THE ICE-BAG TREATMENT IN PNEUMONIA.

THE ICE-BAG TREATMENT IN PNEUMONIA.

1148 "A larynx showing a deep excavation at the posterior attachment of each vocal cord. The blue rod indicates the communication between the ulcer an...

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1148 "A larynx showing a deep excavation at the posterior attachment of each vocal cord. The blue rod indicates the communication between the ulcer and the connective tissue -outside the larynx. The boy became affected with general surgical emphysema in the second week of his illness, was unable to swallow, and died at the beginning of the third week." Similar deeply excavated ulcers are also seen in several other specimens of typhoid laryngitis, and in no instance was their existence suspected during life. It occurs to me that possibly the cellulitis of the neck which Dr. Harrison has described had its origin in a perforating ulcer resembling that found in Dr. Addison’s patient. I am, Sirs, yours truly, E. C. PERRY. St. Thomas’s Chambers, S.E., Nov. 22nd, 1889.

THE MORTON LECTURE ON CANCER. To the Editors of THE LANCET.

SIRS,-Mr. John Marshall, in his masterly lecture on Cancer, courteously mentioned my method of treatment by electricity ; but he spoke of the requisite repeated application of electricity." My further experience teaches me that usually a repetition of the application is unnecessary, and that one operation will cause atrophy of the growth. My first patient was under treatment for a little over three weeks in August, 1888, but since then it has not been necessary to repeat the applications. The majority of my cases "

have been those in which the knife had failed or in which the disease had progressed too far for the knife. With most - of these I have had to operate more than once, because there has been so much growth that it could not all be treated a1 one operation. The theory that cancer is probably due t( an escape of healthy cells from the control of the nervous - system was brought forward by me in my first pape: published in the Brit. Med. Jour. of April 27th last, ani n-iy method of treatment was based on this hypothesis. I am, Sirs, yours faithfully, J. INGLIS PARSONS. Collingham-place, S.W., Nov. 1889.

School Board system of education, which he characterised as a tremendous engine of destruction to a host of the best people in our midst; to the scholar of sluggish brain and feeble constitution ; to the pupil teacher ; to the schoolmistress and to the schoolmaster, who endeavour to make ends meet by obtaining the Government grant. In

speaking of the necessity for keeping the organism in correspondence with its environment Dr. Murray claimed to have anticipated Herbert Spencer in the application of this principle to the health as well as to the life of the organism. In evidence of this he quoted from a paper contributed to the Journal of Anatomy (tnd Physiology nearly thirty years ago.

Darlington. The Darlington papers are rejoicing in the possession of a lady who has just attained, they say,her 107th year of was born at Gallow-hill, Yorkshire, a mile or two fromBarnard Castle. She has yet a clear ringing good old dame, it is said, got her second sight some eighteen years ago, and can now see without glasses. Her eldest surviving son is eighty years of age, and lives at Distington Hall, Cumberland.—Iregret to hear that the York County Hospital is sadly in debt ; however, the York county ladies have taken the matter in hand, and as a first step have arranged for a grand and fancy ball, which is to take place in the Assembly Rooms at York on Jan.-2nd next. Newcastle-on-Tyne, Nov. 2’Jth.

age. She voice. The

SCOTLAND. (FROM

OUR OWN

CORRESPONDENTS.)

EDINBURGH.

Edinburgh Health Lectures.

THE third lecture of the course on " Nerve Exhaustion " delivered by Dr. Berry Hart on Saturday night. Dr. Hart considers that nerve exhaustion is much more common THE ICE-BAG TREATMENT IN PNEUMONIA. in this country than is supposed. In the case of women it To the Editors of THE LANCET. was not sufficient to prove that they could do certain things men. It must be seen too that in doing them the Dr. SIRS,—Apropos Lees’ paper at the Harveian Society as well as bodily constitution of women did not suffer. The best on the Treatment of Pneumonia by the Ice-bag, may I say that when I was in Vienna in the autumn of 1867, following women were those who could enter into competition with Skoda’s Klinik at the Allgemeine Krankenhaus, he was men successfully, but these were the mothers who suffered treating his pneumonias with poultices (bags) of pounded from bodily and nervous exhaustion, and whose sufferice. Though doubtless this fact is well known to our chest ings were handed on to their children. In addition to of schools, long hours, and authorities, nevertheless they and you will, I hope, pardon going over thethesubjects lecturer broke up new ground, part play-grounds, me this reference to it. of it at any rate. There was no doubt, he said, that I am, Sirs, your obedient servant, women in shops not only had long hours and continued TOM 1889. BATES. Nov. 21st, Worcester, strain, but they were denied even the simple matter of a seat during work hours. They were often, indeed, too for work. The same held good tired recreation after their NORTHERN COUNTIES NOTES. with domestic servants. Much of the want of harmony mistress and maid was due to the lowered nervous (FROM OUR OWN CORRESPONDENT.) tone which comes on in women who had the long hours and little recreation of a servant. It was surely possible that Newcastle. servants might arrange among themselves so as to give each WITH reference to the prevalent high death-rate in New- other a day’s outing occasionally ; their mistresses in turn castle, the medical officer of health, Mr. H. E. Armstrong, would soon find the inconvenience to themselves amply has sent some tables and statements to the papers, which compensated for by the smoother working of that great go to show that the principal cause of the increase of deaths cause of health depression to women-housekeeping. After has been constitutional diseases, especially those liable to speaking of the necessity for rest, good food, and fresh air be affected by change of weather, while thirteen deaths had for the jaded mind, Dr. Hart strongly against the use been registered in the period referred to in which no proper of sedatives and stimulants, spoke which so many valuable lives by certificate of death had been given and no inquest had had been wrecked. How foolish, he said, to use that which been held. Mr. Armstrong states also that it must be on a jaded mind to leave it more wearied or merely goaded borne in mind, as stated in the weekly reports of the to establish a habit of narcotism. Any sacrifice, he pithily Registrar-General, " that the population of Newcastle is put it, should be made before mortgaging one’s body and ’under-estimated." I do not say that this is not so, but soul to as drink, chloral, or opium. such "Shylocks" many people think here that the huge and expensive Such a lecture must have an influence on the opinions of system of the corporation does little or nothing for the those who have the charge of young girls, and it was health of the city, and that scavenging and improved sound common-sense treatment of a most difficult good dwellings would do more than sanitary committees, subject. The chairman, Dr. Peel Ritchie, said not one statistics, or even compulsory notification of infectious word too much in his eulogistic speech on his motion that a ,diseases. I believe so far back as 1866 a sanitary com- vote of thanks be accorded to the lecturer. mittee recommended the abolition of the ash pit system, so Infirmary Sunday. far at least as new dwellings could be brought within its Last Sunday collections were made in all the churches scope, and yet this old and expensive system goes on to this day, and of course it is extending at the same time on behalf of the Royal Infirmary. Pulpit references were with the growth of the city.--In an able lecture the also made in most cases, but in none were the words more other night, Dr. W. Murray was very severe on the appreciative of the work done than those uttered by was

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