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TESTS FOR CURE OF GONORRHŒA IN WOMEN.
570 TESTS FOR CURE OF GONORRHŒA IN WOMEN.
Diabetes mellitus, though often associated with hypercholesterinsemia, should be placed on one side, as apparently the hyperglycaemia and wasting favour pulmonary tuberculosis. It would also be interesting
To the Editor of THE LANCET. know whether methodical reduction of the SIR,-In your issue of March lst Mr. T. J. Abraham to rates the value of cultures in the examination of cholesterol in-take in the diet can diminish the The experimental women with gonorrhoea so low as useless when liability to arterial atheroma, &c. rabbits of aortic atheroma in by cholesterolproduction compared with films. His experiences, however, can hardly be taken as strong evidence, since feeding are somewhat unusual. or agar hydrocele Using rabbits are peculiarly liable to atheroma. serum agar, overgrowth by other organisms is seldom I am, Sir, yours faithfully, of consequence in the female, and, as is to be expected, PAREES WEBER. F. PARKES March W., 6th, 1924. London, culture than more " positives " are obtained by by "
"
film :-
Cultures and films from women...... Positive by culture........ 53 film.. 42 " the culture method is safer, Furthermore, the worker has both morphological and characters to aid him. Indeed, the value of
220
INHALATION IN THE TREATMENT OF PULMONARY TUBERCULOSIS.
because cultural cultures over films in women is considered so marked here that, by arrangement with Mr. Hugh Lett and Dr. A. M. Simpson, routine films have been dispensed with, and cultures are taken by the staff in the women’s clinic.-We are, Sir, yours faithfully, PAUL FILDES. G. T. WESTERN, London Hospital, E., March 6th, 1924.
To the Editor of THE LANCET. his second Lettsomian lecture on the SiR,-In treatment of pulmonary tuberculosis, reported in your last issue, Dr. R. A. Young has given a place to inhalations in his survey of various methods of treatment. I have been using inhalation in conjunction with sanatorium treatment for the last 25 years The mixture I am in with considerable benefit. favour of is one containing guaiacol, terebene, menthol, ol. pin. pumil., chloroform, and rectified spirit with or without tinct. iodine or formalin (2!1 to 5 per cent.), ), which is manufactured by Oppenheimer, Son, and CERTIFICATES OF INSANITY. Co., London. The inhalation relieves the patient’s To the Editor of THE LANCET. cough, determines more blood to his lungs like Kuhn’s Sin,—I trust that you will lend your influential aid mask, protects him from strong winds and dust, and in endeavouring to relieve the profession from the prevents any infectious cold or catarrh of the nose risks that it unnecessarily runs in signing the present and throat from spreading downwards and starting certificates of insanity. The legislature demands that fresh mischief in the lungs, and thus in many ways a person suffering from dangerous insanity should be it helps to arrest the disease. Its results are striking deprived of his liberty, and it is the duty of the when it is used continuously and perseveringly. I am, Sir, yours faithfully, legislature to provide that the detention is necessary and right. A non-official general practitioner is not March 10th, 1924. C. MUTHU. Mendip Hills Sanatorium,March the servant of the legislature, and should therefore not be required to take any responsible part in carrying out its objects ; his duty only consists in THE POSITION OF NON-PANEL PRACTICE. advising the treatment necessary. If he voluntarily To the Editor of THE LANCET. undertakes to aid the legislature by giving an opinion, with the facts on which that opinion is based, he SiR,-The National Medical Union of Non-panel should not be held responsible for the action that the Medical Practitioners is accumulating evidence to lay legislature takes upon that opinion and testimony, before the approaching Royal Commission. As the and the certificate should be framed in accordance whole system of panel medical practice is to come under review, it is very important that the non-panel with this principle. I therefore suggest that after paragraph 5 in the case should be adequately presented. With a view to assisting the Royal Commission to medical certificate of insanity form some addition should be made to the effect that, since the facts come to a clear decision on the merits of the Medical stated may reveal secrets obtained professionally, the Benefit Section of the National Health Insurance certificate should be regarded as privileged and should Acts, all insured persons are requested earnestly to in any way that could lead to the reply to the two following questions :not be ofrevealed, the injury signer, legally or otherwise. I suggest A. Are you satisfied with the present panel medical that the whole profession should unite to obtain this system ? Answer................................ protection from the legislature, or alternatively decline to sign certificates in the present form. B. If not, would you prefer to make your own arrangements for medical attendance, receiving when sick a certain I am, Sir, yours faithfully, amount of money towards your medical expenses, and H. RAYNER. March 5th, 1924. ’
_____________
CHOLESTEROL AND TUBERCULOSIS. To the Editor of THE LANCET. SiR,-I am anxious to know whether any serious trial has been made of cholesterol as a therapeutic adjuvant in cases of tuberculosis, especially pulmonary tuberculosis-either by methodically increasing the cholesterol-intake in the diet or by other medicinal methods. In the careful resume of hitherto tried treatment given by Dr. R. A. Young in his second Lettsomian lecture, on March 5th, no mention of cholesterol was made. Perhaps readers of THE LANCET can inform me on the subject. A high cholesterolcontent in the blood is supposed by some to indicate good resistance towards bacterial infections, and it is remarkable that in diseases often associated with hypercholesterinaemia—gout, arterial atheroma, arteriosclerosis, chronic interstitial nephritis, and chronic cholelithiasis-there seems to be considerable antagonism towards acute pulmonary tuberculosis.
consulting the doctor of Answer
your choice ?
................................
1 am,
Sir, yours faithfully,
E. H. WORTH, M.R.C.S. (for the Hon. Sees., N.M.U.). 11, Chandos-street, Cavendish-square, W., March 5th.
STAPLE HOLDERS FOR ROUX’S OPERATION. To the Editor of THE LANCET.
SIR,-In your issue for March lst (p. 465) Mr. C. M. Page’s staple holder is shown. I was not aware of his invention, which resembles in idea my own. Mr. Page’s staple holder is for the Roux staple and unless altered it would be useless to take the Jacoel. I think the advantage of my staple holder over that of Mr. Page is that the sides of the staple are in no way obscured by the holder. I am, Sir, yours faithfully, A. MACLENNAN. MACLENNAN, Glasgow, March 5th, 1924.
Diabetes mellitus, though often associated with hypercholesterinsemia, should be placed on one side, as apparently the hyperglycaemia and wasting favour pulmonary tuberculosis. It would also be interesting
To the Editor of THE LANCET. know whether methodical reduction of the SIR,-In your issue of March lst Mr. T. J. Abraham to rates the value of cultures in the examination of cholesterol in-take in the diet can diminish the The experimental women with gonorrhoea so low as useless when liability to arterial atheroma, &c. rabbits of aortic atheroma in by cholesterolproduction compared with films. His experiences, however, can hardly be taken as strong evidence, since feeding are somewhat unusual. or agar hydrocele Using rabbits are peculiarly liable to atheroma. serum agar, overgrowth by other organisms is seldom I am, Sir, yours faithfully, of consequence in the female, and, as is to be expected, PAREES WEBER. F. PARKES March W., 6th, 1924. London, culture than more " positives " are obtained by by "
"
film :-
Cultures and films from women...... Positive by culture........ 53 film.. 42 " the culture method is safer, Furthermore, the worker has both morphological and characters to aid him. Indeed, the value of
220
INHALATION IN THE TREATMENT OF PULMONARY TUBERCULOSIS.
because cultural cultures over films in women is considered so marked here that, by arrangement with Mr. Hugh Lett and Dr. A. M. Simpson, routine films have been dispensed with, and cultures are taken by the staff in the women’s clinic.-We are, Sir, yours faithfully, PAUL FILDES. G. T. WESTERN, London Hospital, E., March 6th, 1924.
To the Editor of THE LANCET. his second Lettsomian lecture on the SiR,-In treatment of pulmonary tuberculosis, reported in your last issue, Dr. R. A. Young has given a place to inhalations in his survey of various methods of treatment. I have been using inhalation in conjunction with sanatorium treatment for the last 25 years The mixture I am in with considerable benefit. favour of is one containing guaiacol, terebene, menthol, ol. pin. pumil., chloroform, and rectified spirit with or without tinct. iodine or formalin (2!1 to 5 per cent.), ), which is manufactured by Oppenheimer, Son, and CERTIFICATES OF INSANITY. Co., London. The inhalation relieves the patient’s To the Editor of THE LANCET. cough, determines more blood to his lungs like Kuhn’s Sin,—I trust that you will lend your influential aid mask, protects him from strong winds and dust, and in endeavouring to relieve the profession from the prevents any infectious cold or catarrh of the nose risks that it unnecessarily runs in signing the present and throat from spreading downwards and starting certificates of insanity. The legislature demands that fresh mischief in the lungs, and thus in many ways a person suffering from dangerous insanity should be it helps to arrest the disease. Its results are striking deprived of his liberty, and it is the duty of the when it is used continuously and perseveringly. I am, Sir, yours faithfully, legislature to provide that the detention is necessary and right. A non-official general practitioner is not March 10th, 1924. C. MUTHU. Mendip Hills Sanatorium,March the servant of the legislature, and should therefore not be required to take any responsible part in carrying out its objects ; his duty only consists in THE POSITION OF NON-PANEL PRACTICE. advising the treatment necessary. If he voluntarily To the Editor of THE LANCET. undertakes to aid the legislature by giving an opinion, with the facts on which that opinion is based, he SiR,-The National Medical Union of Non-panel should not be held responsible for the action that the Medical Practitioners is accumulating evidence to lay legislature takes upon that opinion and testimony, before the approaching Royal Commission. As the and the certificate should be framed in accordance whole system of panel medical practice is to come under review, it is very important that the non-panel with this principle. I therefore suggest that after paragraph 5 in the case should be adequately presented. With a view to assisting the Royal Commission to medical certificate of insanity form some addition should be made to the effect that, since the facts come to a clear decision on the merits of the Medical stated may reveal secrets obtained professionally, the Benefit Section of the National Health Insurance certificate should be regarded as privileged and should Acts, all insured persons are requested earnestly to in any way that could lead to the reply to the two following questions :not be ofrevealed, the injury signer, legally or otherwise. I suggest A. Are you satisfied with the present panel medical that the whole profession should unite to obtain this system ? Answer................................ protection from the legislature, or alternatively decline to sign certificates in the present form. B. If not, would you prefer to make your own arrangements for medical attendance, receiving when sick a certain I am, Sir, yours faithfully, amount of money towards your medical expenses, and H. RAYNER. March 5th, 1924. ’
_____________
CHOLESTEROL AND TUBERCULOSIS. To the Editor of THE LANCET. SiR,-I am anxious to know whether any serious trial has been made of cholesterol as a therapeutic adjuvant in cases of tuberculosis, especially pulmonary tuberculosis-either by methodically increasing the cholesterol-intake in the diet or by other medicinal methods. In the careful resume of hitherto tried treatment given by Dr. R. A. Young in his second Lettsomian lecture, on March 5th, no mention of cholesterol was made. Perhaps readers of THE LANCET can inform me on the subject. A high cholesterolcontent in the blood is supposed by some to indicate good resistance towards bacterial infections, and it is remarkable that in diseases often associated with hypercholesterinaemia—gout, arterial atheroma, arteriosclerosis, chronic interstitial nephritis, and chronic cholelithiasis-there seems to be considerable antagonism towards acute pulmonary tuberculosis.
consulting the doctor of Answer
your choice ?
................................
1 am,
Sir, yours faithfully,
E. H. WORTH, M.R.C.S. (for the Hon. Sees., N.M.U.). 11, Chandos-street, Cavendish-square, W., March 5th.
STAPLE HOLDERS FOR ROUX’S OPERATION. To the Editor of THE LANCET.
SIR,-In your issue for March lst (p. 465) Mr. C. M. Page’s staple holder is shown. I was not aware of his invention, which resembles in idea my own. Mr. Page’s staple holder is for the Roux staple and unless altered it would be useless to take the Jacoel. I think the advantage of my staple holder over that of Mr. Page is that the sides of the staple are in no way obscured by the holder. I am, Sir, yours faithfully, A. MACLENNAN. MACLENNAN, Glasgow, March 5th, 1924.