PREGNANCY AND ABDOMINAL DISEASE.

PREGNANCY AND ABDOMINAL DISEASE.

613 may be relied on as indicating a severe affection of that, part of the intestinal canal; for the most intense and extensive affection of the small...

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613 may be relied on as indicating a severe affection of that, part of the intestinal canal; for the most intense and extensive affection of the small intestines alone, in fever, will not produce copious watery stools, nor, except the peritonaeum be involved, any marked pain or tenderness. The patient, in the present case of dysentery, died of corea, the hseniorrhage consequent on the sloughing process.

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sanction and support, a new and a powerful impulse will be given to a science in the advancement of which all classes of her Majesty’s subjects must feel deeply interested. Rip’np,1

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behalf nf the Meeting



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HENRY JOHNSON, M.D., President. W. P. BROOKES, M.R.C.S.E., Secretary.

[COPY.] MEMORIALS OF THE MEDICAL AND SURGICAL PRACTITIONERS OF SHROPSHIRE AND NORTH WALES TO LORD JOHN RUSSELL AND SIR

To the

Right Hon. Sir George Grey, Bart., Her Majesty’s Principal Secretary of State for !he Home Department. The Memorial of the Associated Medical and

Surgical

Practitioners of Shropshire and North Wales, GREY, BART. Showeth,-That your memorialists are dissatisfied with the The undersigned, on behalf of the meeting, hope that the Draft Charter of the Supplemental College of Surgeons object of the Memorial of the Medical and Surgical Practi- of England, inasmuch as it does not Royal define the mode of voting tioners of Shropshire and North Wales, to Lord John in the election of the Council of the said College. Russell, will receive the support of the Editor of THE Your memorialists are of opinion that, were so important a LANCET, and that their example will be followed by the subject left undecided by the Charter, and personal voting in medical men of other counties. London by a subsequent by-law, such a regulation The reply of the Government will probably be, that the would berequired a virtual disfranchisement of a very large majority honours of the Bath have-hitherto been conferred for adminis- of the provincial fellows, whose professional avocations and trative, and not for scientific services. Absurd restriction!

GEORGE

Do not administrative services often derive their chief efficiency from the scientific discoveries and improvements effected by individuals who are not in the employ of the

government. In our profession especially the most important discoveries and improvements are often made by physicians

and surgeons in civil practice. Medical men rejoice to see the merits and services of the members of other professions recognized and rewarded by the government; but they cannot, at the same time, help regretting that the advancement of the noble science of medicine and surgery should be discouraged and repressed by the unjust exclusion of its votaries from the honours of the state. HENRY JOHNSON, M.D., W. B. BROOKES, Secretary.

President.

COPY.J To the Right Honourable Lord John Russell, First Lord _

of

the

Treasury.

The Memorial of the Medical and Surgical Practitioners of Shropshire and North Wales, at a Public Meeting of the Profession, held at Shrewsbury this twenty-third

day of December, 1851,

Humbly showeth,-That

in all ages, and among all civilized

nations, the bestowal of honorary rewards upon eminent and

deserving men,has acted as an incentive to exertions and noble deeds, beneficial to a community, or to mankind in general. That to the British military or naval officer, the statesman, the lawyer, or the churchman, a decoration or a dignity conferred by the sovereign, has ever been a highly and a justly valued honour. And your memorialists humbly submit, that

distant residences would often prevent their attendance in London to record their votes personally. Your memorialists, therefore, respectfully beg that you will direct a clause to be inserted in the Supplemental Charter of the Royal College of Surgeons of England, conferring upon fellows of the said College, residing more than five miles from the General Post Office, London, the privilege of voting by marked lists, transmitted by post to the secretary of the College, as conceded by Sect. 10 of the resolutions submitted to you in April, 1850, and bearing date the 23rd of that month The resolution to which your memorialists refer is expressed as follows :" That the voting for the election of fellows into the Council shall be by marked lists; and every fellow shall be at liberty personally to deliver in at the meeting appointed for the election the list of candidates forwarded to him, as before directed, or to transmit such list to the secretary, provided the same, if transmitted, shall be received by the secretary two clear days before the day of election." The above resolution also accords with the fifth proposition submitted to you by the deputation from the provincial surgeons in May, 1850,-viz.,That in the election of the Council, the fellows resident in the country shall have the privilege of voting by balloting papers." Signed on behalf of the meeting bv HENRY JOHNSON, M.D., President. W. P. BROOKES, M.R.C.S.E., Secretary. .,

PREGNANCY AND ABDOMINAL DISEASE. the science of medicine and surgery, a science which has To the Editor of TaE LANCET. conferred inestimable and enduring benefits upon mankind, is SIR,-Ishould not have intruded myself upon your notice not unworthy of royal patronage and favour. Your memorialists could cite numerous instances of honours again, in accordance with my determination, as expressed in the joint letters recently conferred by continental sovereigns upon distin- my last communication, but that silence, after not Messrs. Nelson and Wright, would imply only acquiguished physicians and surgeons in civil practice : and they of views and statements, but a culpability and beg to mention one which has given universal satisfaction, escence in their viz., the bestowal of the Golden Cross of the Order of Civil poltroonism on my own part alike foreign and abhorrent to Merit, by the Emperor of Austria, upon the Chevalier Jean my mind. de Castro, a Bohemian physician, the disciple and friend of Firstly-In reference to Dr. John Wright’s statement (a the illustrious Jenner. gentleman who has, on more than one occasion, officiated as The services and merits of military and naval surgeons have, Dr. Nelson’s champion) I have nothing more to state than this, see the microscopical examination of the morbid through your lordship’s kindness, been brought under the that I did not notice of her Majesty, and have received distinguished marks specimen; and that I am positively certain that no practical of her Majesty’s favour ; and your memorialists cannot but microscopist could have either demonstrated or in any scientific entertain a hope that the discoveries and services of phy- way examined such a specimen during the period of my stay sicians and surgeons in civil practice will also be deemed in the hospital. That I took this specimen to the hospital is true, and that I saw it looked at as such structures are looked worthy of your lordship’s consideration. Your memorialists, therefore, humbly and most respect- at by those who know nothing of the microscope is also true; nothing. I called on Dr. John Wright tofully beg, that your lordship will be pleased to recommend to beyond this I sawfor the gentleman who was present during the notice of her Majesty a few of the most distinguished day, and inquired microscopic examination, stating, at the same physicians and surgeons of this kingdom in civil practice, and this supposed to advise her Majesty to confer upon those deemed most time, that, to show I wished to take no unfair advantage of worthy the honour of the decoration of the Civil Order of any information this imaginary witness might impart, I would the Bath. question him in Dr. J. Wright’s presence. The witness’s Your memorialists feel justified in asserting, that the name was withheld; I could not obtain it; and I am therefore attainments and services of the medical and surgical prac- left to rely upon my own simple, but steady assertion of the titioners of Great Britain, are not surpassed by those of any fact, which I am proud to feel will be accepted as truth by the other nation ; and that should the object humbly petitioned whole of my professional brethren in Birmingham. Secondly ° They who live in glass houses should not throw for by your memorialists receive the honour of your lordship’s

614 stones." I am greatly obliged to Dr. Nelson (who is notorious for his appreciation of the " importance" of things in general, and of himself in particular) for reminding me of the danger of imputing motives to men from slight causes. What does this professor of ethics mean ? Can he (except as he feels its baneful influence on his -own mind) presume to dictate cautions to me, when he himself has violated all decency in hint-

TRACHEOTOMY OR LARYNGOTOMY IN EPILEPSY.

To the Editor of THE LANCET. SIR,-Permit me, through the medium of your journal, to ask Dr. Marshall Hall, whether in cases of paralytic and spasmodic laryngismus the operation of laryngotomy may not reasonably be preferred to that of tracheotomy? The former operation is undoubtedly the simpler of the two; and as the only object to be attained by either, in cases of this description, is a free passage for air below the muscles affected with paralysis, or spasm, the ordinary objections to laryngotomy do not apply. By the adoption in preference of laryngotomy much of the heroic character of the remedy will be removed. I am. Sir. vour obedient servant. THOMAS JAMES DUTHOIT, M.B. LOND. Briton Hospital Ship, Gosport, Dec. 1851.

ing, in a scandalous manner, that known and tried practitioners in our town have endeavoured to produce abortion by the administration of ergot of rye ? Is this professor compos mentis, or have his professional and unprofessional squabbles of late so obfuscated his intellect, that he is, as it were, in a mental Scotch mist ? Again, in the very clause in which this disgusting inuendo is contained, Dr. Nelson states that he has I do not doubt it ; but who showed it seen the prescription. to him ? I did not, and the friends of the patient assert that they did not. Could it, therefore, be obtained in any very professional way ? I leave you to judge. Thirdly-In reference to a statement in the second clause of Dr. Nelson’s letter, I most certainly think (and I know I am supported in this by a common feeling in our profession) Medical News. that, before any medical man publishes a case in which another practitioner has been involved, he should so far confer with that practitioner as to see whether or no he would ROYAL COLLEGE OF PHYSICIANS.-At the quarterly care to appear in print at all ; and that it is a gross and unof the Comitia Majora, held on Monday, Dec. 22nd, meeting gentlemanly liberty to use any name in such a manner without the following gentlemen, having undergone the necessary exsnmf such conference. aminations for diploma, were admitted members of the Fourthly-I perfectly agree with Dr. Nelson, that petty college: and private feeling should not be made the ground of quarrels, DR. BISHOP, Albion-street, Hyde-park. which divert the mind from great truths. Had Dr. Nelson DR. GARROD, Harley-street. felt this, he would have acted differently ; but. his public as DR. HASSALL, Park-street, Grosvenor-square. well as private conduct in the case, converts this expression of DR. WILKS, Bethel-place, Camberwell. his views into a mere s7iam. Let him not take credit to himself for withholding names ; he has acted more meanly than if he ROYAL COLLEGE OF SURGEONS.——The following had simply printed names. Has he never mentioned names and gentlemen, having undergone the necessary examinations for talked in private about the matterHas he not, in short, the diploma, were admitted Members of the College, at the adopted that style of delicate privacy which is the grand meeting of the Court of Examiners, on the 19th inst.:secret of successful advertisement ! AGNIS, JOHN CROwN, Harewood-square, Regent’s-park. Fifthly-In order that Dr. Nelson may not place himself in ARCHER, LEWIS HITCHIN, Southampton-row. a let of instead the awkward position him, post-mortem prophet, BREAKEY, JOHN, Monaghan. of dealing on "important" generalities, state what were his CLARKE, ERLIN, Worcester. varied and multifarious opinions from first to last in this caseGEORGE MALLET, Llanrwst, Denbighshire. COVENTRY, views with his about peculiar " doughy livers," beginning " DOWSE, JOSEPH GIBSON, Manchester. ascites," &c. &c., and coming round again to the opinion given GREENWAY, HENRY, Plymouth. to him-namely, the presence of some foreign body in the HARDING, JOSEPH JAMES, Newcastle-upon-Tyne. uterus-which the sanction he gave to the operation of tapping HILL, GEORGE PisHEY THOMPSON, Boston, Lincolnshire. through the " os uteri" fully proves, even though the Doctor KAVANAGH, BERNARD, Limerick. might wish to shirk this point. I don’t say he does, but were O’DONOVAN, DANIEL, Limerick. I in his position I am sure I should ; for it turned out to be SMITH, ALBERT DANIEL, Nailsworth, Gloucestershire. an ovarian cyst ! and which to tap through the " os uteri," is WILKINSON, RICHARD, Bradford, Yorkshire. rather heroic ! WILSON, JOHN HENRY, Shrewsbury, Salop. Sixthly-Dr. Nelson cannot be so very verdant in practice WOLSTENHOLME, JOHN HANCOCK, Bolton, Lancashire. as to suppose it impossible that patients may mistake the YOUNG, WILLIAM TALBOT, Madras. expressions and actions of their medical attendants in the sick-room. Occasionally, a knowledge of this fact should,-if APOTHECARIES’ HALL.-Names of gentlemen who he possessed it,-have led him to be very careful how 7ie passed their examination in the science and practice of mediimputed motives to any medical men for their conduct, &c.; and cine, and received certificates to practise, on if he wished to appear properly in the press, should he not have Thursday, Dec. 18th, 1851. consulted those opinions ? Why resort to "parenthetical hints" ? Why not venture "statements" ? Why?-It is quite BANNISTER, HENRY POwELL, London. evident that the remains of the Doctor’s conscience were not EvANS, RICHARD, Devonport. at ease in the matter ; and he is "drawn out" now just as a FULCHER, FREDERICK BROOKER, Maidstone. badger is from a box-very much against his will. HARRISON, HENRY JOHN, London. " Lastly, and to conclude"-I have a suggestion to make to M’CANN, JAMES, Ireland. the Doctor, and a caution to offer. Seeing the Doctor’s NEwHOUSE, ROBERT BROCKMAN, Dover. " tendency to writing on the importance" of things, (a natural RAMSKILL, JOSIAH, Leeds. tendency, as you know, with juvenile authors, the senior ones TAYLOR, ALBERT, Newcastle-on-Tyne. making their writings important rather than talking about MEDICAL BENEVOLENT COLLEGE.-With the view them,) I suggest that the next attack of morbus scribendi, of assisting this benevolent undertaking the medical men of. under which he may labour, may be relieved by an essay " on the importance of making ourselves acquainted with the Bedford held a meeting on Wednesday evening the 17th inwhole facts of a subject before we either talk or write about stant, and unanimously passed the following resolutions1 it;" or another, " on the importance of not thinking much of namely: 1. That the establishment of an asylum for distressed, our own importance." My caution is this: Dr. Nelson has been but a short time medical men and their widows, and a school for the education in Birmingham ; he has to earn a position; this can be done, of their sons, is an object worthy of the cordial support of the as your paper has in spirit always shown, only by true merit, profession, and has strong claims on the sympathy of the. not by writing scandal. And I very much question whether it public. 2. That the members of the medical profession in Bedford can be done by writing at all, unless that writing show rather more sense, more authorship, and more honesty, than the forming this meeting, pledge themselves by all available’ Doctor’s last effusion. Above all, in writing himself into means to assist the accomplishment of so desirable an object, and earnestly exhort their professional brethren and friends notice, he should avoid wronging other men. I am. Sir. respectfully vours. throughout the country to aid them in carrying it out. W. S. PARTRIGE. 3. That a local committee be formed, consisting of the fol;· . .