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THE TREATMENT OF EPILEPSY.
684 ESTABLISHMENT
OF BREAST-FEEDING SIX WEEKS OLD. To the Editor of THE LANCET.
IN
The Services.
A BABY
SIR,—Since
the
Chelsea
Mothers’
Home
ROYAL NAVAL MEDICAL SERVICE.
was
Surg.-Comdr. J. S. Austin is appointed to the Royal opened two years ago some very encouraging results have been obtained, and we have become accustomed Hospital at Bermuda. Surg. Lt. G. W. Garde to Vivid, for R.N. Hospl., to see breast-feeding re-established after a considerable interval. The following recent case was, however, so Plymouth. unusual that it seems worth recording. ROYAL ARMY MEDICAL CORPS. Baby D. S. was born on July 16th, 1927 ; the Sir M. W. O’Keeffe, K.C.M.G., C.B., retd. pay, Maj.-Gen. birth weight was reputed to have been 12 lb. The vice Lt.-Gen. Sir A. child was put to the breast in the usual way, but late R.A.M.C., is apptd. Col. Comdt., retd. pay, late R.A.M.C. C.H., G.C.B., G.C.V.O., Keogh, in the mother’s breasts by the no milk appeared Capt. L. M. Rowlette to be Maj. (Prov.). The midwife then stated that further third day. ARMY DENTAL CORPS. efforts to suckle the child would be useless ; on her advice the child was removed entirely from the breast Temp. Lt. D. W. N. Squires, Dental Surg., Gen. List and artificially fed. Condensed milk, various dried to be Lt. TERRITORIAL ARMY. -
milks, and
a proprietary food were tried in turn. Under this regime the child lost weight. The mother and child were admitted to the Chelsea Mothers’ Home on August 25th. Baby D. S., then six weeks old, weighed 10 lb.-i.e., 2 lb. less than the birth weight. The infant was put to the breast three-hourly, and given a modified dried milk mixture as supplementary feeding to bring the total food up to 20 oz. per diem. On the first day the child sucked only oz. ; a further oz. was expressed from the breast, making a total of -5 oz. of breast-milk. On the second day the amounts respectively were oz. andoz. ; and on the third day the total breast-milk was 2 oz. At the end of a week the amount of breast-milk had risen to 1018 oz. per diem. On the twelfth day this figure had risen to 21 ly oz., and on the following day mother and child were discharged, the infant being then fully breast-fed and weighing 10 lb. 9 oz. This surprising result was attributable to the excellent management of the case by the matron, and to the faith of the mother, who quite expected that breast-feeding would be fully established in
four
days.-I
am,
Sir,
yours
NORAH D.
Lt. W. Morrison, late R.F.A.
to be Lt.
ROYAL AIR FORCE. J. M. Ritchie is granted a short service commission in the rank of Flying Officer for three years on the active list. Flying Officer A. F. Cook is promoted to the rank of Flight Lieutenant. Flying Officer M. D. Rawkins is transferred to the Reserve Class D. (ii.). Wing Comdr. H. W. Scott to No. 21 Group Headquarters, West Drayton, for duty as Senior Medical Officer. Squadron Leader (Dental) A. K. Macdonald to R.A.F. Depôt, Uxbridge, on appointment to a Temporary Commission. Flight Lt. E. G. Howell to R.A.F. Depot, Uxbridge. Flying Officers G. T. O’Brien and Patrick O’Callaghan to Research Laboratory and Medical Officers’ School of Instruction, on appointment to Short Service Commissions. INDIAN MEDICAL SERVICE. Lt.-Col. S. R. Christophers, C.LE., O.B.E., to be Hon. Physician to the King, Ind. Mil. Forces, and to be Bt. Col., vice Col. C. H. Bensley, C.LE. (retd.). Maj.-Gen. G. Tate to be Hon. Surg. to the King, Ind. Mil. Forces, vice Maj.-Gen. R. Heard, C.LE. (retd.). Lts. to be Capts. : R. Linton, A.Tait, and J. F. Shepherd. Maj. A. Seddon is transferred to the temp. non-enectiYe-
faithfully,
PINKERTON, M.B., B.S. Loud.,
Medical Officer Chelsea Health Society.
Sept. 20th,
(Spec. Res.),
1927.
list.
J. F. 0. Bodman to be Lt.
THE TREATMENT OF EPILEPSY. To the Editor of THE LANCET.
DEATHS IN THE SERVICES.
Lieut.-Colonel Frederick William Wright, I.M.S. (retd.),. SIR,—It seemed to me a pity that your comprehenwho died recently at the age of 77, was born at sive article on epilepsy did not go still further and D.S.O., and was the son of Robert John Wright of that Norwich, point out how lacking are the facilities for treating city. Educated at Bedford and at Lausanne, he graduated The fact that ordinarily in medicine and surgery at the University of Edinburgh case of psychogenic origin. the general hospitals are content to act as stepping- in 1872. He entered the Bengal Medical Service in 1873, stones in the course of the epileptic towards the and became Surgeon-Lieut.-Colonel in 1893. In the Afghan workhouse makes adequate treatment often impossible. War of 1878 he was with Lord Roberts in the forced march, If they had psychotherapy departments, working in from Kabul to Kandahar, and was present at the subsequent with Kandahar clasp and the bronze star). connexion with occupation or handicraft centres, battle (medal Later, in 1886-87, he took part in the Burmah operations much good might be done. The doctors and parents which added Upper Burmah to the Indian Empire (mentioned would, know where to send these cases for early in despatches, medal with two clasps and the D.S.O.). He treatment, which, in the majority of instances, is also served with the British contingent of the Expeditionary more than half the battle. The epileptic colony, of Force in China to put down the Boxer Rebellion in 1900 I am afraid at present it (medal), and in the Waziristan Campaign of 1901-02 (medal is the but course, ideal, does not come within the range of practical politics. with clasp). In 1919 he was granted the Indian Army good service pension.
I am, Sir, yours faithfully, E. L. FOX, M.D. Plymouth, Sept. 20th, 1927.
PRESENTATION
TO
DR. J. H. MARSH.—On
Sept.
14th
Dr. Marsh, J.P., medical officer of health for Macclesfield, ISOLATION WARDS AT LAMBETH HOSPITAL.-The was presented by his fellow practitioners with a cornerlack of isolation wards at the Lambeth Hospital has again cupboard and bookcase, one panel of which bears an illubeen discussed by the Lambeth Board of Guardians following minated inscription which reads as follows : Presented to the receipt of a letter from a coroner alleging delay in the Dr. John Hedley Marsh, J.P., by the members and conremoval of a diphtheria patient and who died while being stituents of the County Palatine of Chester Local Medical transferred to the South-Western Fever Hospital. The and Panel Committees in recognition of his spirited leadership Ministry of Health wrote expressing regret that the guardians and of a decade of genial and judicious conduct in the chair." should think of postponing, even for six months, the con- A beautiful chair also formed part of the gift, and Mrs. sideration of providing isolation wards, and a member of! Marsh received a Japanese garden of miniature living trees, the board gave notice that he would move a resolution, enclosed in an oval porcelain tray. The presentation was The delay in securing; made by Dr. L. Grant, of Neston, Sir William Hodgson, J.P., on the subject at the next meeting. the removal of the patient is stated to have been due to a mis- chairman of the Cheshire County Council, presiding. -Unfortunately, Dr. Marsh was prevented from being present, understanding on the part of the telephone operator who in person owing to ill-health. did not appreciate the urgency of the call. : .
.
OF BREAST-FEEDING SIX WEEKS OLD. To the Editor of THE LANCET.
IN
The Services.
A BABY
SIR,—Since
the
Chelsea
Mothers’
Home
ROYAL NAVAL MEDICAL SERVICE.
was
Surg.-Comdr. J. S. Austin is appointed to the Royal opened two years ago some very encouraging results have been obtained, and we have become accustomed Hospital at Bermuda. Surg. Lt. G. W. Garde to Vivid, for R.N. Hospl., to see breast-feeding re-established after a considerable interval. The following recent case was, however, so Plymouth. unusual that it seems worth recording. ROYAL ARMY MEDICAL CORPS. Baby D. S. was born on July 16th, 1927 ; the Sir M. W. O’Keeffe, K.C.M.G., C.B., retd. pay, Maj.-Gen. birth weight was reputed to have been 12 lb. The vice Lt.-Gen. Sir A. child was put to the breast in the usual way, but late R.A.M.C., is apptd. Col. Comdt., retd. pay, late R.A.M.C. C.H., G.C.B., G.C.V.O., Keogh, in the mother’s breasts by the no milk appeared Capt. L. M. Rowlette to be Maj. (Prov.). The midwife then stated that further third day. ARMY DENTAL CORPS. efforts to suckle the child would be useless ; on her advice the child was removed entirely from the breast Temp. Lt. D. W. N. Squires, Dental Surg., Gen. List and artificially fed. Condensed milk, various dried to be Lt. TERRITORIAL ARMY. -
milks, and
a proprietary food were tried in turn. Under this regime the child lost weight. The mother and child were admitted to the Chelsea Mothers’ Home on August 25th. Baby D. S., then six weeks old, weighed 10 lb.-i.e., 2 lb. less than the birth weight. The infant was put to the breast three-hourly, and given a modified dried milk mixture as supplementary feeding to bring the total food up to 20 oz. per diem. On the first day the child sucked only oz. ; a further oz. was expressed from the breast, making a total of -5 oz. of breast-milk. On the second day the amounts respectively were oz. andoz. ; and on the third day the total breast-milk was 2 oz. At the end of a week the amount of breast-milk had risen to 1018 oz. per diem. On the twelfth day this figure had risen to 21 ly oz., and on the following day mother and child were discharged, the infant being then fully breast-fed and weighing 10 lb. 9 oz. This surprising result was attributable to the excellent management of the case by the matron, and to the faith of the mother, who quite expected that breast-feeding would be fully established in
four
days.-I
am,
Sir,
yours
NORAH D.
Lt. W. Morrison, late R.F.A.
to be Lt.
ROYAL AIR FORCE. J. M. Ritchie is granted a short service commission in the rank of Flying Officer for three years on the active list. Flying Officer A. F. Cook is promoted to the rank of Flight Lieutenant. Flying Officer M. D. Rawkins is transferred to the Reserve Class D. (ii.). Wing Comdr. H. W. Scott to No. 21 Group Headquarters, West Drayton, for duty as Senior Medical Officer. Squadron Leader (Dental) A. K. Macdonald to R.A.F. Depôt, Uxbridge, on appointment to a Temporary Commission. Flight Lt. E. G. Howell to R.A.F. Depot, Uxbridge. Flying Officers G. T. O’Brien and Patrick O’Callaghan to Research Laboratory and Medical Officers’ School of Instruction, on appointment to Short Service Commissions. INDIAN MEDICAL SERVICE. Lt.-Col. S. R. Christophers, C.LE., O.B.E., to be Hon. Physician to the King, Ind. Mil. Forces, and to be Bt. Col., vice Col. C. H. Bensley, C.LE. (retd.). Maj.-Gen. G. Tate to be Hon. Surg. to the King, Ind. Mil. Forces, vice Maj.-Gen. R. Heard, C.LE. (retd.). Lts. to be Capts. : R. Linton, A.Tait, and J. F. Shepherd. Maj. A. Seddon is transferred to the temp. non-enectiYe-
faithfully,
PINKERTON, M.B., B.S. Loud.,
Medical Officer Chelsea Health Society.
Sept. 20th,
(Spec. Res.),
1927.
list.
J. F. 0. Bodman to be Lt.
THE TREATMENT OF EPILEPSY. To the Editor of THE LANCET.
DEATHS IN THE SERVICES.
Lieut.-Colonel Frederick William Wright, I.M.S. (retd.),. SIR,—It seemed to me a pity that your comprehenwho died recently at the age of 77, was born at sive article on epilepsy did not go still further and D.S.O., and was the son of Robert John Wright of that Norwich, point out how lacking are the facilities for treating city. Educated at Bedford and at Lausanne, he graduated The fact that ordinarily in medicine and surgery at the University of Edinburgh case of psychogenic origin. the general hospitals are content to act as stepping- in 1872. He entered the Bengal Medical Service in 1873, stones in the course of the epileptic towards the and became Surgeon-Lieut.-Colonel in 1893. In the Afghan workhouse makes adequate treatment often impossible. War of 1878 he was with Lord Roberts in the forced march, If they had psychotherapy departments, working in from Kabul to Kandahar, and was present at the subsequent with Kandahar clasp and the bronze star). connexion with occupation or handicraft centres, battle (medal Later, in 1886-87, he took part in the Burmah operations much good might be done. The doctors and parents which added Upper Burmah to the Indian Empire (mentioned would, know where to send these cases for early in despatches, medal with two clasps and the D.S.O.). He treatment, which, in the majority of instances, is also served with the British contingent of the Expeditionary more than half the battle. The epileptic colony, of Force in China to put down the Boxer Rebellion in 1900 I am afraid at present it (medal), and in the Waziristan Campaign of 1901-02 (medal is the but course, ideal, does not come within the range of practical politics. with clasp). In 1919 he was granted the Indian Army good service pension.
I am, Sir, yours faithfully, E. L. FOX, M.D. Plymouth, Sept. 20th, 1927.
PRESENTATION
TO
DR. J. H. MARSH.—On
Sept.
14th
Dr. Marsh, J.P., medical officer of health for Macclesfield, ISOLATION WARDS AT LAMBETH HOSPITAL.-The was presented by his fellow practitioners with a cornerlack of isolation wards at the Lambeth Hospital has again cupboard and bookcase, one panel of which bears an illubeen discussed by the Lambeth Board of Guardians following minated inscription which reads as follows : Presented to the receipt of a letter from a coroner alleging delay in the Dr. John Hedley Marsh, J.P., by the members and conremoval of a diphtheria patient and who died while being stituents of the County Palatine of Chester Local Medical transferred to the South-Western Fever Hospital. The and Panel Committees in recognition of his spirited leadership Ministry of Health wrote expressing regret that the guardians and of a decade of genial and judicious conduct in the chair." should think of postponing, even for six months, the con- A beautiful chair also formed part of the gift, and Mrs. sideration of providing isolation wards, and a member of! Marsh received a Japanese garden of miniature living trees, the board gave notice that he would move a resolution, enclosed in an oval porcelain tray. The presentation was The delay in securing; made by Dr. L. Grant, of Neston, Sir William Hodgson, J.P., on the subject at the next meeting. the removal of the patient is stated to have been due to a mis- chairman of the Cheshire County Council, presiding. -Unfortunately, Dr. Marsh was prevented from being present, understanding on the part of the telephone operator who in person owing to ill-health. did not appreciate the urgency of the call. : .
.