The Services.
1
674 LIVER TREATMENT IN PERNICIOUS ANÆMIA. To the Editor of THE LANCET.. SiR,-The following extract from a letter recently ’received, from Australia may be of interest. Dr. S. had treated a, lady with signs of pernicious anaemia with poor results. After an absence of some time she put in an appearance at his rooms looking the picture of health. On inquiry as to what had produced this excellent result she said, " I went to a Chinese herbalist, who gave me a powder to take and this is the cause of my cure." The powder on examination looked like desiccated flesh and the patient said it was powdered liver of the carnivorous crow, an old Chinese remedy it appears. On further inquiry Dr. S. found that boys are regularly employed by Chinamen to catch crows for them, so that they may get the liver. Is it that the Celestials have been using for years a remedy ’which our men have only recently discovered ? Can any of your readers supply the answer ? My ,correspondent is my father, who has recently given up active work in the profession, and Dr. S. is a well- !known consultant in Melbourne. T am. Sir. vonrs faithfullv. JOHN H. ANDERSON. LOCAL FAT ATROPHY FOLLOWING INSULIN INJECTIONS. To the Editor of THE LANCET. SIR,-It may interest Drs. Carmichael and Graham to hear that I have a patient who developed a local fat atrophy following very large injections of insulin into the left thigh. It is now two and a half years since any insulin has been required and the thigh has ’returned to normal. I am. Sir. vours faithfu11v- The Services. P. D. H. CHAPMAN. ROYAL NAVAL MEDICAL SERVICE. Surg. Lt.-Comdr. G. E. Heath to be Surg. Comdr. Surg. Lt. (D.) F. W. Watt to be Surg. Lt.-Comdr. (D.). ROYAL NAVAL VOLUNTEER RESERVE. Surg. Lt. S. W. Davidson to be Surg. Lt.-Comdr. ROYAL ARMY MEDICAL CORPS. Capt. E. S. Cuthbert to be Maj. R. A. Kennedy to be Temp. Lt. Temp. Lt. R. J. Monahan relinquishes his commn. TERRITORIAL ARMY. -Capt, H. A. B. Whitelocke to be Maj. ,Lt. 0. F. W. RobinsoR to be Capt. Lt. F. T. Birkinshaw resigns his commn. ROYAL AIR FORCE. The undermentioned Flight Lts. are granted permanent commissions in this rank : J. McM. Wilder and L. 1. Hyder. Temp. Capt. J. M. Jamie (Dental Surgeon, General List) is granted a temporary commission as a Flight Lt., on .attachment to the R.A.F. Flight Lt. C. T. Hastings (Capt., Army Dental Corps.) relinquishes his temporary commission on return to Army ’, duty. i . INDIAN MEDICAL SERVICE. Majors to be Lieut.-Colonels : W. E. Brierley, J. B. Lapsley, C. H. Fielding, W. L. Watson, J. W. Barnett, Madan Lal Puri, R. B. Lloyd, A. C. Munro, Ram Nath Chopra, A. G. Tresidder, G. G. Jolly, H. Stott, A. A. C. McNeill, G. F. Graham, Maneck Dhunjishaw Wadia, T. D. Murison, Sohrab Shapooni Vazifdar, J. J. H. Nelson, E. S. Phipson, F. F. S. Smith, and T. C. Boyd. The undermentioned officers retire : Lt.-Cols. T. H. Gloster .and L. Revnolds. ROYAL VISIT TO MILITARY HOSPITAL. On March 24th the King and Queen paid an unofficial visit to Queen Alexandra’s Military Hospital, Millbank. They were received by Col. E. Ryan, the commanding officer, and Miss Osborne, matron-in-chief. The medical and surgical staff and sisters were presented to the King and Oueen, who afterwards made a tour of the buildings. Parliamentary Intelligence. NOTES ON CURRENT TOPICS. OFFICES REGULATION BILL. ON March 20th in the House of Commons Miss WILKINSON asked leave to introduce a Bill to regulate offices and the employment of young persons therein ; and for other purposes connected therewith. She said that the measure was designed to extend to people who worked in offices some of the protection that was at present given to those who worked in factories. The conditions in many big cities, especially owing to the great congestion at the present time. were rapidly growing worse, and it was felt that something ought to be done to protect the health of the men and women who worked in those offices. In one of the best and newest offices lately built in the City of London large provision was made for underground office accommodation. In the older buildings in the city where girls worked under- ground conditions were very bad indeed. They had also in these basement offices the enemy of damp. The effect on health was particularly bad at the present time, because many of these girls worked very long hours and special overtime at quarter days. A girl had written to her giving a description of the office in which she worked. It was only a cubicle with no windows and no ventilation, and five men besides herself worked in that unhealthy place. The girl added that the electric light had had a bad effect upon her eyes and she had been obliged to see an oculist, who said that her eyes were badly strained. One-third of the diseases of those who worked in offices were due to phthisis, and 122 out of every 1000 died from diseases which were caused by working in cramped spaces with bad light, bad ventilation, and very long hours. The Bill recognised the difficulty under which many employers worked at the present time. High rents were making overcrowding worse. The Bill threw the burdern of keeping the offices in a proper condition on the owner, but made provision for adjustment afterwards by the council. The Bill would prevent overcrowding ; it would stop any premises being used as underground offices which were not so used on the date when the Bill passed into law, and briefly it made provision for adequate lighting and heating and proper sanitary accommodation. Leave to bring in the Bill was granted without a division and the Bill was brought in and read a first time. INVALIDING FROM THE NAVY : TUBERCULOSIS. On Thursday, March 22nd, on the Report of Navy Estimates for 1928, Rear-Admiral BEAMISH said he wished to return to a subject which he had mentioned twice, that was the question of tuberculosis and the invaliding of men. One could not return to that particular matter too often because it was very serious. He realised that the Admiralty had their hands tied to some extent and that the question of invaliding was a matter for decision by secret and con- fidential instructions received by the Admiralty from the Treasury. He was not sufficiently conversant with Parlia- mentary rights to know whether they had any method whereby they could get hold of those instructions and see them. They ought to know more about them than they did at the present time. The Admiralty were condemned to be controlled by these regulations which imposed upon the men of His Majesty’s Fleet very severe hardship when they were invalided. The extent of tuberculosis in the Navy had been higher for at least the last five years than it had been in the Army, and the conditions of life in the Navy were very largely responsible for that. He impressed upon the House the real importance of this matter and urged that the question should be adequately looked into and some change made, not only in regard to the actual methods of invaliding men, but in regard to the composition of the boards that invalided them, and in regard to the attributa- bility as to the diseases and injuries for which the men were invalided. The Incidence of Tuberculosis. Dr. VERNON DAVIES said that he was tempted once again to press the question of tuberculosis in the Navy on the attention of the House. It was a most serious subject and affected a class of men who were not able to speak adequately for themselves. They had had statistics showing the number f cases of tuberculosis in the Navy and the extremely ;mall percentage which got a pension or were held to be attributable—namely, 3 or 4 or 5 per cent. They :ould hardly wonder that these poor men who went into Lhe Service physically fit in the prime of their youth and nanhood and subsequently came out practically condemned ;o death must hold that in some way or another the Service liad something to do with it. The different incidence of Tuberculosis in the Army and the Navy to the detriment of ,li(- latter was perhaps not astonishing in view of the
Transcript of The Services.
674
LIVER TREATMENT IN PERNICIOUS ANÆMIA.To the Editor of THE LANCET..
SiR,-The following extract from a letter recently’received, from Australia may be of interest.
Dr. S. had treated a, lady with signs of pernicious anaemiawith poor results. After an absence of some time she putin an appearance at his rooms looking the picture of health.On inquiry as to what had produced this excellent resultshe said, " I went to a Chinese herbalist, who gave me apowder to take and this is the cause of my cure." Thepowder on examination looked like desiccated flesh and thepatient said it was powdered liver of the carnivorous crow,an old Chinese remedy it appears. On further inquiryDr. S. found that boys are regularly employed by Chinamento catch crows for them, so that they may get the liver. Isit that the Celestials have been using for years a remedy’which our men have only recently discovered ?Can any of your readers supply the answer ? My
,correspondent is my father, who has recently givenup active work in the profession, and Dr. S. is a well-!known consultant in Melbourne.
T am. Sir. vonrs faithfullv.JOHN H. ANDERSON.
LOCAL FAT ATROPHY FOLLOWING INSULININJECTIONS.
To the Editor of THE LANCET.SIR,-It may interest Drs. Carmichael and Graham
to hear that I have a patient who developed a localfat atrophy following very large injections of insulininto the left thigh. It is now two and a half yearssince any insulin has been required and the thigh has’returned to normal.
I am. Sir. vours faithfu11v-
The Services.
P. D. H. CHAPMAN.
ROYAL NAVAL MEDICAL SERVICE.
Surg. Lt.-Comdr. G. E. Heath to be Surg. Comdr.Surg. Lt. (D.) F. W. Watt to be Surg. Lt.-Comdr. (D.).
ROYAL NAVAL VOLUNTEER RESERVE.
Surg. Lt. S. W. Davidson to be Surg. Lt.-Comdr.
ROYAL ARMY MEDICAL CORPS.
Capt. E. S. Cuthbert to be Maj.R. A. Kennedy to be Temp. Lt.Temp. Lt. R. J. Monahan relinquishes his commn.
TERRITORIAL ARMY.
-Capt, H. A. B. Whitelocke to be Maj.,Lt. 0. F. W. RobinsoR to be Capt.Lt. F. T. Birkinshaw resigns his commn.
ROYAL AIR FORCE.The undermentioned Flight Lts. are granted permanent
commissions in this rank : J. McM. Wilder and L. 1. Hyder.Temp. Capt. J. M. Jamie (Dental Surgeon, General List)
is granted a temporary commission as a Flight Lt., on.attachment to the R.A.F.
Flight Lt. C. T. Hastings (Capt., Army Dental Corps.)relinquishes his temporary commission on return to Army ’,duty. i
.
INDIAN MEDICAL SERVICE.Majors to be Lieut.-Colonels : W. E. Brierley, J. B.
Lapsley, C. H. Fielding, W. L. Watson, J. W. Barnett,Madan Lal Puri, R. B. Lloyd, A. C. Munro, Ram NathChopra, A. G. Tresidder, G. G. Jolly, H. Stott, A. A. C.McNeill, G. F. Graham, Maneck Dhunjishaw Wadia, T. D.Murison, Sohrab Shapooni Vazifdar, J. J. H. Nelson,E. S. Phipson, F. F. S. Smith, and T. C. Boyd.The undermentioned officers retire : Lt.-Cols. T. H. Gloster
.and L. Revnolds.ROYAL VISIT TO MILITARY HOSPITAL.
On March 24th the King and Queen paid an unofficialvisit to Queen Alexandra’s Military Hospital, Millbank.They were received by Col. E. Ryan, the commanding officer,and Miss Osborne, matron-in-chief. The medical and
surgical staff and sisters were presented to the King andOueen, who afterwards made a tour of the buildings.
Parliamentary Intelligence.NOTES ON CURRENT TOPICS.
OFFICES REGULATION BILL.ON March 20th in the House of Commons Miss WILKINSON
asked leave to introduce a Bill to regulate offices and theemployment of young persons therein ; and for otherpurposes connected therewith. She said that the measurewas designed to extend to people who worked in officessome of the protection that was at present given to thosewho worked in factories. The conditions in many big cities,especially owing to the great congestion at the present time.were rapidly growing worse, and it was felt that somethingought to be done to protect the health of the men andwomen who worked in those offices. In one of the bestand newest offices lately built in the City of London largeprovision was made for underground office accommodation.In the older buildings in the city where girls worked under-ground conditions were very bad indeed. They had alsoin these basement offices the enemy of damp. The effecton health was particularly bad at the present time, becausemany of these girls worked very long hours and specialovertime at quarter days. A girl had written to her givinga description of the office in which she worked. It was onlya cubicle with no windows and no ventilation, and five menbesides herself worked in that unhealthy place. The girladded that the electric light had had a bad effect upon hereyes and she had been obliged to see an oculist, who saidthat her eyes were badly strained. One-third of the diseasesof those who worked in offices were due to phthisis, and122 out of every 1000 died from diseases which were causedby working in cramped spaces with bad light, bad ventilation,and very long hours. The Bill recognised the difficulty underwhich many employers worked at the present time. Highrents were making overcrowding worse. The Bill threwthe burdern of keeping the offices in a proper condition onthe owner, but made provision for adjustment afterwardsby the council. The Bill would prevent overcrowding ; itwould stop any premises being used as underground officeswhich were not so used on the date when the Bill passedinto law, and briefly it made provision for adequate lightingand heating and proper sanitary accommodation.Leave to bring in the Bill was granted without a division
and the Bill was brought in and read a first time.
INVALIDING FROM THE NAVY : TUBERCULOSIS.On Thursday, March 22nd, on the Report of Navy
Estimates for 1928, Rear-Admiral BEAMISH said he wishedto return to a subject which he had mentioned twice, thatwas the question of tuberculosis and the invaliding of men.One could not return to that particular matter too oftenbecause it was very serious. He realised that the Admiraltyhad their hands tied to some extent and that the questionof invaliding was a matter for decision by secret and con-fidential instructions received by the Admiralty from theTreasury. He was not sufficiently conversant with Parlia-mentary rights to know whether they had any methodwhereby they could get hold of those instructions and seethem. They ought to know more about them than theydid at the present time. The Admiralty were condemnedto be controlled by these regulations which imposed uponthe men of His Majesty’s Fleet very severe hardship whenthey were invalided. The extent of tuberculosis in the Navyhad been higher for at least the last five years than it hadbeen in the Army, and the conditions of life in the Navywere very largely responsible for that. He impressed uponthe House the real importance of this matter and urgedthat the question should be adequately looked into and somechange made, not only in regard to the actual methods ofinvaliding men, but in regard to the composition of theboards that invalided them, and in regard to the attributa-bility as to the diseases and injuries for which the men wereinvalided.
The Incidence of Tuberculosis.Dr. VERNON DAVIES said that he was tempted once again
to press the question of tuberculosis in the Navy on theattention of the House. It was a most serious subject andaffected a class of men who were not able to speak adequatelyfor themselves. They had had statistics showing the numberf cases of tuberculosis in the Navy and the extremely;mall percentage which got a pension or were held to beattributable—namely, 3 or 4 or 5 per cent. They:ould hardly wonder that these poor men who went intoLhe Service physically fit in the prime of their youth andnanhood and subsequently came out practically condemned;o death must hold that in some way or another the Serviceliad something to do with it. The different incidence ofTuberculosis in the Army and the Navy to the detriment of,li(- latter was perhaps not astonishing in view of the
