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THE POST-GRADUATE COLLEGE, WEST LONDON HOSPITAL.
1066
THE POST-GRADUATE COLLEGE, WEST LONDON HOSPITAL.
fever, 18 of diphtheria, 28 of enteric fever, 80 of measles, and 19 of other infectious diseases. Ten men forming part of ships’ crews were found to have enlarged or suppurating inguinal glands and as a precaution against plague were removed to the port sanitary hospital for observation, but bacteriological examination gave negative results. Dr. - Collingridge quotes the memorandum of the Local Government Board relative to ship-borne rats and plague, and .devotes several pages to this question. Experiments, he says, have been made by the Clayton Fire Extinguishing and Ventilating Company, Limited, one being on the s. s. Manora in the Royal Albert Dock. The vessel was empty at the time and the method consisted in pumping sulphurous .acid gas from a special apparatus into the hold. This system is effective in destroying rats and has the great .advantage of limiting the risk from fire which always obtains when sulphur is burned on shipboard, but it may be detrimental to the cargo. On the Manora .303 dead rats were found after treatment of the vessel. Experiments with the cocco-bacillus of Dr. Danysz were made in the Royal Victoria and Surrey Commercial Docks. Bread soaked in the virus, and also the bodies of guinea-pigs and mice which had died from inoculation with the bacillus, were deposited in the warehouses and were - devoured by the rats but without producing any observable effect on them. Large numbers of rats were, however, destroyed by means of traps and poison. From Feb. 28th to June 30th the total so destroyed was 32,008, of which about 20,000 were killed on board vessels and about 12,000 in warehouses.
connexion with a general hospital, and the only one where the practice was reserved for the benefit of qualified men alone. Opportunities were given to the students of personally examining the patients before the cases were discussed, and those interested in surgery could assist at operations in the theatre and do work as dressers in the wards. A considerable number of the medical officers serving in South Africa had previously attended the post-graduate instruction there, and had written in terms of grateful acknowledgment of the value it proved to them. Nearly all of these officers attended without having previously obtained any leave from their ordinary duties, which had to be attended to. Some of them came three or four times a week from places like Aldershot, Chatham, and Woolwich, at much personal inconvenience to themselves, and several naval medical officers during their leave ashore had also attended to their great credit. The need for the school would be more and more recognised, not only in the medical element of the public services, for whom study leave in the near future should be a recognised institution, but for civil practitioners as well. When the medical history of the war came to be written justice would be done to the medical officer, who had displayed a complete devotion to duty and a complete self-sacrifice. He accomplished much. and in an admirable manner, under restrictions and difficulties which it was very hard adequately to appreciate, and the results accomplished would bear the most favourable comparison with those of any other war or expedition, and, as recently seen in China, with the medical services of other nations. The war had caused the generals and commanding officers to see with their own eyes what medical officers did, and there had been strongly commendatory reWEST ports sent home, while verymany THE POST-GRADUATE generally a greater sympathy and LONDON HOSPITAL. appreciation had been shown by the combatant ranks for the work of their medical brethren. In regard to the manner in THE new college building of the Post-Graduate College at which the medical staff as a whole acquitted themselves the West London Hospital, Hammersmith, was formally in the face of the tremendous responsibility which they had suddenly to face Lord Romer and his colleagues on the South opened by Sir WILLIAM MAC CORMAC, Bart.. K.C.B.. African Hospitals Commission had vindicated the high reputaK.C.V.O., on Oct. 14th in the presence of a numerous tion of the Army Medical Corps. If there were failure in some instances the cause was the pressure of circumstances which company. Sir WILLIAM MAC COHMAC in the course of his address baffled the devotion of the medical officers. Some means said that they had not yet reached the condition denoted by ’, should be devised for removing the Army Medical School that somewhat misused term-I perfection. The *v would con- from its isolated position at Netley to London, where they tinue in the future to realise further progress as they ’i would feel the constant stimulus of competition and of had realised advances in the past. Medicine was a pro- criticism, and be made free to benefit by the unrivalled gressive science and those who practised it could not stand teaching and clinical opportunities which the great city If a great military hospital and school of the still. They must ever continue to learn ; indeed, they all afforded. must do so unceasingly if they would not be hopelessly left most modern and complete type were established in London, behind, and in an institution like that which they and a body of teachers similar to that of the Kaiser Wilhelm were in the opportunity was given. The staff of the Institute in Berlin, where post-graduate instruction of the army West London Hospital was and energetic and medical officers was most complete, were appointed in conr.iight well be congratulated on the progress which it had nex ion with it, a more widely reaching influence would be made. Many years ago there was some question of exerted for the improvement and advancement of the establishing a complete medical school, but the plan medical department of the army than any other single was, fortunately, abandoned. since there were a suffi- measure could accomplish. It would enable a considerable cient number of such institutions in London and the cost proportion of the army medical officers to keep in touch with to the smaller schools of teaching subjects like chemistry, the scientific work of the London schools and Netley anatomy, and physiology was practically prohibitive. The Hospital could still be used for the reception of invalids much more promising project of a post-graduate school sub- from abroad. That or any other suggested improvement sequently took place, and from small beginnings, consisting altogether depended on the ability of the authorities to fill in the delivery of weekly lectures without any clinical up the vacancies in the department and to create a medical ,advantages, had now achieved a very considerable success. corps of sufficient number. The scheme would probably be A feature in the school was that it was reserved exclusively the means of effecting a closer relationship between the for qualified medical men. Unqualified students were not military and civilian members of the profession. In the taught by their side, nor, indeed, would the same class of South African war the services of civilian practitioners were teaching be suitable for both. The natural diflidence of the largely drawn upon, and that would be the case in any older student was spared the comparison of his own future war. mistakes and shortcomings with the complete absence of any such weakness in his younger brother. The wards and REPORT OF THE COMMISSIONERS IN hospital practice were open to all the post-graduates. LUNACY FOR SCOTLAND. were lectures were Special clinical lectures given, daily delivered in the lecture-room, and classes of instruction in various special subjects had been formed, limited IN the forty-third annual report of the Commissioners in in each instance to 10 persons, who could thus readily for Scotland it is stated that the number of the Lunacy acquire the knowledge they desired. All this had been insane in Scotland on Jan. lst, 1901, under official cognisance proved to be of great service to a large number of was Of this number 2395 were private patients, 15,899. of London the and to and suburbs, general practitioners country medical men as well, who found the opportunity of 13,458 were paupers maintained by parochial rates, and 46 doing occasional hospital work useful and agreeable. Many were maintained at the expense of the State. In January, officers of the navy and army had availed themselves of the 1858, when the Commissioners in Lunacy for Scotland opportunities here afforded. Work of a similar kind was entered on their functions, the total number of lunatics ,being done elsewhere, but the West London Post-Graduate officially known to the board was 5824, and since then the College was the only one enjoying the advantage of a close number of lunatics under their jurisdiction has increased
COLLEGE,
"
just
young
THE POST-GRADUATE COLLEGE, WEST LONDON HOSPITAL.
fever, 18 of diphtheria, 28 of enteric fever, 80 of measles, and 19 of other infectious diseases. Ten men forming part of ships’ crews were found to have enlarged or suppurating inguinal glands and as a precaution against plague were removed to the port sanitary hospital for observation, but bacteriological examination gave negative results. Dr. - Collingridge quotes the memorandum of the Local Government Board relative to ship-borne rats and plague, and .devotes several pages to this question. Experiments, he says, have been made by the Clayton Fire Extinguishing and Ventilating Company, Limited, one being on the s. s. Manora in the Royal Albert Dock. The vessel was empty at the time and the method consisted in pumping sulphurous .acid gas from a special apparatus into the hold. This system is effective in destroying rats and has the great .advantage of limiting the risk from fire which always obtains when sulphur is burned on shipboard, but it may be detrimental to the cargo. On the Manora .303 dead rats were found after treatment of the vessel. Experiments with the cocco-bacillus of Dr. Danysz were made in the Royal Victoria and Surrey Commercial Docks. Bread soaked in the virus, and also the bodies of guinea-pigs and mice which had died from inoculation with the bacillus, were deposited in the warehouses and were - devoured by the rats but without producing any observable effect on them. Large numbers of rats were, however, destroyed by means of traps and poison. From Feb. 28th to June 30th the total so destroyed was 32,008, of which about 20,000 were killed on board vessels and about 12,000 in warehouses.
connexion with a general hospital, and the only one where the practice was reserved for the benefit of qualified men alone. Opportunities were given to the students of personally examining the patients before the cases were discussed, and those interested in surgery could assist at operations in the theatre and do work as dressers in the wards. A considerable number of the medical officers serving in South Africa had previously attended the post-graduate instruction there, and had written in terms of grateful acknowledgment of the value it proved to them. Nearly all of these officers attended without having previously obtained any leave from their ordinary duties, which had to be attended to. Some of them came three or four times a week from places like Aldershot, Chatham, and Woolwich, at much personal inconvenience to themselves, and several naval medical officers during their leave ashore had also attended to their great credit. The need for the school would be more and more recognised, not only in the medical element of the public services, for whom study leave in the near future should be a recognised institution, but for civil practitioners as well. When the medical history of the war came to be written justice would be done to the medical officer, who had displayed a complete devotion to duty and a complete self-sacrifice. He accomplished much. and in an admirable manner, under restrictions and difficulties which it was very hard adequately to appreciate, and the results accomplished would bear the most favourable comparison with those of any other war or expedition, and, as recently seen in China, with the medical services of other nations. The war had caused the generals and commanding officers to see with their own eyes what medical officers did, and there had been strongly commendatory reWEST ports sent home, while verymany THE POST-GRADUATE generally a greater sympathy and LONDON HOSPITAL. appreciation had been shown by the combatant ranks for the work of their medical brethren. In regard to the manner in THE new college building of the Post-Graduate College at which the medical staff as a whole acquitted themselves the West London Hospital, Hammersmith, was formally in the face of the tremendous responsibility which they had suddenly to face Lord Romer and his colleagues on the South opened by Sir WILLIAM MAC CORMAC, Bart.. K.C.B.. African Hospitals Commission had vindicated the high reputaK.C.V.O., on Oct. 14th in the presence of a numerous tion of the Army Medical Corps. If there were failure in some instances the cause was the pressure of circumstances which company. Sir WILLIAM MAC COHMAC in the course of his address baffled the devotion of the medical officers. Some means said that they had not yet reached the condition denoted by ’, should be devised for removing the Army Medical School that somewhat misused term-I perfection. The *v would con- from its isolated position at Netley to London, where they tinue in the future to realise further progress as they ’i would feel the constant stimulus of competition and of had realised advances in the past. Medicine was a pro- criticism, and be made free to benefit by the unrivalled gressive science and those who practised it could not stand teaching and clinical opportunities which the great city If a great military hospital and school of the still. They must ever continue to learn ; indeed, they all afforded. must do so unceasingly if they would not be hopelessly left most modern and complete type were established in London, behind, and in an institution like that which they and a body of teachers similar to that of the Kaiser Wilhelm were in the opportunity was given. The staff of the Institute in Berlin, where post-graduate instruction of the army West London Hospital was and energetic and medical officers was most complete, were appointed in conr.iight well be congratulated on the progress which it had nex ion with it, a more widely reaching influence would be made. Many years ago there was some question of exerted for the improvement and advancement of the establishing a complete medical school, but the plan medical department of the army than any other single was, fortunately, abandoned. since there were a suffi- measure could accomplish. It would enable a considerable cient number of such institutions in London and the cost proportion of the army medical officers to keep in touch with to the smaller schools of teaching subjects like chemistry, the scientific work of the London schools and Netley anatomy, and physiology was practically prohibitive. The Hospital could still be used for the reception of invalids much more promising project of a post-graduate school sub- from abroad. That or any other suggested improvement sequently took place, and from small beginnings, consisting altogether depended on the ability of the authorities to fill in the delivery of weekly lectures without any clinical up the vacancies in the department and to create a medical ,advantages, had now achieved a very considerable success. corps of sufficient number. The scheme would probably be A feature in the school was that it was reserved exclusively the means of effecting a closer relationship between the for qualified medical men. Unqualified students were not military and civilian members of the profession. In the taught by their side, nor, indeed, would the same class of South African war the services of civilian practitioners were teaching be suitable for both. The natural diflidence of the largely drawn upon, and that would be the case in any older student was spared the comparison of his own future war. mistakes and shortcomings with the complete absence of any such weakness in his younger brother. The wards and REPORT OF THE COMMISSIONERS IN hospital practice were open to all the post-graduates. LUNACY FOR SCOTLAND. were lectures were Special clinical lectures given, daily delivered in the lecture-room, and classes of instruction in various special subjects had been formed, limited IN the forty-third annual report of the Commissioners in in each instance to 10 persons, who could thus readily for Scotland it is stated that the number of the Lunacy acquire the knowledge they desired. All this had been insane in Scotland on Jan. lst, 1901, under official cognisance proved to be of great service to a large number of was Of this number 2395 were private patients, 15,899. of London the and to and suburbs, general practitioners country medical men as well, who found the opportunity of 13,458 were paupers maintained by parochial rates, and 46 doing occasional hospital work useful and agreeable. Many were maintained at the expense of the State. In January, officers of the navy and army had availed themselves of the 1858, when the Commissioners in Lunacy for Scotland opportunities here afforded. Work of a similar kind was entered on their functions, the total number of lunatics ,being done elsewhere, but the West London Post-Graduate officially known to the board was 5824, and since then the College was the only one enjoying the advantage of a close number of lunatics under their jurisdiction has increased
COLLEGE,
"
just
young