British Medical Journal.] ASSOCIATION INTELLIGENCE. [May 9, 1863.

reason which they ought not to disregard. All scienceis the result of a voyage of exploration, and the scienceof nmedicine can hardly be said yet to have reached theshore. Men must be guided, therefore, by what is pro-bably true, and are not responsib)le for their ignoranceof the absolute truth which is not known. If a medicalpractitioner resorts to the acknowledged proper sourcesot inforniation, if he sits at the feet of masters of highreputation, and does as they have taught him, he hasdonie his duty, and should not be answerable for theevils wlich may result from errors in the instructionwhich hie has received. Mledical opinion varies fromtirme to timile. What is taughlt at one period may be dis-covered to be erroneous at anothier; but he who acts ac-cor(ling to the best known auitlhority is a skilful practi-tioner, althougbh that authority should lead him,in somerespects, wrong. He will then have done all that he can,all thiat is giveni to man to do, and may leave the result,without self-reproach, in the hands of a higher power."

THE following are the addresses which were latelypresented to the Queen and to the Prince of Walesby the College of Physicians:

"To the Queent's Most Excellent Majesty."MOST GRAcIous SOVEREIGN,-We, your Majesty's

most loyal anid dutiful subjects, the President and Fel-lows of the Royal College of Physicians of London,crave permissioni to lay before your MIajesty our humblebut fervent congyratulations on the marriage of theirRoyal Iiighnesses the Prince and Princess of Wales.

" We hail their auspicious union, which has filled theland with rejoicing, as promising a renewval of the ines-timable blessing whiclh this nation has long enjoyed inthe bright example of your Mlajesty's domestic life.

" We further rejoice in it throughi the hope an(d be-lief that to your Majesty it has already brought muchjoy an(1 consolation, and will remain a source of felicity.

" With thanikfulness, therefore, and with trust, wepray that divine goodness may support your Majestyunder youir heavy trials, may guard your Majesty's health,and largely inerease the happiness of your Mlajesty aindall your royal farnily."

" To hSis Royal Highness the Printce of Wales."MMAY IT PLEASE YOUR ROYAL HIGHNESS,-The Pre-

sident and Fellows of the Royal College of Physiciansof London humbly but ardtcntly desire to congratulateyour Royal Highness on your most auspicious marriage.

" We iirmly believe that at no former period of Englishhiistory bas the heart of the whole nation been so warmlyattached to its sovereign as it now is to our Most Gra-cious Quieeni and to all her Royal Family.

" Hence the universal joy, the irrepressible ardour,with which the nation welcomed the arrival of the Prin-cess, whom fame had truly reported to be in every wayworthy of your Royal Highness's choice.

"' Th-ierefore, in common with all her MIajesty's suib-jects, we rejoice in a union which promises all thatcould be desired for your Royal Highness and the Prin-cess of Wales, as well as for the best interests and futureprospects of the realm; and we pray that divine Pro-vidence may shower down its choicest blessings on bothyour lRoyal Highnesses, and grant you uninterruptedhealth and lhappiness through a long life, cheered bythe devoted affection of a loyal and contented people."

Italy has lately lost two of her savants; viz., theastronomer Amici, a senator of the kingdom, whodied suddenly of apoplexy, at the age of 78; andDr. Betti, professor at the School of MIedicine ofFlorence.

BRITISH MEDICAL ASSOCIATION:ANNUAL MEETING.

THE Thirty-first Annual Meeting of the BritishMedical Association will be holden at Bristol, onWednesday, Thursday, and Friday, the 5th, 6th, and7th days of August.

PHILIP H. WILLIAMS, M.D., Gen. Sec.Worcester, April 21st, 1863.

LANCASHIRE AND CHESHIRE BRANCH.Sympathy with Dr. Waters. At a meeting of the

Council of the above Branch, held April 28th, 1863, atthe Royal Institution, Manchester; G. SOUTHAM, Esq.,in the chair-it was unanimously resolved:-" l. That the Council of the Lancashire and Cheshire

Branch of the British Medical Association desires toexpress its deep sympathy with Dr. Edward Waters ofChester, in reference to a late trial; and to congratulatehim on having, on that occasion, so successfully vindic.ated his moral and professional character.

" 2. That this Council feels called upon to record itsprotest against the assumption, by medical witnesses incourts of law, of the function of advocates, and to de-precate the substitution of personal opinions in theplace of facts, especially when, as in the above-men-tioned cause, the honour of a professional brother is in-volved.

" 3. That it be a recommendation from the Councilto the members of the Branch, and to the medical mengenerally in the district, to contribute to the subscrip.tion which has been opened at Chester for the purposeof indemnifying Dr. Waters for the expenses incurredin the above trial."

METROPOLITAN COUNTIES BRANCH:SPECIAL GENERAL MEETING.

A SPECIAL general meeting of this Branelh was held at37, Soho Square, on Tuesday, May 5th, at 4 P.M.; R.DUNN, Esq., President, in the Chair.

Medical Evidence in Courts of Law. The PRESIDENTobserved that it was scarcely necessary to remind themeeting how greatly the dignity and well-being of theprofession depended on the moral bearing of its mem-bers. The Council of the Branch had, in considerationof this and of certain events which had taken placeduring the past year, thouight it a duty to call the mem-bers of the Branch together withl the object of layingdown certain principles by which the conduct of medicalmen in the witness-box should be guided. He trustedthat in the discussion on the resolutions to be broughtforward all personal matters would be avoided, but thatthe question would be dealt with on general grounds.A series of resolutions was then read.After some discussion, it was resolved, on account of

the importance of the subject," That the resolutions now read be referred to the

Council of the Branch, and printed, with such amend-ments as they may judge necessary; that they be cir-culated for consideration among the members of theBranch; and that the discussion of them be adjournedtill a general meeting, to be called by the Council at anearly date."The meeting then adjourned.

488

MEDICAL NEWS. [British Medical Journal.

ROYAL COLLEGE OF SURGEONS. The following gentle-men, havting undergone the necessary examinations forthe diploma, were admitted members of the College at a

meeting of the Conirt of Examiners, on MIay 5thArmstronig, Joseph Foster, Souith ShieldsAthertota. Ebenezer, B3ingley, Yorkshire13eebv, WValter Thomas, %M.D.St. And., KilbthrnChesffers, Edward, Enfield, ileair AcoriinguoniClifton, George Hlerbert, lHuirwell, CambridgeshireColmari, XValter, WXymondhans, NorfolkCope, XXalter Henry, L.S.A., Btuckingham Street, StrandDavey, Francis Albert, BathFawcett, Franicis 'Molineaux, Var-tn, YorkshireFoster, John Bunyani, Huin'tingdonaGrimbly, Oweti, MI.D.St. Atid. & I.S.A., BanburyMiallam, Henry Parr, L.S.A., OxfordMu!lge, Bellitig Harvey, 13odmin, Cornwall

Parker, lBenjamin XWhitehead, L.S.A., Farington,LancashireParson, Thomas Cooke, BristolPearce, Francis Drake, L.S.A., Kingsbridge, I)evonPigott, P'aynton, Great WilbrRham, CambridgeshireShlillitoe, Richard, Ilitchin, liertsSinclair, 1)uncatn Francis, lHalstead, Essex

Williams, John BabitDgton, Syditey Street, BromptonTHE FELLOWSHIP. At a meeting of the Council of the

College, on March 4th,Crosse, Jolhn Burtoti St. Croix, of the 11th Hussars, was admitted

a 1-ellow, havitig beeii elected at a previoxis meetitig of theCounticil; diplomna of memnbership dated August 11, 1837

Travers, William, of the Chatitg Cross Hospital, lies just passedthe preliminary examiniationi for the Fellowship; havitigbeerl admitted a memriber ott April 17, 1860

UNIVERSITY OF ST. ANDREw'S. The following gentle-men, having passed the necessary examinations, wereadmitted to the Degree of Doctor of Medicinie, onApril 28th, 1863:-

Btitler, Alfred, Lonidon Ilutchinson, Christopher Fran-Campbell, IHuglh, Lotidon ciS, BiridlitigtoIIChavasse, Chhas. A., Smethlwick TIentiox, WValter XV., IH amiltonDavey. James George, North- Macintosh, Chas. Hi., Torquay

woodls, tieair Brristol Ilobiusoni, Johni LondonHood, I'eter, Londoni Ta3lor, George, DerbyThe folloWing gentlemeni also passed the necessary

exarninations, and will receive the Degree next year.Smith, Josiah Sidney, Tiverton WValsh, James, R.N.

APOTHEFCARIES' HALL. On April 30tlh, the followingLicentiates were admitted

Brown, Frederick Gordon, Finsbtiry CircusFratukish, John David, Christchiirch, New ZealandMason, Thontas Edward, Deal, KetitLangford, Charles Phitieas, Hihgham, NorfolkMlorton, John, Holbeach, LiticolnshireReddrop, John, Tiverton, DevonStubbs, Henry, Brierley s-lillSuttoii, Frederick, Martota Vicarage, Gainsborough'Taylor, .lohn Williamii, New Malton, YorkshiireWeaving, Albert, Oxford

At the same Court, the following passed the firstexamination:-

Sanders, Thomas, University College

APPOINTMENTS.BOOTH, Lionel, M.D., appoitited additional Resident Iedical Officer

to the York Dispensaty.CLOUSTON, T1homas S., M.D, appointed Mledical Superintetndent of

the Cutnberlaiid and WVestmroreland Luniatic Asylum.HALL, John, MI.D., appointed Assistanit House-Surgeonl to the Gene-

ral Hospital, Nottirngham.M1URRAY, William F., Esq., appointed Resident Surgeon to the Bir-

mnitagham atid Mlidlanid Coutities Lying-in Iospital.BINGElt, Sydn)ey, MB.., appoinlted Assistatit-Physician to UniversityCollege Hospital.

STUoRGES, Octavius, MB.B., appointed Physician to the Chelsea,Brompton, and Belgrave Dispenisary.

POOR-LAW MEDICAL SERVICE.DONOvAN, Dionysius, M1.B., to District No. 6 of the Basford Union,

Nottiinghamshire.HAWKINS, James S., Esq., to the NVorkhouses of the Stepney Union

at Bromley attd Limehouse.

HITCHINS, Charles V., Esq., to District No. 3 (the parish of Westoni-super-Mare) of the Axbrid-ge fuitioji.

LAKIN, James Hetiry, Ml It, to the Suitton Coldfield District of theAstonj l,iton, Warwickshire.

PALEY, JamDes, Esq., to the Seventh District of the Sevenoaks Uniioni.SHAW, Jonath;n, lEsq., to the B3ishopwearmnouthl West District of theSunderisoland iiioti.

SrurItaEItiiu), 'I hoiuass, E'sq., to the Raiinford District of the Pr'escotUnion, Lancashire.

TuRNER, Edward W., Esq., to the Fritwell District of the BicesterUnioti, Oxfordshire.

WYEP., Otlho F., iEsq., to the Nuneaton District of the Nulneato)nUlnion.

ARIRY.BEATSOO, Deputy Inspector-GenerRl G. S., MT.D., to be Trnspector-General of hIospitals, vice W. Lititon, M.D., C.B., retilitiig onhalf-pay.

CHAMIBERSF , Surgeon-Me1jor J. WV., MI.D., 35th Foot, to be D)eputyIns-pector-General of Hlospitals, rice J. S. Prendergast, M1.1).

DIMmPSTER, Staff-Surgeon-Major .1. C., 31.D., to be Surgeoni 35th1Foot. vice J. W. Chasmbers, M.D.

FRASER, Assistanit-Surgeoii D. A. C., M.D., 76th l-oot, to be Staff-Sttrgeon, vice L. K. Prenidergast.

INGLis, Surgeon-lajor .J. G., 1l.1)., C.B., 64th F'oot, to be DeputyInspector-G3eneral )f Hospitals, vice G. S. Beatson, M.D.

MACKIE, Staff-Assistant-Surgeol. D., Ml.D., to be Assistant.Surgeon7th Foot, i-ice M1. Quiinlan.

MOORE, Staff-Assistant-Surgeon F. W., to be Staff-Surgeon, vice J. C.Dempster, Al.D.

ORTON, Statf-Assistalnt-Surgeon IP. J. W., to be Assistant-Surgeon76th Foot, a-ice 1). A. C. Fraser, Al).

POWER, Staff-A;sistanlt-SurgeOii J. L., to be Assistant-Surgeoni 97thFoot. rice I'. Shar-ey.

PRENDERGAST, Deputy Inspector-General J. S., M.D., retirinig onhalf-pay, to lhave the hoin. ranilk of Inispector-Geni. of liospitals.

Ross, Staff-Assistattt-Surgeon XX. G., A.D., to be Assistanit-Stirgeon8tlh Foot. vice WV. Jai.

SCOTT, StafflAssistntit-Surgeoni F. 13., M.D., to be Assistant-Surgeon18th Hussars, rice XW. .t Waall.

WVHITE, Staff-Assistant-Surgeor, X. A., M.D., to be Staff-Siirgeoii,vice WX'. IDick, l.).

WILLIAMtsON, Staff-Surgeon-AMajor G., M.D., to be Surgeonl 64thFoot, vice J. G. ilnglis, M.D., C.13.

To be Staff-Assistant-Surgeons:-CARnERY, Assistantt-Surgern A. T., 14tlh Foot.JAY, Assistant-Surgeon XW., sth Foot.KEARNEY, Assistant-Surgeoti P. B., 1st West Inidia Regiment.QUINLAN, Assistant-Surgeon AM.. 7tlh Foot.SHAREFY, Assistant-Surgen.i 1., 97th l oot.THoMPSON, Assistant-Surgeon .J., 4th XWest India Regiment.

MILITIA..IALEY, T. C., Esq., to be Surgeon 3rd West York Militia.

BIR'1H.FELCE. At Taunceston, on 'May 3rd, the wife of *Stamford Felce,L.R.C.P.Ed., of a daughter.

MARRIAGE.FOSTER, MAichael. jun., M.D.. of Huntingdon, to Georgina Gregory,

seconid daughter of Cyrus R. EDsMONDS, Esq., at B3loomsburyClhapel, oln April 30th.

DEATHS.BRETT. Oti MIay 3rd, at Watford, Heats, the infant son of *A T.

Brett, MN.D.DUNN. Otl AMay 1st, at Feekenham, near Bromsgrove, aged 35,

Catherinie Jane, wife of *George 1'. Dunn, Esq.SILLIFANI. Oll Apiril 2.htb, at Tltorinhill Square, Barnsbury, aged

35, Betsy H., wile of Horatio Sillifant, M1.D.YANDENRERGH. Ott April 30th, at 39, Bethtial Green Road, MaryAnne, wife of A. S. 'Vanidenibergh, Esq., Surgeoni.

DR. B. W. RICHARDSONI has been elected a member ofthe American Philosoljlhical Society, Philadelphia.NAVAL MEDICAL SUIPIPE3MENTAL FUND SOCIETY WVIND-

ING UP ACT (1861) AMENDMENT BILL. This bill wasiead a second time on Monday last.BEQUESTS. By will, George Lake, Esq., of F-insbury,

Kent, bequeaths to thie Kent and Canterbury Hospi-tt.l, and the Maidstone and Kent Ophthalmic Hospital,each £10).ROYAL NAVY COMPASSIONATE FUND. In the Navy Es-

timates bor 1663(64 there is a vote of £14,00() for allow.ances to the children of naval and medical officers whonmay be placed on the Compassionate List.

489

May 9, 1863.1

British MIedical Journal.]

OPEN CO3MPETITION. Of the 171 candidates who com-

pete(l for 80 appointrnents in the civil service of India in1862, 37 were the sons of clergymen, 3 of Dissentingnministers, 3 of missionaries, 3 of physicians, 6 of sur-

geons, 3 of schoolmasters, 6 of officers in the Indianarmny, 3 of Indian army surgeons.

UNIVERSITY OF EDINBURGH, Dr. Douglas Maclagan,the new Professor of Mledical Jurisprudence in the Uni.versity, delivered his introductory lecture to the studentson lay 4, at the opening of the summer session. Therewas a considerable attendance of students; and Dr. MIac-la-an, on entering the class-room, accompanied by Pro-fessors Christison, Blackie, and Muirhead, was receivedby them with prolonged applause.WESTMINSTEr, HOSPITAL SCHOOL OF MEDICINE. On

the 14t4h inst., the prizes connected with the WestminsterHospital School of Medicine were distributed in theboard room by the Dean of Westminster. Mr. Bouverie,M.P., and the medical officers of the hospital, supportedthe very rev. chairman. The principal prizemen were

Mlr. Charles Hawkins, Mr. G. E. Pearce, Mr. WV. Gandy,Mr. A. L. Peacocke, MIr. G. Alowatt, Mlr. W. H. Kemp-ster, MIr. F. P. Edis, Mr. R. Burnham, Mr. Bates, andMr. B. N. Hyatt.

IIMPORTATION OF PERUVIAN BARK. The average im-

portation of l'eruvian bark for five years ending 1840 was

280,0(0) lbs. In 1845, 5,078 cwt. was received, of which4,100 cwt. was re-exported. In 1850 the imrports hadincreased to 10,536 cwt., and from that period they gra.

dually a(lvanced to 27,598 cwt. in 1856, the largest quan-

tity ever received. Since that time there has been a

steady retrogression to 21,0)00 cwt. in 1857, 18,000 cwt.in 1858, and 9,000 cwt. in 1860. In 1861 there was a

partial recovery to 12,477 cwt., of the estimated value of£185,0672.

THE LATE MIr. ARMSTRONG, OF CARLISLE. An appealis made on behalf of the family of the late MIr. Arm-strong, surgeon, of Carlisle. He has left a widow andseven young children, badly provided for; and some ofhis- brother professionals, along with a few other gentle-men, have set on foot a subscription to assist those who

alre thius bereaved and distressed by the death of one who

w^'as an active public servaant and a most estimable gentle-man. Subscriptions to " The Armstrong Fund" will bereceived by Alr. W. B. Page; or by Dr. Elliot, Carlisle;or by any of the Carlisle Banks.THE RECENT ACCIDENTS IN THE CITY. A parliamen-

tary return just issued gives the number of persons in-jured during the R1oval plrocession and illuminations ofthe 7tlh anid 10th of Mlarch last. It appears that on the7th there were reported to the City police accidents re-

sulting in death. 2 ; brolien limlllbs, 1; and otherwise in-jured, 1. On the 10th there we-e seven accidents reportedresulting, in death, three resuIlting in broken limbs, and

five in other inijuries. Of the returns made to the Me-tropolitan police, there was one only on the 7th, a MIrs.Langley, who was slightly bruised. On the 10th therewere three cases, two of broken limbs, and one slightinjury. The total of accidents reported is twenty-three.ROYAL COLLEGE OF VETERINARY SURGEONS. The an-

nual meetinig of this body was held on the 14th inst., atthe College, Red Lion Square, Professor Simonds inthe chair. The number of members of the college prac-

tising in the kingdom was 1,018, while the number ofthose who improperly assumed the title of veterinarysurgeon was 1,244, and those practising as farriers 1 ,l 89.It was strongly urged by the speakers that legislative in-terference slhould be soueht to protect the legitimatemembers of the profession from the false representationsof unqualified practitioners, anid also to secure immuni-ties and exemptions for the members in reference toserving as jurors.

490

TYPHUS IN THE AMERICAN Aitmy. The prevalence oftyphus and typhoid fevers in the army, in military, andin many civil hospitals, is worthy of notice, In manyinstances the fever seems to be purely typhus, and verycontagious. We hear almost daily notices of the sick-ness, and, too frequently, of the death of medical attend.ants. In another column we record the deaths of twomembers of the resident staff of Bellevue Hospital dur-ing the same week. It is to be feared that typhus mayyet be prevalent in the military hospitals. To guardagainst this should be the study and effort of every sur-geon in charge. (American MIedical Times.)DANGEROUS LUNATICS. In the House of Commons, on

Thursday week, Mr. M'Evoy asked the Chief Secretaryfor Ireland whether the Government would this Sessionintroduce a Bill to extend to Ireland such provisions ofthe Act 16th and 17th Victoria, cap. 97, as would enablemagistrates to commit dangerous lunatics direct to asy-lums instead of to the county gaol, as was now neces-sary. Sir R. Peel had no doubt considerable inconveni-ence existed in Ireland, particularly in the counties ofDonegal and Wexford, in the matter alluded to by thehon. gentleman. When the new lunatic asylums werecompleted an alteration in the law would be effected.

MILITARY HOSPITALS. The Army Sanitary Commis-sioners on the occasion of their visit to the hospitals,barracks, and otber government buildings at Chatham,a few days since, approved of the proposal for the con-version of the buildings at Fort Pitt into a hospital forthe whole of the troops of the garrison, including theRoyal Artillery, the Royal Engineers, and the three de-pots battalions of infantry. The invalids from the RoyalMarines will continue to occupy Melville Hospital, as atpresent. Fort Pitt Hospital will accommodate aboutthree hundred patients, which is probably in excess ofthe number who will occupy it at one time.MIEDICAL BENEVOLENT COLLEGE. There are at the

present time resident at the college at Epsom twentypensioners, being aged medical men or their widows,each of whom is provided with three comfortably-fur-nished rooms, an allowance of three tons and a half ofcoals, and a pension of £21 a year. There are also resi-dent in the college 1]80 boys, the sons of medical men.The income for the last year amounted to £9,340, madeup as follows: Annual subscriptions, £3,114; donations,£1,0(06; dividends, £168; school payments, £5,052. Theexpenditure for the year had been £8,658.ACTION FOR SLANDER. BARNES V. HORNE AND WIFE.

This was an action tried by a Common Jury. The plain-tiff was a young surgeon, who sought to recover damagesfor a very serious slander alleged to have been utteredby the female defendant, who had accused him of havingtreated her unskilfully during her confinement. Thedefendants pleaded that what had been stated was true.Mr. Serjeant Ballantine, among other topics, urged uponthe jury the hardship of making a poor man (an assist-ant at the British Museum at £65 a year) pay heavy

Ldamages because he had believed his wife and stood upfor her; but Mr. Powell, in his reply, called their atten-tion to the fact that the defendants had neither with-drawn the previous imputations cast upon the plaintiff'scharacter, nor uttered one word of apology. The learnedcounsel added that he wanted only to clear the plaintifffrom1 the charges made against him, and that very mo-

fderate damages would content him. The jury found forthe plaintiff-Damages, £5.ACTION FOR RECOVERY OF FEES. TURNER AND ANOTHER

V. RAYNELL. This was an action brought a few daysago, on a surgeon's bill to recover £X4, in which a verdict

swas found for the plaintiff. A rule having been obtainedto set aside this verdict and enter it for the defendant,on the ground that one of the plaintiffs was not registeredas a surgeon when the action was commenced, and that

MTEDICAL NEIVS. [ilTay 9, 1863.

Ma ,16. EIA ES BiihMdclJunl

therefore, being partners, neitber of them could sue forthe partnership account. The Chief Justice, in givingjudgment, said this was an action for medical attendanceand medicines supplied, and there could be no doubtthat the defendant had had the consideration for the bill,and he now claimed to defeat the action under the 22ndsection of the Medical Act, which provided that no medi-cal man should recover for his services unless he provedat the trial that he was registered under the statute.But the plaintiffs had complied with the words of thestatute; they were registered at the trial. There was adirect judgment of the Court of Exchequer in Irelandthat this was sufficient, and he entirely concurred withthat authority. If one of the partners only was regis.tered he still thought they were entitled to recover. Amedical man might employ an assistant or other personnot qualified. Here one of the partners was qualifiedfrom the beginning as a surgeon and an apothecary, andthe defendant had the fullest security in employing afirm the head of which was qualified and reaistered.How could it matter to the patient when a medical mansent his assistant, who was not qualified, whether thatperson called himself a partner or assistant; or whetherhe was entitled to be paid for his services by a salary orby a proportion out of a partnership? So far as thepatient was concerned, it seemed to him to be preciselythe same thing. Here both partners were thoroughlyqualified; but the head of the firm thoroughly well quali-fied and registered gave the valuable services for whichthe defendant was taking what he (the learned judge)might call a stamp objection to prevent his recovering,which he thought not tenable. The other learned judgesconcurred. Rule discharged.THE WAKLEY TESTIMONIAL. At a meeting of the

Board of the Briton Medical and General (and NewEquitable) Life Association, held at the offices, No. 429,Strand, on Thursday, April 23rd, 1863, Dr. Barlow in thechair, it was duly proposed, seconded, and unanimouslyresolved: " That the sum of fifty guineas be voted to the' Wakley Testimonial Fund,' and that the same be for-warded to the Committee through Mr. T. H. Wakley,one of the Examining, Surgeons of tho Association.That the Board of Directors, being most anxious toplace on record the esteem in which they hold the nameof the late Thomas Wakley, Esq., the Founder of theNew Equitable Life Assurance Society, gladly availthemselves of the present opportunity of recording theirappreciation of the many excellent qualities and greatabilities which secured him the deserved popularity heenjoyed with the medical profession and the publicgenerally at the time of his comparatively early death;and thus especially, though inadequately, to recognisethe valuable services rendered by him to the New Equit-able Society." JOHN MESSENT, Secretary.MORTALITY IN ENGLAND. In the ten years 1851-60 the

annual mortality in the districts comprising the chieftowns was 24-57 per 1,000 living; in the districts com-prising small towns and country parishes, 19-77; in allEngland, 22 24. The deaths of males averaged 2318per 1,000 living; of females only 21P24. Out of equalnumbers living there were 109 deaths of males to 100deaths of females. Of the persons who lived to be 100years old there were two women to one man. Two ofthe 623 districts into which England is divided-namely,Farnborough in Surrey, and Bellingham in Northumnber-land, with a population respectively of 14,318 and 7,080,took the lead in healthiness, and had in the ten years anaverage annual of mortality of only 14 in 1,000; and twoother districts in Northumberland, Glendale, with apopulatiorn of 13,211, and Rothbury, with 7,147, had anaverage annual mortality of only 15 in 1,000. In noother entire district was the annual mortality so low as1.5; but it was only 16 in 10 districts-namely, Epsom,Bromley, Steyning, Easthampstead (Berks), Dulverton

(Somersetshire), Billesdon (Leicestershire), Hemsworth(Yorkshire), Belford (Northumberland), Bootle, (Cum-berland), and Knighton (Radnorshire). In the entiredistrict of St. George's Hanover Square, the average an-nual mortality was only 18 per 1,00U, and the same inLewisham, and in the Hampstead district only 17; tak-ing the whole country through, not above one district infive had so low a mortality as 18. During the ten years1851-61, from Census to Census, London increased itsnumbers 121 a day, 72 by excess of births over deaths,and 49 by immigration; but this continual accumulationof human beings within its limits did not bring an in-creased mortality. In the ten years 184049, the averageannual rate of mortality in London was 25-1 per 1,000;in the subsequent decennium, 1850-59, it fell to 23 6 per1,000. This may seem a small thing in a single thou-sand, but London has nearly three thousand thousands.

SiIAz.u-Pox IN LONDON. At a special general meetingof the Metropolitan Association of Officers of Health,held on the 25th ult., at 8, Richmond Terrace, it was re.solved unanimously to adopt the following circular, pre-pared by the General Purposes Committee, relating to,the recent alarming progress of small-pox in the metro-polis, and to the necessitv of a combined effort to arrestthe further diffusion of the disease :-" The Associationhaving taken into their consideration the present preva.lence of small-pox in London, deem it to be their dutyto call the attention of the guardians of the poor andother local authorities of the metropolis to the subject.They regret to find that the epidemic is still on the in.crease. In some of the metropolitan districts, the mor-tality has already attained alarming proportions. Itcan scarcely be hoped that others equally populotus willremain exempt, unless energetic measures are taken toarrest the further progress of the outbreak. Whilethere can be no doubt that the prevalence of the diseaseis mainly attributable to the neglect of vaccination, andito the defective and unsatisfactory manner in which theoperation is too frequently performed, and that if goodvaccination were universal small-pox would be almostunknown, it is not the less apparent that the prolongedresidence of infected persons in rooms occupied byothers, the exposure of such persons in the streets, inpublic conveyances, or in the waiting-rooms in hospitals,and the absence of adequate means of isolation, have-been the immediate agents in bringing about the recentrapid diffusion of small-pox. During the present epi-demic, these causes are in operation to a far greater ex-tent than they were in that of 1859-60. In consequenceof the insufficient size of the Small-pox Hospital, andthe absence of any other provision for the reception ofcases, persons having small-pox are daily applying innumbers for admission into the general hospitals. Everysuch application is necessarily refused; the sufferer issent back to his home, there to become, against his witlla source of infection to his neighbours. The Associa-tion are of opinion that, whenever a case of small-poxoccurs in a populous locality, the patient ought, in theinterests of public health, to be removed as soon as pos-sible; and that, in order to facilitate such removal to theutmost, it is not only necessary to provide for the gra-tuitous conveyance of small-pox cases, but for their re-ception and treatment. For this purp ose, it appears to.them indispensable that, during the continuance of the-present epidemic, temporary buildings or wards shouldbe opened in such situations as may be best suited forthe purpose, on the double ground of distance from in-habited houses and facility of approach. As regards,vaccination, it is desirable that every facility should beoffered for the gratuitous vaccination of all who arewilling to apply for it, whether they have been previ-ously vaccinated or not; and that the times and placesappointed by the guardians for vaccination should benotified by bills posted in prominent places. It is fur-

491

[British Medical Journal.Mlay 9, 1863.] MEDICAL NEWVS.

British Medical Journal.] MEDICAL NEWS. [May 9, 1863.

ther necessary that, in all those districts in which small.pox is prevailing, and in which there is reason to believethat vaccination has been neglected, personal inquiriesas to the cause of this negleot should be made by in-spectors temporarily appointed for the purpose, whoshould be empowered l)y the guardians to take proceed-ingrs under the Vaccination Acts Amiendm-ents Act,1861, in all cases of wilful refusal to comply with the re-quirements of the law. (Si-ned on behalf of the Asso-ciation.) R. D. THouisoN, President; TiiomAs HILLIER,GEORtGE BUCHIANAN, Secretaries.

ACTION FOR RECOVERY OF PHYSICIAN'S FEES: GIBBONv. BUDD. Thise was an action to recover £21, for fees,tried before Baron Bramwell, at Guildhall, when a ver-dict was found for the plaintiff for that amount. Mr.Lush, Q.C., moved for and obtained a rule for a newtrial, or to set aside the verdict and enter a nonsuit, onthe ground that a physician could not recover fees with-out a special contract. The jury had found that theplaintiff had attended the patient in the character andcapacity of a physician; and the question raised for theopinion of the Court was whether a physician could,under the Medical Practitioners' Act 21 and 22d Vict.,,cap. 90, recover his professional fees. The principalauthority upon the point previous to the passing of thatact was " 'Veitch v. Russell," in which the Court of Queen'sBench held, in 1841, that a physician had in general nolegal right of action for his fees, but he might have it bya special contract. 'lihe College of Physicians havenla(le a bye-law preventings any Fellow of the College fromsltng under this section, but there is no restrictionplaced upon members simaply. In the Court of Exche-suer, on Thursday, April '80, Mr. Serjeant Parry and Mr.H. T. Cole showed cause against the rule. They con-tended titat the Medical Act required that aU personspractising the medical profession should be registeredaccording to their qualifications. The plaintiff was dulyregistered; and as a tmember of the College of Physicianshei had a right to the remedy specially provided by the'31st section of the Act. Mr. Lush, Q.C., atd tAIr. Dow-deswell, in suppot-t of the rule, contended that thestatute was not an enabling statute intended to conferupion a physician a right to sue; but, on the contrary,inip)sed upon hin liatilitv to register before he coulste at all; but he was still obliged to make a special con-tract Lefore he could maintain an action. The law withregard to a physician's righlt to recover his fees was inprecisely the satme state now as it was before the passingof the Medical Act, except that he must be registered.The Act did not compel medical mien to register, but in-vited thenr to do so, pointing out that if they did notthey should not recover their fees in courts of law. Un-leas the Act of Parliament created a liability which with.ottt the Act would riot exist,tthen physicians had no rightto recover. 'Thleir rights ate not enlarged by the 31stsection. The' Ilave a right to stte according to their re-gistered qualificatiln. A pltysician always could recoverfe-es if he made a contract, and that was h~is position now.'Tlhere still tllst be ain actual promise to pay. '[rte LordChief Baron said that all the members of the Courtwete of opinion that the rule should be discharged. Theproviso in clause 31 put an end in his mind to all doubt,albollt the true construction of the clause itself, becauseit said that all persorts registered tintder the act shouldbe entitled, according to thieir qualifications, to practisetlmedicine or surgery, and to demand and recover in anycourt of law reasonable charges for professional aid, ad-vice, and visits, and the cost of medicines. Thern, With)reshect to physicians, it said that it should be lawful forthe College of Physicians to pass a bye-law to the effectthat no one of their fellows or members should be en.titled to sue in the manner aforesaid in a court of law,and that such bye-law might be pleaded as a bar to hisaction. That seemedto mean that whereas heretofore

4932

there was a doubt about the right of a physician to re-cover his fees, it should now be the law that he mliglhtrecover them; but, nevertheless, the College of Phy.sicians, if they desired to preserve that sort of dignitywhich was secured by not practising, except for somesupposed honorarium, might pass a bye-law for the pur.pose. Formerly the presumption was that the servicesof a physician were honorary and gratuitous, at least sofar that he could not make a leaal claim for payment;but now it was the other way, and a physician practisingwithout inaking a distinct arrangement that he was notto be paid, was entitled to be paid and recover his claimunless he were restrained by a bye-law of the College ofPhysicians. He., therefore, thought the plaintiff was en-titled to recover. Mr. Baron Mlartiti and Mr. BaronBramwell having expressed a similar opinion, the rulewas discharged.

TRIAL FOR MAXSLAUGHTRR. An inquest was heldat Woughton-on-the-Green, Buckinghamshire, Sept. 0th,1862, by Mr. Worley, on the body of a woman whohad died as follows. Deceased was taken in labour onSept. 3rd, and attended by Mr. Miles of Fenny Strat-ford. When Mr. Miles arrived, finding there was a gooddeal of bloody discharge, he ordered the woman to bed,and tried to deliver her with his hands. He had no in-struments. After about five or six hours, Mllr. Miles leftthe woman, saying that he would be back in three quar-ters of an hour, or an hour at the latest, but did not re-turn at all. Before Mr. Miles left, the bed was coveredwith blood in all directions. The woman was in goodhealth before labour; she had strong labour-pains, andappeared very wvell at the commencement of labour.Some hours later, finding that Mlr. M1iles did not return,tihe husband (a farm-labourer) procured an order frontthe overseer for Mr. Deyns, the medical officer of thedistrict, to attend. Mr. Deyns found the woman in avetry exhausted state, and that labour-pains had ceased.Stimulants were given; and Mr. Deyns sent for his in.struments. On examination per vaginant, the head wasfound presenting, but was arrested in the superior straitof the pelvis. He cautiously introduced the forceps, andafter a brief interval, removed, without any difficulty, afull-grown child, which had been dead apparently forsome hours. The patient never rallied ftom the timeMr. Deyns first saw her till she died on the following dayat 6 P.M. This was the sixth child deceased had borne,four being now alive. She was a stout, strong-looking wo-man. At the inquest, Mr. Miles stated, that from the firsthe thought it a difficult case, and advised the patient re-peatedly to have some other advice; but that she wasaverse, until the symptoms were so urgent that she con-sented for Mr. Miles going for Mr. Bryant of Stewkley (adistance of eight or nine miles), who, he said, was in.the habit of meeting him in any difficult cases. trd-Miles said that it was a cross-birth; anDl that on examin-ation per vaginamn,the head of the child was towards theL)ack of the mother, and the back part of the neck wa-,all that he could feel with his hand; but " that aftersome trouble he managed to improve the position bygetting the head down partly into the vagina." The juryteturned a verdict of manslaughter against MNr. Miles.At the request of Mr. Miles, an order was5 obtainedfrom the Secretary of State, Sir George Grey, to havethe body exhumed; and on September 25th, a post m10or-tent examination was made by Mlr. Coombs of Bedford,on behalf of Mr. Miles, in the presence of Messrs. F.Deyns, J. Hochee, and H. Hailey, surgeons, and Mir.Miles. Mr. Coombs having made an incision down thecentre of the abdosnen, and exposed the uterus, placedhis hand into the cavity, immediately discovering awound in the uterus just behind the symphysis pubis,to which he directed attention; adding that, "this is aserious finding." Mr. Coombes had his finger in thewound4, which was aftetwads examined in a similar

TO CORRESPONDENTS. [British Mledical Journal.

manner by Mr. Hailey. The uterus was then removedfrom the body; and a round wound was observed of aboutthe size of a sixpence in its anterior part, about an inchand a half above the mouth of the womb, which wouldjust admit the introduction of the finger. The partssurrounding this wound for about two inchies and a halfwere much decomposed, and readily yielded to the pressureof the finger; a similar opening was thus easily produced.The trial of Miles took place at Aylesbury on Alarlch18th. The medical witnesses examined on behalf of theCrown were Messrs. Deyns, Hochee, and Hailey; 3Ir.James Coombs of Bedford (who like the prisoner hadfor many years carlied on the business of chemist anddruggist) was called as a witness on behalf of the de-fence. The judge, in his opening address to the grandjury, dilated upon the case, and told those geritlemen hedid not think they woul(d find it necessary to bring in atrute bill. The grand jury, however, found a truebill against the prisoner. At the trial, the medicaltestimony on the part of the prosecution was directedto the facts that the death of the patient was caused byprostration and hiemorrhage, the result of the lesion inthe uterus; and also that the hiole in the antero-inferiorportion of the uterus, from its peculiar shape and size,could not lave been produced by tihe forceps. The me-dical testimony for the prisoner was intended, if pos-sible, to contradict the evidence already produced, andto) prove that the instrument would produce suchi alesion, and to assert that the attempt to produce asimilar opening on the uterine suirface with the fingerhad failed. The judge summed uip in favour of theprisoner, eulogising him for his extensive experiencein midwifery, and the jury returned a verdict of notguilty.

OPERATION DAYS AT THE HOSPITALS.

MONDAY...... Royal Free, 2 P.M.-Metropolitan Free, 2 P.m.-St. Mnrk's fo)r Fistula aind other Diseases of theRectum, 1.15 P.ms.-Sam'aritan, 2.50 P.M.-Look, Clini-cal Dtenroistratiotn and Operations, 1 P.M.

rUESDAY .... Guy's, 11 P.M.-westminster, 2 P.M.WVEDNESDAY... St. Mary's, 1 P.M.-Middlesex, 1 P.M.-University

College, 2 P.n.THURSDAY.....St. George's, 1 P.M.-Central London Ophthalmic,

1 P.m.-London, 1,30 P.M.-Great Northern, 2 P.M.-Lonidon Surgical Home, 2 P.M.-Royal Orthopiedic,2 P.-r.

FRIDAY......WWestminster Oplhthalmic, 1-30 P.m.SATURDAY......SSt. Thomats's, 1 P.m.-St. Bartholomew's, 1-30 P.M.-

King's College, 1-30 P.M.-Charing Cross, 2 P.M.

TMEETINGS OF SOCIETIES DURING THENEX'r WEEK.

Royal Geographical.'UESDiAY. Royal Medical anid Chirurgical Societv, 8.30 P.M. Dr.

'Newton,l Heale, " Oti the Physiological Aniatomv of theLung-s"; Dr. Dickirison, " Ott a Fcetus without lleart or-li aill."-Zoological.

WVF.rDNEsDAY. Societv of Arts.-AMicroscopical -NortlhJLondoii.Tnu,RSDAY. Atitiqtuariani.FItDiAY. Royal IlsititlItioTI.-Western Mledical snd Surgical.SATURDAY. Associatitoi Medical Officers of Health.

POPULATION STATISTICS AND mE,rEOROLOGYOF LONDON-MsY 2, 186f:3.[From the Registrar-Geiteral's Report.]

13irths. Deaths.During week ............ Giils: 24 1X055 1374

Average of corresponditig weeks 1853-62 .. Ii......19, 1287Baromiieter:Highest (Sun. & Fri.) 30.0S2; lowest (Tu.) 29.652; mean, 29.9009.

Theermotneter:Hliglhest in satn-extremes (Mon.) 104.5 degs.; (Th.) 79.3 degs.In slhade-highest (1Moti.) fi degs.; lowvest (Fri.) 31.4 degs.M\lean-47.8 degrees; difleretiee from mean of 43 yas.-l.3 degs.liange-duritjg week, 016;. degrees; oseau daily, 22.6 degrees.

Mlean humidity of air (saturation= 10)), .72.Mearn directioni of wind, N.WX. &- N.E.-lain ina inches, 0.1$.

TO CORRESPONDENTS.

& All letters and communications for thte JOURNAL, to be addressedto the EDITOn, 37, Great Queen St.,Lincoln's Inn Fields, R.C.

CORRESPONDENTS, who wish notice to be taken of their communica-tions. should autheniticate them with their names-of course notnecessarily for publication.

Dn. W. A. SmrITe's WOrK ON F.NTOZOA.-SIR: As tie accompRanyingextract from a letter whiclh I have receittly (April 29th) receiveutfi-om toy friend M. Dlavaine, author of the Traite des Entozoaires,will serve to show why my obligationls to him were niot ackniow-ledged upon the title-page of Iluinan Esttozoa (in additioni to theexpressiorn of thatiks in the Preface, atnd the repeatetd mention ofhis tiame throiighout the book), I should be greatly obliged byaour givitng an itisertion to it.May 1863. 1 am, etc., Wmc. ADBOTTS SMITH.

Extractfrom Ml. Davaisie's letter.Je vous autorise A dire qt1e c'est avec onoti consentement qiue

votre outvrage tie porte poiiit le titre de traductioti. Cet otivrsge,ne reproduisant pas le nieri int6gralement, nle pouvait en etLeconsidere comme le traduction.'

PRACTICAL OnSERVATION 8 ON TOE PURL-LENT OPHTIALMTA OFINFANTS.-SIR: I am sttrprise(l that Mr. Wordswortli, ini Iis" Practical Observations ott the Puruletit Ophtbalmia of Itifants",shouild have omitted to mentioto that wtjich, I sin thoroughly coii-viniced, is the imtost importatit remedy in the treatment of the dis-ease, as well as the true proplylactic. I allude to the " obscitr-a-tioti of light". Four years ago, I itivited the atteritioti of the pro.fessioti to this fact; and my suibsequent experience has strength.ened niy former conviction of its truth. As Mlr. Wordsworth isevidenttly disposed to syntpathise with the stufferings of helplessinfanits, I entreat his cotnsideration of tmy observations on thissubject, which were published iii the medical journals, and inmore detail itt ny little work ott Tlhe Diseases of Infants atndMlfothlers. I have entirely baLiished the disetise from my own prac-tice. I am, etc., THOMAs BALLARD, M.D.Southwick Place, Mlay 2iid, 1863.

THE CASF. or GATTIE V. HALFORD.-SIn: A writer in youir lastnumber repeats cii insinuiation aesitist ame, wlich lie hadl pre-viously brought forward in the MIedicil Tinrtcs and Gazette, aindwhicrl had beeti already sasply reported iii that jourlal.

This writer avoids stating in precise terms what evidence it isthat he would fain hold up to professional aiiimativersoti btit " 7hebeliev'es that l)r. BarneS affiumed that the conformatioti of thepelvis was perfectly tiormal, in order the titore coinpletely toexcltude the possibility of unavoidable itijury to the nelve duitigllitlle passaige of the hend."A writer who professes to quote from " an accurate aecouint",

might be expected to state his charge ini defitiite terms. It titistbe left to the menmbers of the Hunteritai Society, oir others whoktiow the writer, to decide what stnoutit of coilfidenice is to teplaced in what " hle believes", when framing itujuriouis inisituattionsagailist a brotlher practitionter. For those who may tiot knowl him,I beg to state that so far is the evideniee, expressed or inferred,imputeil to me, front beitig correct, that I spontanteously said iiiopemn court, that the acci(letit wshich had happened to the defetid-Ruit in the case-ntatisely, injury of the sciatic iterve by the forcepts-had also haeppened to myself.

'The learnied jttdlge expressly com-lmended the moderation andfairiness of my evidetice. Iti the iepoi ts of the trial, the itaistes ofthe witnesses were all throwti tog-ether. as if they had all coutt-curred its the same evideitee. I deniy getterally the accuracy of titOreports as applicable to tnyself.

Ini eoitelusion, I beg to saiy that I moist decliite to notice attyfu-rther attacks entanating from this person.

I ant. etc., ROBERT BARNES.46, Finsbury Sqluare, May Cth, 1863.

THE URETITROSCOPE.-Sin: Ts1 your publication of April 18th, tbereis ati article, taketi frouit thue Lotndont l1cdicil Rievietw, on the use ofthe l'retlhrosc''le. oti wlich I wish to tisa;ke some obserivatiotis. Ihave for toe last teot years mode use of SI. Desortiteaux's itistriiinetit,with soiise alteration effectedl by mnyself atid the use of the ittstru-tneitt I inentiottetit in t book on CGleet (18;57). T'lhe uretitral extire-titities of tite tubes sisould be veryv bluiit atid nicely roundled. Sotne,wlhich I got frotis Putinis, wsere so sharp, that my patients could totbear their inttroductioni. 'Ilie patient sliould be placed ott a loblgIsigh table. sistd the ittstrtinient should liave a separate stand foritself, capable of beitng elevated or louvered by a screw'.

I am, etc., HENRY DICEK.WX'impole Street, W., April 22isd, 1863.

WoUsNo OF THF: VESRTEBPAT. ARrEnY.-SIn: In the event of therecuiiretice of so rai-e an ac.i(leott as that recor-ded by Mr. AuguistitiPrieliard in the JouRNAL of April 18th, wiere, as Alr. Pricliairti te-niarks, we ctititot avail ottrselves of ligature either of the arteryitself or of atty anastomositug braitelues to arrest the hsnlttorlhusge, Itlitiik ve sittld plapay gr-ent tuttetition to itisure the perfeet rest ofthe severed tissues; stid for this eiid should prevetit atty gliditig ofthe occipital boute ott the atlas, or rotatory movemeist of the atlas

493

May 9, 1863.]

British AMedical Journal.] TO CORRESPONDENTS. [May 9, 1863.

oni the axis. The patient miglht be placed in a half-sitting pos-toire, wvithl his back supported by a bed-rest, so constructed as torelh rother altbove the occiput, lhaving pieces oni either sitle of tlleheed opposite thie temples, to wlhich a screw wvithi tat is attached,so tlhttt the patient's hceid imay be fixed. as in a vice, aniid all mlove-radeiit of the divided parts prevented. By this means, thle arterialtube wo)lnd be in the most favourable coniditioni tor renllionl orretratetioni and perfect oecltisiori. Perhaps tlhe inicliniation of the.head a little towards the wounided side wvotld liave the effect ofprevenitinig the gaping of the artery, slioul(d its tube iiot le quiiteciitl tltrottgli. This position sliould be mrainitained for at least tenidays or at fortinight; for the blmtnorrhage its Ir. Ilieliatrd's casebegain seveni days after the accident. The applicatiort of ice atinitervals woitld illso tenid to qttiet the ciretilation iii tite woutttdedtissuies, atid perhaps by these mneatis woltld be aeconliplislhed the

little all" tlat humani art can-edo to remedy so serious an injury.I am, etc., AstnxY G. OSBORN.

24, Yorl Parade, Northamttpton, April 21st, 1isI.

G rATUIToUS MTEDICAL SmRtiCEs.-Sit: Whlile the important anddittilrtlt qgiestioni of gratliitous medlical serviees is itrider discus-sioni, permnit rite to suggest a plan wlhereby all hospitals ati(lirtifiriaries that are in waint of ftunlds may largely inierease theirincomjies, provide ways anid meanis for duly rentuniieratinig theirmedieal officers, and larg-ely extenid their sphere of useftlness.

Lete thetn exact Q fee of teni shillings fromn every person applyirtgfor inistanlt admissioni as ani in-door patient, -whose case wvas suchas to pelrlit o1 admissioti at tll culd a fee of five slhillings fromeachl personi applying for innonediate out-door relief. itlie niumberof ini-door admilissions to be depenidenit uponi tlte iuimber of bedsvaeantlt, at the discretion of the resident competent ittiltority: the

nnitrasber of out-door patients may he obviously unlimilited. Thesefees sholld be exacted in every inistance, where application foradmission is nmade, without the usual reconirncrid,tion from agovernor, o wlhere a governior lhis exceeded his pirivilege.The poorest person, wlheni so afflicted as to requiire the medical

sitl anti other advantages that a public hospital affords, would,-wvithoit a miionments hesitation, eitlher fr-om his owrt resources, orwith the assistance of friends, clheerfully pay sueli sntaill fees toseeure an imrtiediate enitraince in the one catse, aiiil intitiediatetattelutiori in the other: for iio itioriey could be irsore advanitage-orssly applied, savingt valuable time, and avoidinig tlte trouble aridinconivenienice of hunting for a governor wlio nitty or onsy not havethe power o.f according a letter of adiimission.

Io tbe public, the boors would be invaluable. For instance, aservant. sriddernly takers ill in a small house wltere bed-room ac--oonmiodatiori is scarcely erotrgl for the faniily, risay, with perfectitldt-perdeice and propriety, be sent wvhere Ie or slie w,vould be farbetter eaitred for, ott the paynmerit of a snmall entrance fee; reliefbeinig tlhuis afforded itt its widest serise to all parties. Titere maybe itiarty little matters if detail niecessary to render this stgg-es-tioii geteratlly applicable to partictIlar institutions; but I ftillybelieve tlhlet the principle will be fountd very acceptable to thepiidlic, iiitd the proceedis of material service to hospitals andilirrolarias now laniguishing for warnt offfnds.

I am, etc., JAMEEs BIsRD.So' mour Street W'Vest, Connaught Square, April 1863.

[We quite agree with our correspondeitt as to the genieral prin-siple involved in his proposition. We are fully satisfied that pay-3nerit by hospital patients is a necessary part of the doinsg awaywithl gratuitous medical services; but the practical working of thehlari is fills of difficulties. We sinicerely wish our correspondenstwotuld tiirsi his attentiors to the dealinig with the " little matters ofdetail" to wxhich he refers. EDITOR.]

ICOMNIAIUNTCATIOES have been received from: -Dr. JAMSEsils-sSlLL; Dr. DAY; MIr. El.CE: 'Air. M1. FosxrFt; Dr. GEOItGtoButr])' Dr. MHEiiYON; Mr. G. P. I)UNN; ilMr. STONi,r; D)r. HYDs:SA],r:rt; THE HIOiNORARY Si.EciErARTES OF THFr: IIOYAL MsIDnCALANr CilItlURGICAL SOCIETY: Dr. BARNES: 1)r. KrrD; 1)r. FonBrESWtxINst,tiw: Mr. J. C. tooioF;: Dr. S. AMARirN; Mr1'. HEDFFERN)AVr:S hl)r. J. TIORBUn; D)r. MIURCHISON: Dr.IIALtto; Dr.

1o-tiwv.l:it; Dr. W. A. SMnITIT; Dr. BREarT ; Dr. Gi; MNlr. FuRNEAUX-JORIrDAN; anid Dr. J. B. SANDErSON,.

BOOKS RECEIVED.1. I?eport of the lRichmond Lunatic Asylumn, Dublin. l3y the Medical

Superiritendernt.2. The SeverithAis nual Report of the Luniatic A&yluns, Notting-

hbarsbire. Dly WV. P. Stifl NI.D.3. ('atalogue of the MAslseunn of Guyv's Itospital. London: 1863.4. Transactions of the Obstetrical Society of Londoin. Vol. iv. lTon-

doni: 1863.5. Sylphilitic Diseases of the Eye arad Far, consequent on Inherited

syphilis. lBv Jonathan llutehitrson. London: 1f:3.C. Jatriilice: its P'athology and Treatment. By G. Harley, M.D.

Lon(lots 1863.7. ott Mattlaria arid Miasm'sta. By T. H. Batker, M.D., F.R.S.Edin.

London: 1863.8. The Pharmacopreits of Thirteen of the Londonll osjl tals. By

Peter Squire, F.L.S. Loridoti: 1863.2. The Cure of Clrrb-Foot without cutting Tendorl s. By B. Barwell,

'PIR55 Lon don:T81dn

ADVERTISEMENTS.

Medical Psychology;comprising a Brief Expositioii of the Leading I'lPenomena

of the 'Mental States, and of the Nervous Apparatus thriough shiclthliey ar-e Mlaiiifested, witlh a V'iew to the better Understandilng alidIlt icidationi of the _IMental Plienioneiia or Symptonms of Disease.Ily RB011ErT DUNN, F.R.C.S.Eng., Author of an 1'ssay ont Piy.siological Psychology, etc. Price 3s. 1863.

JOIIN CIUPCHILL anid SONS, New Burlington Street.

Now ready, in 8vo, with Wood Engravings, price Ss.

n Human Entozoa: comprisingthe Descriptionj, Pathology, and Treatmenit of the INTES-

TI NAL, H1DB TI D), anti otlher Species of WORMS founid in MIANT.P'artly tranislated, by perm-iissioni, frons ?. DAVAINE'S " 'irait6 desE,ntozoaires." Bly W. A13BBlOTTS SMITH, M.l)., 'M.1.C.P.Lond.,Sienior Assistanit-Physiciani Metropolitan Free I ospital, late SeniorPhysician City Dispetisary, etc.

By the samne Auithor, Second Editioni, cloth, post-free, Is. 3d.On ENURESIS (Incontinence of Urine) in

CHILD)RVN aitd in ADUT,TS; its Nature, Causes, and T'restunent."We can recommenid this little hook to our readers."-Med. Ci'ecldar.

Londonl: H. K. LEWIS, 15, Gower Street, Nortlh, W.C.

Now ready, Seventh Edition (being the tenth thousand), price2s. 6d.; by post for 32 stamps.Diseases of the Skin; a Guide

to their Treatment and Prevention: for the Use of theSttudent and Genieral Practitioner. By TuioMAS litSi'Ir F.R.C.S.Surgeon to the Western Dispetusarv for Diseases of the Skits.

Lonidon: T. RICHARDS, 37, Great Queest Street.

Now ready, price Gd., by post 7d.

The Addresses delivered at theLTHIIIT[ETII ANNUAL MEEI'TING of the 1tRIT'ISH

MlEDICAL ASSOCIATION, lield in the Royal College of 1'hysiciansin Londoti, ott Auguist 5tll, 6th, 7th, and 8tlh.

London: TItOMtAs RICHAIRDS, 37, Great Queen Street, W.C.

Society for Relief ofWidows andORPHAN-S of A£MEDICAL MEN in Lonidotn avid its Viciniity.

Instituted 1788. l'lie SEVE'l'NTY - FIFT'-ITH ANNIEl`'RS.SARYD)INNE;R of this Society wvill take place Otl W-I)uNESDAtY, MAY 2Ot11at the Albion Tavern, Aldersgate Street.THOMAS ARTHUR STONE, Esq., Presidetit, in tite Clhair.

Tickets, One Guinea each, to be obtained fronl the Stew-ards, fiomthe Secretary, or at the Tavern. Dintier to be oni titble et half-pastSix o'clock precisely. Aniy register-ed mentber of tllcMedicetl Pr.-fession residisig in the County of iMIiddlesex, or witiu tilte liiits ofthle Londotn District Post, is eligible as a Mlentber of tlle Society,at a Subscription of Two Guinieas a-year. Widots aand Or-phanis ofMembers of inot less titan twto years standing are eligible lOr telietlatid to suclh applicailts relief nas granted last vetur to tlhe aniiouiitof X2,023 : 10 0. S. W. J. IIER11M.lAN, M.D.,

53, l3erniiers Street, W. Seeretarv.

Hospital for Inisane Patients oft UeUPPER and MIIDL)LE CLASSES.

Pitierits are adittitted iOtto the Lincoln Lutnatic Ihospital at 11per W'eek atid upwards. 'Ilie Weekly Board ias lpower, underspecial circtimstanices, to reduce the rate of payment. 'Thlis Hosp)itat,,which was establislhed in 1819 as ati Asyltina for the Cottntty, atd.tsitice 18-:3 has been furiiislsed atid adapted for Patients of the Upperuttid Middle Clisses, standuts Oll an emiiietice in its owvut grotitis ofover seveti acres, antd cominatds most extetisive views of the stir-routt(ling country.-Applicatiotis to be iimade to the Pesidetit MedicalSu,periuttenident. By order of the Boartd of Govertnors,

Botird ioom, April 1863. RICHARD HALL,, Secretary.

Hospital for Sick Childreni,49, GREAT ORAOND S, TREET.

A Series of CLIN1CAI, ]LE,CTURES will be delivered by theMettieal Officers of the Hos)ital, everW-vVFDNESDAY, at ltuor o'clock.

[lle FIIST LECTURE wviil be giveut by Mr. T. lOLME.S, oniWEt)NESDAY, A'.y 13th, st Fouir o'Clock precisely. Sutbject_Corigettital Extroversioni of the 13la(ider Aisid out the Surgical Mieans

to be aioptetl for its r-elief ly P'lastic Operatioti."I'he Lectures are free to Practitioniers ott preseniting their card,

arid to Students after their first year, by Tickets obttutiltble nitout npplication by letter to the Secretary, at the Hospital.April 1861. ,.S MIUEL \WHIT'1FO1), Secretary.

494