- Email: [email protected]
PUNCTURE OF THE TESTIS IN ACUTE ORCHITIS.
479
Correspondence.
surgical principles, cule
the
one
by ridipersonal experience on
and is not to be settled either
hand,
or
by
limited
the other. I
"Audi alteram partem."
THE COLLEGE OF SURGEONS AND ITS
on
remain, Sir, your obedient servant, T. W. NUNN, the Middlesex Hospital.
March iith, lSi6.
MIDWIFERY BOARD. of THE LANCET.
Surgeon to
THE DENTAL PROFESSION AND THE ODONTOLOGICAL SOCIETY.
To the Editor
SIR,-I am anxious to avoid all misunderstanding as to To the Editor of THE LANCET. the reasons which led me to resign my seat at the Midwifery Board of the Royal College of Surgeons. have read carefully Mr. Cartwright’s letter in SIR,—I Every personal feeling moved me to retain that seat; but your last issue, as well as the statement of the principles the higher claim of allegiance to my profession, coincident, and objects of the projected Association of Legally Qualified as this appeared to me, with the public interest, left me no Dentists, and with every desire to be convinced of the conalternative. trary, I am sorry to say I find no valid raison d’6tre for this It will put the case, in so far as it concerns me, in the new Association, but rather, I regret to conclude, that it is clearest light if you will be good enough to print the letter calculated to defeat the ends which Mr. Cartwright and which I felt it my duty to address to the Council of the his coadjutors have in view. Every one of the objects of the Association has been and is consistently and conCollege. I am, &c., tinuously striven for with a large measure of success by ROBERT BARNES. Grosvenor-street, March 20, 1876. the Odontological Society. It has already established "an (COPY.) I improved code of ethics "; and although it might, perhaps, To the President, Vice-President, and Council of the Royal possible to show that now and then a member has be College of Surgeons, England. steered dangerously near the limits of professional law, I Grosvenor-street, March 16,1876. challenge contradiction of the assertion that the memGENTLEMEN,—The duty imposed upon the Midwifery bers of the Odontological Society will compare favourably Board to examine for the College licence in midwifery with the members of any medical society. The Society has " persons"who shall not be required to submit to an not only " endeavoured to encourage a higher educational adequate examination in medicine and surgery has com- standard, both general and professional, for those who pelled me to reconsider my position as a member of that practise the special branch of dental surgery," but has been Board. mainly instrumental in instituting a special qualification The Council calls upon the Board to aid in placing on the for dentists, and in devising an admirable and complete Medical Register " persons" possessing only fragmentary curriculum of study for candidates. In addition, dental medical skill, but who will, notwithstanding, acquire a students will shortly be required to pass a preliminary practical, if not legal right to practise far beyond the examination in arts similar to that which is now undergone limits of their qualification. by medical students, and it cannot therefore be said that Knowing, as I do, that obstetrics is an integral part of general education has been neglected. medicine; knowing that it cannot be rightly understood or Mr. Cartwright is now a member of the Council of the safely practised without a fair knowledge of the other parts Odontological Society, and has been from the first one of of medical science; and feeling deeply the injustice and its most active and valuable members. He is aware that danger of making women and children the subjects of the laws of the Society are not unchangeable, and if ’he inferior medical skill, I cannot reconcile it to my sense of thinks that " a qualification ought to be a sine quâ non of right to assist in carrying out the College charter in the membership of the Odontological Society," it is a pity he does not propose that this condition be imposed for the spirit expounded by counsel. With extreme regret, but without hesitation, I resign the future. If good reason can be adduced in favour of the office of Examiner in Midwifery to your College. change (and I am inclined to think it can), there need be I have the honour to be, Gentlemen, no doubt it will be adopted by the Society. So with regard Your most obedient servant, to laxity in administration of the laws. The bye-laws of ROBERT BARNES. the Odontological Society are clear and strict in inculcating professional etiquette, and since I have held the office of secretary to the Council I am not aware of any instance in PUNCTURE OF THE TESTIS IN ACUTE which violation of the laws has been permitted, nor am I ORCHITIS. cognisant of any complaint upon the subject which has not received due attention. To the Editor of THE LANCET. one of the main objects of the Association be, after all, SIR,—A case of acute orchitis occurred in my practice at to If combat the efforts of the committee appointed by the the Middlesex Hospital, in which I had failed to relieve Manchester meeting to which Mr. Cartwright refers, it is the patient of the intense pain he was suffering. The to be regretted the fast has not been stated. I agree with testicle was not greatly swollen, but it was very hard ; and Mr. Cartwright that the admittance of all persons practhe scrotum, which was thin, was unusually ruddy. I punc- tising as dentists to legal registration, whatever their antetured the testicle, at two or three points on its anterior cedents may have been, cannot tend to the elevation of the ; but I, with many others, believe that the and outer aspect, with a bistoury one-tenth of an inch wide, profession scheme of the committee stands no chance even of being to the depth of about four-tenths of an inch. The pain entertained by the Legislature, and therefore opposition to almost immediately began to subside, and convalescence it is uncalled for. commenced. I punctured the testicle, acting on the same The new Association will tend to defeat the aims of its principle that I should perform iridectomy in acute glau- promoters in several ways: it will lead to disunion in the coma ; and I assume it is on this principle that Mr. Smith profession by alienating a large number of licentiates in bases his treatment. Those who have watched the progress dental surgery, comprising many honourable and eminent of ophthalmic surgery during the past five-and-twenty practitioners; it will depreciate the value of the dental years will remember the prejudice that existed against diploma in the estimation of those entering the profession, iridectomy-a prejudice that has yielded to extended ex- and thus will incline a still greater number than at present perience, but a prejudice which doubtless beneficially acted to obtain a smattering of professional education, and comin controlling the proceedings of the mere imitators of the mence practice without undergoing examination, or obtain. operations of truly scientific surgeons; I therefore venture ing any qualification whatever.
hope that this question of puncture of the testis in acute orchitis will receive a calm and fair consideration. In my humble judgment it is a question that involves important to
I
remain, Sir, your obedient servant, HENRY SEWILL, M.R.C.S., L.D.S.
Wimpole-street, :March 18th, 1876.
Correspondence.
surgical principles, cule
the
one
by ridipersonal experience on
and is not to be settled either
hand,
or
by
limited
the other. I
"Audi alteram partem."
THE COLLEGE OF SURGEONS AND ITS
on
remain, Sir, your obedient servant, T. W. NUNN, the Middlesex Hospital.
March iith, lSi6.
MIDWIFERY BOARD. of THE LANCET.
Surgeon to
THE DENTAL PROFESSION AND THE ODONTOLOGICAL SOCIETY.
To the Editor
SIR,-I am anxious to avoid all misunderstanding as to To the Editor of THE LANCET. the reasons which led me to resign my seat at the Midwifery Board of the Royal College of Surgeons. have read carefully Mr. Cartwright’s letter in SIR,—I Every personal feeling moved me to retain that seat; but your last issue, as well as the statement of the principles the higher claim of allegiance to my profession, coincident, and objects of the projected Association of Legally Qualified as this appeared to me, with the public interest, left me no Dentists, and with every desire to be convinced of the conalternative. trary, I am sorry to say I find no valid raison d’6tre for this It will put the case, in so far as it concerns me, in the new Association, but rather, I regret to conclude, that it is clearest light if you will be good enough to print the letter calculated to defeat the ends which Mr. Cartwright and which I felt it my duty to address to the Council of the his coadjutors have in view. Every one of the objects of the Association has been and is consistently and conCollege. I am, &c., tinuously striven for with a large measure of success by ROBERT BARNES. Grosvenor-street, March 20, 1876. the Odontological Society. It has already established "an (COPY.) I improved code of ethics "; and although it might, perhaps, To the President, Vice-President, and Council of the Royal possible to show that now and then a member has be College of Surgeons, England. steered dangerously near the limits of professional law, I Grosvenor-street, March 16,1876. challenge contradiction of the assertion that the memGENTLEMEN,—The duty imposed upon the Midwifery bers of the Odontological Society will compare favourably Board to examine for the College licence in midwifery with the members of any medical society. The Society has " persons"who shall not be required to submit to an not only " endeavoured to encourage a higher educational adequate examination in medicine and surgery has com- standard, both general and professional, for those who pelled me to reconsider my position as a member of that practise the special branch of dental surgery," but has been Board. mainly instrumental in instituting a special qualification The Council calls upon the Board to aid in placing on the for dentists, and in devising an admirable and complete Medical Register " persons" possessing only fragmentary curriculum of study for candidates. In addition, dental medical skill, but who will, notwithstanding, acquire a students will shortly be required to pass a preliminary practical, if not legal right to practise far beyond the examination in arts similar to that which is now undergone limits of their qualification. by medical students, and it cannot therefore be said that Knowing, as I do, that obstetrics is an integral part of general education has been neglected. medicine; knowing that it cannot be rightly understood or Mr. Cartwright is now a member of the Council of the safely practised without a fair knowledge of the other parts Odontological Society, and has been from the first one of of medical science; and feeling deeply the injustice and its most active and valuable members. He is aware that danger of making women and children the subjects of the laws of the Society are not unchangeable, and if ’he inferior medical skill, I cannot reconcile it to my sense of thinks that " a qualification ought to be a sine quâ non of right to assist in carrying out the College charter in the membership of the Odontological Society," it is a pity he does not propose that this condition be imposed for the spirit expounded by counsel. With extreme regret, but without hesitation, I resign the future. If good reason can be adduced in favour of the office of Examiner in Midwifery to your College. change (and I am inclined to think it can), there need be I have the honour to be, Gentlemen, no doubt it will be adopted by the Society. So with regard Your most obedient servant, to laxity in administration of the laws. The bye-laws of ROBERT BARNES. the Odontological Society are clear and strict in inculcating professional etiquette, and since I have held the office of secretary to the Council I am not aware of any instance in PUNCTURE OF THE TESTIS IN ACUTE which violation of the laws has been permitted, nor am I ORCHITIS. cognisant of any complaint upon the subject which has not received due attention. To the Editor of THE LANCET. one of the main objects of the Association be, after all, SIR,—A case of acute orchitis occurred in my practice at to If combat the efforts of the committee appointed by the the Middlesex Hospital, in which I had failed to relieve Manchester meeting to which Mr. Cartwright refers, it is the patient of the intense pain he was suffering. The to be regretted the fast has not been stated. I agree with testicle was not greatly swollen, but it was very hard ; and Mr. Cartwright that the admittance of all persons practhe scrotum, which was thin, was unusually ruddy. I punc- tising as dentists to legal registration, whatever their antetured the testicle, at two or three points on its anterior cedents may have been, cannot tend to the elevation of the ; but I, with many others, believe that the and outer aspect, with a bistoury one-tenth of an inch wide, profession scheme of the committee stands no chance even of being to the depth of about four-tenths of an inch. The pain entertained by the Legislature, and therefore opposition to almost immediately began to subside, and convalescence it is uncalled for. commenced. I punctured the testicle, acting on the same The new Association will tend to defeat the aims of its principle that I should perform iridectomy in acute glau- promoters in several ways: it will lead to disunion in the coma ; and I assume it is on this principle that Mr. Smith profession by alienating a large number of licentiates in bases his treatment. Those who have watched the progress dental surgery, comprising many honourable and eminent of ophthalmic surgery during the past five-and-twenty practitioners; it will depreciate the value of the dental years will remember the prejudice that existed against diploma in the estimation of those entering the profession, iridectomy-a prejudice that has yielded to extended ex- and thus will incline a still greater number than at present perience, but a prejudice which doubtless beneficially acted to obtain a smattering of professional education, and comin controlling the proceedings of the mere imitators of the mence practice without undergoing examination, or obtain. operations of truly scientific surgeons; I therefore venture ing any qualification whatever.
hope that this question of puncture of the testis in acute orchitis will receive a calm and fair consideration. In my humble judgment it is a question that involves important to
I
remain, Sir, your obedient servant, HENRY SEWILL, M.R.C.S., L.D.S.
Wimpole-street, :March 18th, 1876.