happy to make our reparation as publicly as stances of each particular case, for even if he possess possible. The article was written in completely good correct general principles, still he must carefully take into faith upon what we believed to be trustworthy information. account all the circumstances which modify the employment Our readers will have no doubt that our action was takenof remedies. His success will depend on the precision with solely on public grounds and will acquit us of the slightestwhich he detects these modifying circumstances, and the intention to wrong any individual. We have not receivedskill with which *he adapts his measures to them and the affection.* from the Midland Medical Union any account of the existing "

See Remarkable Nov. 22nd, p. 1411.

Family History

of

Glioma,

THE

LANCET,

* Extract from report of leoture No. 9 on the Principles and Practice of Physic delivered by Dr. John Armstrong in the Theatre of Anatomy. Webb Street, Borough, London.