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THE ASSOCIATION OF MEDICAL DIPLOMATES OF SCOTLAND AND A MEMBERSHIP QUALIFICATION.
257 The Fund last year sent away over 5000 of the poorest .at the Bristol Royal Infirmary thetwo-bottle method," the two anaesthetics (chloroform and ether) being in separatewomen and girls of London, some of whom, even some of the bottles and added to the mask as required, as I think it is anyoungest, work from nine to 11 hours a day, and are in : cases the chief bread-winners in their families. Many improvement on the use of one definite mixture. many be the amount of either anaesthetic can this method of these girls have been saving up for months for their By .altered at will, an enormous advantage in combating shock. holiday ; the total contribution from them reached, last year, For example, take a case where thisI two-bottle " method is the sum of 1558. But it is obvious that, from wages someused. The anaesthetist sees that the next step of the opera- times as low as 2s. 6d. a week, the whole cost cannot possibly tion is calculated to produce shock. He is able by adding be paid by them. A fortnight at the country or seaside, more ether to his mask to anticipate the surgeon, stimulate including fare, costs on an average 25s., yet many factory his patient, raise his blood pressure, and place him in a girls cannot afford even a week, and if they could they position to better resist the effects of the coming manipula- would not know where to go. Many have never been out of tion. In this way more ether than required is never used; London at all to stay. the type of anassthesia is excellent ; respiration, pulse, and To all, then, who value their annual holiday, we appeal, colour remain good ; and the amount of anæsthetic used confident that they will not allow those who are working amid many hardships, to go on working without any change very small, in my experience less than with the mixture. I should have been glad if Dr. Hewitt and Dr. Blumfeld or refreshment. It has been already necessary to refuse all had given more particulars with regard to the use they make further applications since the end of June, and it is doubtful of oxygen, the only reference being in connexion with a case whether many applicants, numbering some thousands, may suffering from pneumonia. My own experience leads me to not after all be disappointed of their longed-for holiday unless think that, when a patient is very ill and feeble at the time further help be at once forthcoming. of operation, oxygen used in conjunction with the above Subscriptions and donations will be thankfully received by method is a very valuable factor in the prevention of shock. the chairman, the Rev. Edward Canney, St. Peter’s Rectory, I am, Sir, yours faithfully, Saffron-hill, London, E.C., and by the honorary treasurer, STUART V. STUART V. STOCK. Clifton, Bristol, July 19th, 1909. Herbert Rendel, Esq., 51, Gordon-square, London, W.C.
Yours obediently,-
THE ASSOCIATION OF MEDICAL DIPLOMATES OF SCOTLAND AND A MEMBERSHIP QUALIFICATION. To the Editor
of THE LANCET.
SIR,-The holders of the
.
MARY ST. HELIER, BEATRICE B. TEMPLE, LOUISE CREIGHTON, H. L. STEPNEY, EDW. SOUTHWARK, July 21st, 1909.
NORFOLK, HENRY SCOTT HOLLAND, H. ADLER (Chief Rabbi), ROBERT F. HORTON, FRANK LLOYD.
Licentiateship of the Edinburgh Royal College of Surgeons, either alone or conjoined with SANITATION AT SEA. the Glasgow or other Scottish qualifications, have for a long time laboured under a disadvantage in practice through not (FROM OUR SPECIAL SANITARY COMMISSIONER.) having a Membership open to them. The matter has for some years engaged the attention of the Association of Medical Diplomates of Scotland, on whose behalf I venture FROM EGYPT TO MARSEILLES BY THE MESSAGERIES MARITIMES.-THE BEAUTIES AND ADVANTAGES OF THE to ask the publication of the following communication ROUTE.-OLD SHIPS WITH GOOD COMPANY AND GOOD addressed to the Edinburgh College. CUISINE. -BETTER QUARTERS FOR THE CREWS. I am, Sir, yours faithfully, SANITARY PROGRESS IN MESSAGERIES DAVID WALSH, President, A.M.D.S.
TONQUIN.-THE
MARITIMES’ MODEL LAUNDRY AT MARSEILLES. HAVING travelled to Egypt by the Austrian-Lloyd I TO THE PRESIDENT AND COUNCIL OF THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH. returned by the French Messageries Maritimes. The two GENTLEMEN,—The Association of Medical Diplomates of Scotland beg companies work together and give circular tickets, so that a of to to remind petition formally presented you your respectfully President and Council in 1905, praying that steps be taken, by extension passengers may go by the one route and return by the other. of Charter if necessary, to secure an additional diploma of Membership For persons who are wintering in Egypt and can afford to It was shown in that petition that the for your ancient College. on the road I would recommend Trieste for the outlack of an intermediate qualification between the Licentiate- stop Near Marseilles ship and the Fellowship imposes a serious social and pro- ward journey and Marseilles for the return. fessional handicap upon your Licentiates in various parts of the there are numerous half season places where the traveller may United Kingdom and elsewhere, inasmuch as the majority of for the change of climate. An economic their competitors hold the Membership of other Colleges. The Council gradually prepare of the Association of Medical Diplomates of Scotland, therefore, as and pleasant way home for those who like the sea would be representing the interests of Edinburgh Diplomates in all parts of the by the General Steam Navigation Company’s ships which world, would be glad to learn whether the Council of the Royal College sail twice a week from Bordeaux to Tower Bridge, London. of Surgeons of Edinburgh have taken any further steps in the matter. tf nothing has yet been done they would venture to ask if there be any From Marseilles to Bordeaux, Arles, Nimes, Aigues-Mortes, likelihood of this most important, and, in their opinion, most salutary Montpellier, Narbonne, Carcassonne, and Toulouse can be change being considered seriously by the Council of the College. visited. They’are all on the road and but a few hours’ It need hardly be said that the Council of the Association would mst that lead to the with the in journey from each other. Though not winter stations, still, might willingly cooperate College any way desired end. They presume the College will hardly require any further being in the South of France, they are much warmer than proof of the popularity of the proposed change than that afforded by Paris or London. Then by taking a route that is not so direct the petition already formally lodged with the College-a document that all the health stations of the Pyrenees can be reached, together was signed by many hundreds of Fellows and Licentiates. In conclusion, we venture to urge that the institution of the diploma with Pau and Biarritz. In regard to the ships from Alexandria of Membership must infallibly lead to a great increase of the popularity to Marseilles, it must he confessed that these are not up to .and the usefulness of our ancient College; nor could it fail to establish date. They are old boats, and as the agreement between a fresh bond of union between the College and its diplomates in all parts of the world, at the same time re-awakening old memories, the company and the French Government has now run its interests, and associations ; while it would add to the material course and must be renewed, the building of better ships .prosperity of the College for many years to come. was should be concluded. deferred until the new honour of the considerations set further to the arrangement Awaiting your reply forth in our former petition, This was all the more necessary, as there was not only the We have the honour to remain, on behalf of the Association of question of the contract between the Government and the Medical Diplomates of Scotland, Yours faithfully, company, but a new law pending on the construction of (Signed) DAVID WALSH, M.D., President. M.D., President. ships and the conditions of navigation. This law has now SKENE KEITH, M.D., Hon. Treasurer. been enacted and its stipulations are such that it-will place P. H. PARSONS, L.R.C.S. & P. Edin., &c., Hon. Secretary. the French passenger lines in the very fore rank of progress so far as health considerations are concerned. FACTORY GIRLS’ COUNTRY HOLIDAY To secure a better ship instead of taking the ordinary boat FUND. running from Alexandria to Marseilles, I was able, with the courteous assistance of the company, to embark at Port Said To the Editor of THE LANCET. on the Tourane, a ship of 6000 tons which was on her homeSIR,—May we bring before your readers the claims of the ward journey from Japan, China, and India. To my mind the principal advantages of this line are the sociability, the Factory Girls’ Country Holiday Fund? Welbeck-street, W., July 21st, 1909.
Yours obediently,-
THE ASSOCIATION OF MEDICAL DIPLOMATES OF SCOTLAND AND A MEMBERSHIP QUALIFICATION. To the Editor
of THE LANCET.
SIR,-The holders of the
.
MARY ST. HELIER, BEATRICE B. TEMPLE, LOUISE CREIGHTON, H. L. STEPNEY, EDW. SOUTHWARK, July 21st, 1909.
NORFOLK, HENRY SCOTT HOLLAND, H. ADLER (Chief Rabbi), ROBERT F. HORTON, FRANK LLOYD.
Licentiateship of the Edinburgh Royal College of Surgeons, either alone or conjoined with SANITATION AT SEA. the Glasgow or other Scottish qualifications, have for a long time laboured under a disadvantage in practice through not (FROM OUR SPECIAL SANITARY COMMISSIONER.) having a Membership open to them. The matter has for some years engaged the attention of the Association of Medical Diplomates of Scotland, on whose behalf I venture FROM EGYPT TO MARSEILLES BY THE MESSAGERIES MARITIMES.-THE BEAUTIES AND ADVANTAGES OF THE to ask the publication of the following communication ROUTE.-OLD SHIPS WITH GOOD COMPANY AND GOOD addressed to the Edinburgh College. CUISINE. -BETTER QUARTERS FOR THE CREWS. I am, Sir, yours faithfully, SANITARY PROGRESS IN MESSAGERIES DAVID WALSH, President, A.M.D.S.
TONQUIN.-THE
MARITIMES’ MODEL LAUNDRY AT MARSEILLES. HAVING travelled to Egypt by the Austrian-Lloyd I TO THE PRESIDENT AND COUNCIL OF THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH. returned by the French Messageries Maritimes. The two GENTLEMEN,—The Association of Medical Diplomates of Scotland beg companies work together and give circular tickets, so that a of to to remind petition formally presented you your respectfully President and Council in 1905, praying that steps be taken, by extension passengers may go by the one route and return by the other. of Charter if necessary, to secure an additional diploma of Membership For persons who are wintering in Egypt and can afford to It was shown in that petition that the for your ancient College. on the road I would recommend Trieste for the outlack of an intermediate qualification between the Licentiate- stop Near Marseilles ship and the Fellowship imposes a serious social and pro- ward journey and Marseilles for the return. fessional handicap upon your Licentiates in various parts of the there are numerous half season places where the traveller may United Kingdom and elsewhere, inasmuch as the majority of for the change of climate. An economic their competitors hold the Membership of other Colleges. The Council gradually prepare of the Association of Medical Diplomates of Scotland, therefore, as and pleasant way home for those who like the sea would be representing the interests of Edinburgh Diplomates in all parts of the by the General Steam Navigation Company’s ships which world, would be glad to learn whether the Council of the Royal College sail twice a week from Bordeaux to Tower Bridge, London. of Surgeons of Edinburgh have taken any further steps in the matter. tf nothing has yet been done they would venture to ask if there be any From Marseilles to Bordeaux, Arles, Nimes, Aigues-Mortes, likelihood of this most important, and, in their opinion, most salutary Montpellier, Narbonne, Carcassonne, and Toulouse can be change being considered seriously by the Council of the College. visited. They’are all on the road and but a few hours’ It need hardly be said that the Council of the Association would mst that lead to the with the in journey from each other. Though not winter stations, still, might willingly cooperate College any way desired end. They presume the College will hardly require any further being in the South of France, they are much warmer than proof of the popularity of the proposed change than that afforded by Paris or London. Then by taking a route that is not so direct the petition already formally lodged with the College-a document that all the health stations of the Pyrenees can be reached, together was signed by many hundreds of Fellows and Licentiates. In conclusion, we venture to urge that the institution of the diploma with Pau and Biarritz. In regard to the ships from Alexandria of Membership must infallibly lead to a great increase of the popularity to Marseilles, it must he confessed that these are not up to .and the usefulness of our ancient College; nor could it fail to establish date. They are old boats, and as the agreement between a fresh bond of union between the College and its diplomates in all parts of the world, at the same time re-awakening old memories, the company and the French Government has now run its interests, and associations ; while it would add to the material course and must be renewed, the building of better ships .prosperity of the College for many years to come. was should be concluded. deferred until the new honour of the considerations set further to the arrangement Awaiting your reply forth in our former petition, This was all the more necessary, as there was not only the We have the honour to remain, on behalf of the Association of question of the contract between the Government and the Medical Diplomates of Scotland, Yours faithfully, company, but a new law pending on the construction of (Signed) DAVID WALSH, M.D., President. M.D., President. ships and the conditions of navigation. This law has now SKENE KEITH, M.D., Hon. Treasurer. been enacted and its stipulations are such that it-will place P. H. PARSONS, L.R.C.S. & P. Edin., &c., Hon. Secretary. the French passenger lines in the very fore rank of progress so far as health considerations are concerned. FACTORY GIRLS’ COUNTRY HOLIDAY To secure a better ship instead of taking the ordinary boat FUND. running from Alexandria to Marseilles, I was able, with the courteous assistance of the company, to embark at Port Said To the Editor of THE LANCET. on the Tourane, a ship of 6000 tons which was on her homeSIR,—May we bring before your readers the claims of the ward journey from Japan, China, and India. To my mind the principal advantages of this line are the sociability, the Factory Girls’ Country Holiday Fund? Welbeck-street, W., July 21st, 1909.