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THE PENALISATION OF THE TUBERCULOUS.
626 THE PENALISATION OF THE TUBERCULOUS. To the Editor
SIR,—An assistant in
of
good sanatorium applied for a similar post in a county sanatorium where there is a pension scheme. lie had an interrupted undergraduate career through a breakdown with pulmonary He made a good recovery and was tuberculosis. a
advised to take up sanatorium work. He secured a in a sanatorium where research work is done, and he was never one day off duty. He wished to advance and his chief strongly advised him to approach other sanatoria, and he applied for another post. He got on the list at once, when he was specifically asked why there had been a break in his studies, and made no concealment. But he was told that he ought to have announced this in his application, for then " they would not have bothered about him." The applicant is a friend of mine, and said that he did not mind losing the post, being in a better sanatorium, though on less pay, but he resented the attitude displayed towards him. Can nothing be done to prevent this penalisation of those who have been tuberculous ?
place
I
Sir,
am,
yours
faithfully,
March 15th, 1927.
M.O.
CAN TAR CAUSE PULMONARY CANCER ? To the Editor
of
THE LANCET.
SIR.—I was greatly interested by your note under the above heading on p. 582 of last week’s issue. I think it is generally admitted that pulmonary cancer has become much commoner in late years and I have sometimes wondered whether this may not be due to the inhalation of dust from tarred roads. I
am
Sir
faithfully
vours
ROBERT HUTCHISON. Devonshire-place, W., March 14th, 192T.
THE
IMMEDIATE TREATMENT OF THE SEVERELY INJURED. 7’o the Editor
of THE LANCET.
those caused by rapidly the increase. Every year a number of these patients are brought to hospitals either dead or in a dying condition. A further number are taken to their own houses or to nursing homes in a similar condition. This irrational performance is likely to continue until it is generally recognised that a person, when injured so severely as to be nearly dead, is not in a fit state to be carried any distance, no matter what his destination, and that a journey of any length, for a patient who is only just alive, is the most certain method of obttterating his already small chance of survival. The desperately injured man, if he is in a building where he can be kept warnx and at rest, should be kept and treated where he is until he has rallied. If he is in the open and exposed to wind and weather, lie should be taken to the nearest available place of shelter and treated there until he is fit to stand the longer journey. Those responsible for ordering and carrying out the severely injured who transport, over long distances, of the " are nearly dead, the ordering of immediate removal to hospital," so often a.ppearing in the newspapers, are chiefly medical men, police officers, and ambulance workers. In justice to the two latter, it should be remembered that, very often, they are only carrying out the orders of the doctor who has been called to the case. First-aid and ambulance lecturers can help by teaching their pupils the folly of carrying long distances patients who, as the result of an accident, are nearly dead. But reform, in the immediate treatment of the severely injured, to be effective, must begin in the practice of doctors. Example is better than precept.
SIR,—Accidents, moving traffic, are
especially
on
I am Sir
vours
faithfully
Plymouth, March 5th, 1927.
Medical News.
THE LANCET.
C. HAMILTON WHITEFORD.
UNIVERSITY
OF
OXFORD.—At
a
recent congrega-
tion the following degrees were conferred : D.M.—V. S. Hodson. B.M.—D. A. robertson, C. S. Broadbent, and M. 1). Bower. The Sir William Dunn School of Pathology was handed over to the Vice-Chancellor of the University by Mr. C. 1). Seligman, on March llth, in the presence of a representativegathering. The building. of which we published a picture last week, has in the basement a low-presure chamber large enough to enable physiological and pathological observations to be made on the effect of altitude on men. A departmental library will occupy part of the ground floor, the rest of the building being devoted to laboratories for teaching, and research animal rooms. Accommodation and equipment for some 50 undergraduates and 23 research students is provided. The Rolleston Memorial Prize, which is now of the value of about JE1UO, is awarded every two years, under the conditions stated below, for original research in animal or vegetable morphology, in physiology and pathology, or in anthropology, No candidate will be eligible (1) who has not either passed the examinations for the B.A. or B.M. degree at Oxford. or for the B.A. or M.B. degree at Cambridge, or been admitted as an advanced student, or as a student for the degree of B.Litt. or B.Sc. at Oxford or as a research student for the degree of M.Litt. or M.Sc. or Ph.D. at Cambridge ; (2) whi, has exceeded a period of six years from attaining one or other of these qualifications, or from attaining the first of such qualifications, if he has attained more than one ; (3) wh" has exceeded ten years from his matriculation. The next award will be made in Trinitv Term. 1928. Candidates must forward their memoirs to the Registrar of the University before March 31st. 1928.
UNIVERSITY
gregations
the
OF
CAMBRIDGE.—At
following degrees
recent
have been
cun-
conferred:-
M.D.—W. N. Goldsmith. M.B. and B.Chir.—B. E Abrens, W. A. Bourne, J. C. P. Grer 11. E. Xourse. BV. H. Palmer, G. Minion, and T). G. Shield. M.B.—R. W. Cuningham. B.Chir.—R. W. B. Ellis, II..1. Heatheote, W. L. Robert’.. F. C. Holes, and If. L. Wilson.
ROYAL
COLLEGE
OF
SURGEONS
OF
ENGLAND.—
of the Council of the Royal College of Surgeons on March 10th, Sir Berkeley Moynihan, President, in the chair, the following were elected Honorary Fellows subject to their personal attendance at the College :—R. Alessandri. Professor of Surgery, Rome University ; E. BV. Archib&M. M.D., Professor of Surgery and Clinical Surgery, McGill University ; F.A.B. Krogius. Professor of Clinical Surgery, University of IIelsingfors ; P. Lecene, Professor of Surgical Pathology, University of Paris ; R. Leriche. Professor of Clinical Surgery, University of Strasbourg ; R. Matas, M.D., LL.D., Professor of Surgery, Tulane University of Lousiana, New Orleans ; and C. Willems. Professor of Operative lledicine, University of Liege. Sir Holburt Waring wa:re-elected as the representative of the college in the General Council. Mr. Victor Bonney was elected as the representative of the College on the Central Midwives Board. Mr, V. Warren Low, C.B., was re-elected as the representative of the College on the Senate of the University of London. Dr. Geo. Parker, M.R.C.S., was elected Thomas Vicary Lecturer for the ensuing year. A report was received from the Committee which had had under consideration the Resolution carried at the Annual Meeting of Fellows and Members in November last regarding the question of admitting Members to direct representation upon the Council of the College. A recommendation from the Committee that the views of the Fellows be ascertained was adopted and the exact form of question to be put to the Fellows will be settled at a future meeting of the Council. Licences to practise dentistry were conferred upon the , following 56 candidates (54men and 2 women), who have passed the requisite examinations and havecomplied with
At
the
a
meeting
by-laws
:-
1. Ackers and F. J. Ardouin, Royal Dental ; L. F. Balding, C. II. Bandy, G. H. Billison, and J. D. Bowling, Guy’s : B. Braude and P. 13. Campion. Hoyal Hental ; It. L. Cautley, Guy’s ; A. H. Chanoch, ltoyal Dental ; S. I. Cohen. W. A. Corry, A. C. Davies, R. L. Durchesne, and T. G. Emberson, Guy’s ; S. t’eitelberg and H. E. Glover, Royal Dental ; A. E. Grace, Guy’s ; G. H. Hall, King’s Coll.; V. L. L. Hall and J. H. F. Hilton, Guy’s ; Doris M. Hobbs. Hoyal Dental ;G. J. Hollis, Guy’s ; H. Hopson, Liverpool; A.S.Jones, London; F.W. Jones, Royal DentalC. S. Laurens, Guy’s : B. Lieh and S. Lizerbrum, Royal DentalG. F. H. McCormick, M.R.C.S., 1%1.R.C.P., Univ. CoIl.; G. N. Manley, Royal Dental ; H. E. B. Mash, King’s Coll. ; A. L. Murray. Royal Dental : W. H. G. North, Guy’s ; Frances E. Osborne. Itoyal Dental ; E. A. Page, London ; F. R. Phillips and
SIR,—An assistant in
of
good sanatorium applied for a similar post in a county sanatorium where there is a pension scheme. lie had an interrupted undergraduate career through a breakdown with pulmonary He made a good recovery and was tuberculosis. a
advised to take up sanatorium work. He secured a in a sanatorium where research work is done, and he was never one day off duty. He wished to advance and his chief strongly advised him to approach other sanatoria, and he applied for another post. He got on the list at once, when he was specifically asked why there had been a break in his studies, and made no concealment. But he was told that he ought to have announced this in his application, for then " they would not have bothered about him." The applicant is a friend of mine, and said that he did not mind losing the post, being in a better sanatorium, though on less pay, but he resented the attitude displayed towards him. Can nothing be done to prevent this penalisation of those who have been tuberculous ?
place
I
Sir,
am,
yours
faithfully,
March 15th, 1927.
M.O.
CAN TAR CAUSE PULMONARY CANCER ? To the Editor
of
THE LANCET.
SIR.—I was greatly interested by your note under the above heading on p. 582 of last week’s issue. I think it is generally admitted that pulmonary cancer has become much commoner in late years and I have sometimes wondered whether this may not be due to the inhalation of dust from tarred roads. I
am
Sir
faithfully
vours
ROBERT HUTCHISON. Devonshire-place, W., March 14th, 192T.
THE
IMMEDIATE TREATMENT OF THE SEVERELY INJURED. 7’o the Editor
of THE LANCET.
those caused by rapidly the increase. Every year a number of these patients are brought to hospitals either dead or in a dying condition. A further number are taken to their own houses or to nursing homes in a similar condition. This irrational performance is likely to continue until it is generally recognised that a person, when injured so severely as to be nearly dead, is not in a fit state to be carried any distance, no matter what his destination, and that a journey of any length, for a patient who is only just alive, is the most certain method of obttterating his already small chance of survival. The desperately injured man, if he is in a building where he can be kept warnx and at rest, should be kept and treated where he is until he has rallied. If he is in the open and exposed to wind and weather, lie should be taken to the nearest available place of shelter and treated there until he is fit to stand the longer journey. Those responsible for ordering and carrying out the severely injured who transport, over long distances, of the " are nearly dead, the ordering of immediate removal to hospital," so often a.ppearing in the newspapers, are chiefly medical men, police officers, and ambulance workers. In justice to the two latter, it should be remembered that, very often, they are only carrying out the orders of the doctor who has been called to the case. First-aid and ambulance lecturers can help by teaching their pupils the folly of carrying long distances patients who, as the result of an accident, are nearly dead. But reform, in the immediate treatment of the severely injured, to be effective, must begin in the practice of doctors. Example is better than precept.
SIR,—Accidents, moving traffic, are
especially
on
I am Sir
vours
faithfully
Plymouth, March 5th, 1927.
Medical News.
THE LANCET.
C. HAMILTON WHITEFORD.
UNIVERSITY
OF
OXFORD.—At
a
recent congrega-
tion the following degrees were conferred : D.M.—V. S. Hodson. B.M.—D. A. robertson, C. S. Broadbent, and M. 1). Bower. The Sir William Dunn School of Pathology was handed over to the Vice-Chancellor of the University by Mr. C. 1). Seligman, on March llth, in the presence of a representativegathering. The building. of which we published a picture last week, has in the basement a low-presure chamber large enough to enable physiological and pathological observations to be made on the effect of altitude on men. A departmental library will occupy part of the ground floor, the rest of the building being devoted to laboratories for teaching, and research animal rooms. Accommodation and equipment for some 50 undergraduates and 23 research students is provided. The Rolleston Memorial Prize, which is now of the value of about JE1UO, is awarded every two years, under the conditions stated below, for original research in animal or vegetable morphology, in physiology and pathology, or in anthropology, No candidate will be eligible (1) who has not either passed the examinations for the B.A. or B.M. degree at Oxford. or for the B.A. or M.B. degree at Cambridge, or been admitted as an advanced student, or as a student for the degree of B.Litt. or B.Sc. at Oxford or as a research student for the degree of M.Litt. or M.Sc. or Ph.D. at Cambridge ; (2) whi, has exceeded a period of six years from attaining one or other of these qualifications, or from attaining the first of such qualifications, if he has attained more than one ; (3) wh" has exceeded ten years from his matriculation. The next award will be made in Trinitv Term. 1928. Candidates must forward their memoirs to the Registrar of the University before March 31st. 1928.
UNIVERSITY
gregations
the
OF
CAMBRIDGE.—At
following degrees
recent
have been
cun-
conferred:-
M.D.—W. N. Goldsmith. M.B. and B.Chir.—B. E Abrens, W. A. Bourne, J. C. P. Grer 11. E. Xourse. BV. H. Palmer, G. Minion, and T). G. Shield. M.B.—R. W. Cuningham. B.Chir.—R. W. B. Ellis, II..1. Heatheote, W. L. Robert’.. F. C. Holes, and If. L. Wilson.
ROYAL
COLLEGE
OF
SURGEONS
OF
ENGLAND.—
of the Council of the Royal College of Surgeons on March 10th, Sir Berkeley Moynihan, President, in the chair, the following were elected Honorary Fellows subject to their personal attendance at the College :—R. Alessandri. Professor of Surgery, Rome University ; E. BV. Archib&M. M.D., Professor of Surgery and Clinical Surgery, McGill University ; F.A.B. Krogius. Professor of Clinical Surgery, University of IIelsingfors ; P. Lecene, Professor of Surgical Pathology, University of Paris ; R. Leriche. Professor of Clinical Surgery, University of Strasbourg ; R. Matas, M.D., LL.D., Professor of Surgery, Tulane University of Lousiana, New Orleans ; and C. Willems. Professor of Operative lledicine, University of Liege. Sir Holburt Waring wa:re-elected as the representative of the college in the General Council. Mr. Victor Bonney was elected as the representative of the College on the Central Midwives Board. Mr, V. Warren Low, C.B., was re-elected as the representative of the College on the Senate of the University of London. Dr. Geo. Parker, M.R.C.S., was elected Thomas Vicary Lecturer for the ensuing year. A report was received from the Committee which had had under consideration the Resolution carried at the Annual Meeting of Fellows and Members in November last regarding the question of admitting Members to direct representation upon the Council of the College. A recommendation from the Committee that the views of the Fellows be ascertained was adopted and the exact form of question to be put to the Fellows will be settled at a future meeting of the Council. Licences to practise dentistry were conferred upon the , following 56 candidates (54men and 2 women), who have passed the requisite examinations and havecomplied with
At
the
a
meeting
by-laws
:-
1. Ackers and F. J. Ardouin, Royal Dental ; L. F. Balding, C. II. Bandy, G. H. Billison, and J. D. Bowling, Guy’s : B. Braude and P. 13. Campion. Hoyal Hental ; It. L. Cautley, Guy’s ; A. H. Chanoch, ltoyal Dental ; S. I. Cohen. W. A. Corry, A. C. Davies, R. L. Durchesne, and T. G. Emberson, Guy’s ; S. t’eitelberg and H. E. Glover, Royal Dental ; A. E. Grace, Guy’s ; G. H. Hall, King’s Coll.; V. L. L. Hall and J. H. F. Hilton, Guy’s ; Doris M. Hobbs. Hoyal Dental ;G. J. Hollis, Guy’s ; H. Hopson, Liverpool; A.S.Jones, London; F.W. Jones, Royal DentalC. S. Laurens, Guy’s : B. Lieh and S. Lizerbrum, Royal DentalG. F. H. McCormick, M.R.C.S., 1%1.R.C.P., Univ. CoIl.; G. N. Manley, Royal Dental ; H. E. B. Mash, King’s Coll. ; A. L. Murray. Royal Dental : W. H. G. North, Guy’s ; Frances E. Osborne. Itoyal Dental ; E. A. Page, London ; F. R. Phillips and