- Email: [email protected]
THE SUPPLY OF PETROL TO MEDICAL PRACTITIONERS.
THE SUPPLY OF PETROL TO MEDICAL PRAOTITIONERS.
place, it must be insisted on that aortic regurgitation may exist without giving rise to any symptoms, the condition only being acciI dentally discovered, as, for instance, in examination for life assurance; and most physicians could mention cases in their own experience of indi-
155
In the first
viduals who had led most active lives without in the least being aware that they were the subjects of One of Captain PARKINSON’S a grave cardiac lesion. cases, a man of 40, who had served 16 months, including six at trench work, was found by chance Such cases to have a to-and-fro aortic murmur. are generally young subjects, often with a history of rheumatic fever in childhood. In other words, a stationary lesion is present with good compensation. A very different condition holds when the aortic regurgitation is the result of degenerative processes-that is to say, a proSome patients live to their gressive lesion. ordinary expectancy, and some even beyond, with incompetence of the aortic valves, and without ever having had a dose of digitalis; and some interesting cases of this kind were recorded by Dr. SEYMOUR TAYLOR in our columns last week. But such instances are exceptions to the wellrecognised fact that aortic regurgitation is the most serious of all valvular lesions. As long as the compensation continues efficient no treatment is, of course, necessary, but if evidences of failure of the cardiac reserve force begin to assert themselves then systematic treatment is urgently demanded. The most important therapeutical measure is rest, and the extent to which this must be insisted on varies with each individual case. In some instances only slight modification of the patient’s usual life is required, such as the avoidof undue mental exertion. ance of hurry and
Irritability, apprehensiveness, worrying over unimportant details, are all symptoms of want of an efficient circulation through the brain, and if the nervous system can be soothed, bromides being useful for this purpose, improvement may occur without the necessity of employing other drugs. If, however, not only the cardiac " reserve " force but the "rest"force also is impaired, then confinement to bed is necessary, and some modification of diet may be requisite. But in these cases, as in other forms of early heart failure, this paraphrase holds good: " And now abideth diet, drugs, and rest, these three, but the greatest of these is rest." In cases of aortic regurgitation the avoidance of sudden or extreme exertion is all important, for if such precautions are not taken sudden death is not uncommon. The victims of aortic must be rigidly excluded from the incompetence
Annotations. "Ne Quid nimis."
THE
SUPPLY
OF PETROL TO PRACTITIONERS.
MEDICAL
apportionment of petrol to those members of I theTHE medical profession who have duly complied with the
requirements of the Petrol Control Committee is proceeding. The medical profession is receiving the first attention, being given the pas of all other users, commercial and private. The apportionment warrants, which are being sent out, should be returned as directed, together with the now
necessary remittance for the amount of the new duty-in the case of medical men 3d. a gallon-and in return a licence will be received, covering a period of six months, authorising the holder of the licence to purchase petrol during each month up. to an amount not exceeding the quantity stated on the licence. The distribution does not appear ta be based on any particular average of the amount asked for by practitioners in their returns. In one case brought to our notice 70 gallons a month were asked for, and the amount allotted is 50 gallons. In another case 25 gallons were asked for and 24-
gallons are allotted. The inference, therefore, is that an effort has been made by the authorities to meet the reasonable requirements of the profession by weighing up each demand so far as is possible, though a very wasteful engine may upset all estimates of reasonable need. If the majority of the profession have been treated on the lines of the medical man who asked for 25 gallons and got 24, the reasonable requirements of the profession will have been met. The new regulations come into force on August lst, after which date no one can get a supply of petrol unless. he is -in possession of a special licence for this purpose, and produces the licence for endorsement on each occasion of taking in a supply. There are heavy penalties for any infringement of the regulations, either on the part of the buyer or the seller. So far so good, but there is a weak point in the scheme. It is that the Government do not intend to take over the supply and the distribution of the spirit, so that there is a possibility, and even a great probability, that medical men in the remote country districts, possessing licences to obtain petrol, may find their local dealers without a supply. It would be wise for practitioners so situated at once to take out their licences and forthwith to give their orders to their local garages for the full amount of their monthly requirements, and if they find, as the months go round, that they can do with less than they are authorised to obtain, they should reduce their orders accordingly, to the benefit of the community generally. Those practitioners who did not make the return called for by the Petrol Control Committee will find their supplies cut off altogether unless they quickly take steps to repair theomission.
____
army. THE
DEPARTMENT
OF
HOUSEHOLD AND SOCIAL SCIENCE,
METROPOLITAN WATER-SUPPLY.
COMPARED with the previous months April was a. relatively dry one, the mean rainfall for the Thames Lane-Claypon, one of the two women assistant medical basin being 1’19 inches, or 0’51 inch below theinspectors entrusted by the Local Government Board with average mean rainfall for that month during the child-welfare work, has been appointed dean of this depart- previous 33 years. The samples of water collected ment and lecturer on hygiene at the College. at the different works were, generally speaking,. KING’S COLLEGE (UNIVERSITY
OF
LONDON).-Dr.
Janet E.
place, it must be insisted on that aortic regurgitation may exist without giving rise to any symptoms, the condition only being acciI dentally discovered, as, for instance, in examination for life assurance; and most physicians could mention cases in their own experience of indi-
155
In the first
viduals who had led most active lives without in the least being aware that they were the subjects of One of Captain PARKINSON’S a grave cardiac lesion. cases, a man of 40, who had served 16 months, including six at trench work, was found by chance Such cases to have a to-and-fro aortic murmur. are generally young subjects, often with a history of rheumatic fever in childhood. In other words, a stationary lesion is present with good compensation. A very different condition holds when the aortic regurgitation is the result of degenerative processes-that is to say, a proSome patients live to their gressive lesion. ordinary expectancy, and some even beyond, with incompetence of the aortic valves, and without ever having had a dose of digitalis; and some interesting cases of this kind were recorded by Dr. SEYMOUR TAYLOR in our columns last week. But such instances are exceptions to the wellrecognised fact that aortic regurgitation is the most serious of all valvular lesions. As long as the compensation continues efficient no treatment is, of course, necessary, but if evidences of failure of the cardiac reserve force begin to assert themselves then systematic treatment is urgently demanded. The most important therapeutical measure is rest, and the extent to which this must be insisted on varies with each individual case. In some instances only slight modification of the patient’s usual life is required, such as the avoidof undue mental exertion. ance of hurry and
Irritability, apprehensiveness, worrying over unimportant details, are all symptoms of want of an efficient circulation through the brain, and if the nervous system can be soothed, bromides being useful for this purpose, improvement may occur without the necessity of employing other drugs. If, however, not only the cardiac " reserve " force but the "rest"force also is impaired, then confinement to bed is necessary, and some modification of diet may be requisite. But in these cases, as in other forms of early heart failure, this paraphrase holds good: " And now abideth diet, drugs, and rest, these three, but the greatest of these is rest." In cases of aortic regurgitation the avoidance of sudden or extreme exertion is all important, for if such precautions are not taken sudden death is not uncommon. The victims of aortic must be rigidly excluded from the incompetence
Annotations. "Ne Quid nimis."
THE
SUPPLY
OF PETROL TO PRACTITIONERS.
MEDICAL
apportionment of petrol to those members of I theTHE medical profession who have duly complied with the
requirements of the Petrol Control Committee is proceeding. The medical profession is receiving the first attention, being given the pas of all other users, commercial and private. The apportionment warrants, which are being sent out, should be returned as directed, together with the now
necessary remittance for the amount of the new duty-in the case of medical men 3d. a gallon-and in return a licence will be received, covering a period of six months, authorising the holder of the licence to purchase petrol during each month up. to an amount not exceeding the quantity stated on the licence. The distribution does not appear ta be based on any particular average of the amount asked for by practitioners in their returns. In one case brought to our notice 70 gallons a month were asked for, and the amount allotted is 50 gallons. In another case 25 gallons were asked for and 24-
gallons are allotted. The inference, therefore, is that an effort has been made by the authorities to meet the reasonable requirements of the profession by weighing up each demand so far as is possible, though a very wasteful engine may upset all estimates of reasonable need. If the majority of the profession have been treated on the lines of the medical man who asked for 25 gallons and got 24, the reasonable requirements of the profession will have been met. The new regulations come into force on August lst, after which date no one can get a supply of petrol unless. he is -in possession of a special licence for this purpose, and produces the licence for endorsement on each occasion of taking in a supply. There are heavy penalties for any infringement of the regulations, either on the part of the buyer or the seller. So far so good, but there is a weak point in the scheme. It is that the Government do not intend to take over the supply and the distribution of the spirit, so that there is a possibility, and even a great probability, that medical men in the remote country districts, possessing licences to obtain petrol, may find their local dealers without a supply. It would be wise for practitioners so situated at once to take out their licences and forthwith to give their orders to their local garages for the full amount of their monthly requirements, and if they find, as the months go round, that they can do with less than they are authorised to obtain, they should reduce their orders accordingly, to the benefit of the community generally. Those practitioners who did not make the return called for by the Petrol Control Committee will find their supplies cut off altogether unless they quickly take steps to repair theomission.
____
army. THE
DEPARTMENT
OF
HOUSEHOLD AND SOCIAL SCIENCE,
METROPOLITAN WATER-SUPPLY.
COMPARED with the previous months April was a. relatively dry one, the mean rainfall for the Thames Lane-Claypon, one of the two women assistant medical basin being 1’19 inches, or 0’51 inch below theinspectors entrusted by the Local Government Board with average mean rainfall for that month during the child-welfare work, has been appointed dean of this depart- previous 33 years. The samples of water collected ment and lecturer on hygiene at the College. at the different works were, generally speaking,. KING’S COLLEGE (UNIVERSITY
OF
LONDON).-Dr.
Janet E.