notes, short comments, & answers to correspondents

1
530 METEOROLOGICAL READINGS. (Taken daily at 8.30 a.rn. by Steward’s Instruments.) THE LANCET Office, September 5th, 1889. Notes, Short Comments, & Answers to Correspondents. OUR CURRENT NUMBER Being calrrtost exclusively devoted to information especiaLlg interestirrg to Students, we are necessarily compelled to defer the publication of communications on other im- portant subjects. We regret also to be obliged to hold over till next week an article on Hospital Athletics and thc list of prize-winners at the various medical schools and hospitals during the past roi-nter and summer sessions. We tertder our best thanks to those gentlemen who have hirzdly supplied its with the returns and prospectuses upon which the information given in this Students’ Number of THE LANCET relative to the various medical examining bodies, hospitals, and medical schools of the United Kingdom is busecl. - MICRO-ORGANISMS IN SOIL AND WATER. THE article on the above subject, about which a. correspondent inquires, is to be found in Zeitschrift fur Hygiene, Band 6, Heft 3 (published by Veit and Co., Leipzig). Dr. Clibborn (Bridport).-1. Five medical officers and a dispensary assistant.-2. Salaries from £1000 to £180.—3. The Postmaster-General. ..d. Subscriber.—We cannot see what offence was committed by our corre- spondent, or for what he is to be prosecuted. M.D. B.Se., &c., is referred to an article on the subject in our current number. POST-PARTUM SUPPRESSION OF URINE. To the Editors of THE LANCET. SIRS,-Dr. Bond’s case of suppression of urine after parturition reminds me of a precisely similar case which occurred in my practice in London a few years since. The patient was a healthy young married woman in comfortable circumstances, whom I had attended in a previous confine- ment. The labour was a natural one, but two days afterwards sup- pression of urine came on, and in spite of everything that could be done death followed in eight or nine days, preceded by symptoms of uræmic poisoning, stupor, and convulsions. There was not the slightest indi- cation of septicxmia,. I am, Sirs, yours faithfully, Northampton, Sept. 1st, 1889. J. HAWKES, M.D. "AN ULTRA-CENTENARIAN SURGEON." THE Patria of Buenos Ayres affirms that there is now in Bolivia a sur- geon, Luca Silva by name, whose age is no less than 129 years. He was born in Cochabamba in 1760, and devoted himself, after graduating in medicine, to the practice of surgery. He rendered important service to his country, when, after the famous manifesto of June 16th, 1809, she entered on her struggle for independence. His treatment of the wounded, particularly his operations on the field of battle, won him high distinction. He also earned signal honour in the combatant ranks. The other day he was brought to the house of Senor Jose Ramallo, President of the Dramatic College of La Paz, and gave a lucid and animated account of the revolution which, begun in 1809, resulted in the emancipation of his country from the Spanish yoke. Our contemporary would add greatly to the interest of its notice of the "nltra-centenarian surgeon" if it had produced some trustworthy details as to his birth and parentage, certified by the public registrar. As it is, the fact of Dr. Silva’s having been old enough in 1809 to practise as a duly qilialified surgeon argues a longevity little short of one hundred years. Mr. F. Treves.-Yes, very soon. HERNIA AS A RESULT OF DIRECT VIOLENCE? To the Editors of THE LANCET. SIRS,—1 send the following case for the consideration of your readers. D. C-, aged sixty-two, met with an accident by coming in collision with a steam tram while driving. This occurrence took place on July llth. I saw him on that night, and, with the exception of a severe shaking, could not find anything particularly wrong with him. Three days after the accident he complained of pain in the left groin, which, on examination, I found was caused by a hernia. Now, was this hernia produced by direct violence? I have no idea of the nature of the accident, as the man cannot tell his own story, having been un. conscious for some time. A suitable truss soon relieved the rupture. On Aug. 17th I was called again to see the same patient ; he told me that "dropsy" had supervened. I examined his left thigh, and found a large quantity of fluid in or about the sheath of the vastus externus. This I ascertained by exploring with a hypodermic syringe. On recent examination I find that the fluid is now absorbed. Can this be called a hydrocele ? ‘? I am, Sirs, yours truly, Stamford-hill, N., Sept. 2nd, 1889. J. J. STACK, L.R.C.P.E., &c. "DIFFUSION OF SMALL-POX BY HOSPITALS." To the Editors of THE LANCET. SIRS,-I have to thank you for your notice of my papers on small,poI and tuberculosis in THE LANCET of July 27th, though your reviewer has mistaken me about winds. All that I assumed in that paper was that when the wind was blowing in a contrary direction to the district affected, cases could not well occur in consequence of infection from the hospital. I was well acquainted with Mr. Power’s work, and had given a close scrutiny to the meteorological conditions at Oldham, but came to the conclusion that I could make nothing of them, and therefore did not touch on that subject. I am, Sirs, yours truly, Oldham, Aug. 26th, 1889. JAMES NivEN. THE FOOD OF THE CHILDREN OF THE POOR. To the Editors of THE LANCET. SIRS,—If your correspondent, "Parish Doctor and M.O.H.," will communicate his address to me, I shall be very pleased to send him a copy of a card I had printed some years ago for distribution among poor people, entitled, "How to Bring Up Children." It might be of some help to him. I am, Sirs, yours faithfully, Sept. 1st, 1889. JULIUS CÆSAR. SUBSCRIPTION. POST FREE TO ANY PART OF THE UNITED KINGDOM. Post Office Orders and Cheques should be addressed to The Publisher, THE LANCET Office, 423, Strand, London, and crossed " London and Westminster Bank, St. James’s-square." ADVERTISING. The Publisher cannot hold himself responsible for the return of testimonials, &c., sent to the office in reply to advertisements; copies only should be forwarded. NOTICE.-Advertisers are requested to observe that it is contrary to the Postal Regulations to receive at Post Offices letters addressed te initials only. An original and novel feature of " THE LANCET General Advertiser" is a special Index to Advertisements on page 2, which not only affords a ready means of finding any notice, but is in itself an additional advertisement. Advertisements (to ensure insertion the same week) should be delivered at the Office not later than Wednesday, accompanied by a remittance. Answers are now received at this Office, by special arrangement, to advertisements appearing in THE LANCET. Terms for Serial Insertions may be obtained of the Publisher, to whom all letters relating to Advertisements or Subscriptions should b8 addressed. Advertisements are now received at all Messrs. W. H. Smith and Son’s Railway Bookstalls throughout the United Kingdom and all othet Advertising Agents. ____________________________ Agent for the Advertisement Department in France-J. ASTIER, 66, Rue Caumartin, Paris.

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530

METEOROLOGICAL READINGS.(Taken daily at 8.30 a.rn. by Steward’s Instruments.)

THE LANCET Office, September 5th, 1889.

Notes, Short Comments, & Answers toCorrespondents.

OUR CURRENT NUMBER

Being calrrtost exclusively devoted to information especiaLlginterestirrg to Students, we are necessarily compelled todefer the publication of communications on other im-

portant subjects. We regret also to be obliged to holdover till next week an article on Hospital Athletics andthc list of prize-winners at the various medical schoolsand hospitals during the past roi-nter and summer sessions.

We tertder our best thanks to those gentlemen who have hirzdlysupplied its with the returns and prospectuses upon whichthe information given in this Students’ Number ofTHE LANCET relative to the various medical examiningbodies, hospitals, and medical schools of the United

Kingdom is busecl. -

MICRO-ORGANISMS IN SOIL AND WATER.

THE article on the above subject, about which a. correspondent inquires,is to be found in Zeitschrift fur Hygiene, Band 6, Heft 3 (publishedby Veit and Co., Leipzig).

Dr. Clibborn (Bridport).-1. Five medical officers and a dispensaryassistant.-2. Salaries from £1000 to £180.—3. The Postmaster-General.

..d. Subscriber.—We cannot see what offence was committed by our corre-spondent, or for what he is to be prosecuted.

M.D. B.Se., &c., is referred to an article on the subject in our currentnumber.

POST-PARTUM SUPPRESSION OF URINE.

To the Editors of THE LANCET.

SIRS,-Dr. Bond’s case of suppression of urine after parturition remindsme of a precisely similar case which occurred in my practice in Londona few years since. The patient was a healthy young married woman incomfortable circumstances, whom I had attended in a previous confine-ment. The labour was a natural one, but two days afterwards sup-pression of urine came on, and in spite of everything that could be donedeath followed in eight or nine days, preceded by symptoms of uræmicpoisoning, stupor, and convulsions. There was not the slightest indi-cation of septicxmia,. I am, Sirs, yours faithfully,Northampton, Sept. 1st, 1889. J. HAWKES, M.D.

"AN ULTRA-CENTENARIAN SURGEON."

THE Patria of Buenos Ayres affirms that there is now in Bolivia a sur-geon, Luca Silva by name, whose age is no less than 129 years. He

was born in Cochabamba in 1760, and devoted himself, after graduatingin medicine, to the practice of surgery. He rendered important serviceto his country, when, after the famous manifesto of June 16th, 1809,she entered on her struggle for independence. His treatment of the

wounded, particularly his operations on the field of battle, won himhigh distinction. He also earned signal honour in the combatantranks. The other day he was brought to the house of Senor JoseRamallo, President of the Dramatic College of La Paz, and gave alucid and animated account of the revolution which, begun in 1809,resulted in the emancipation of his country from the Spanish yoke.Our contemporary would add greatly to the interest of its notice ofthe "nltra-centenarian surgeon" if it had produced some trustworthydetails as to his birth and parentage, certified by the public registrar.As it is, the fact of Dr. Silva’s having been old enough in 1809 topractise as a duly qilialified surgeon argues a longevity little short ofone hundred years.

Mr. F. Treves.-Yes, very soon.

HERNIA AS A RESULT OF DIRECT VIOLENCE?

To the Editors of THE LANCET.

SIRS,—1 send the following case for the consideration of your readers.D. C-, aged sixty-two, met with an accident by coming in collision

with a steam tram while driving. This occurrence took place onJuly llth. I saw him on that night, and, with the exception of asevere shaking, could not find anything particularly wrong with him.Three days after the accident he complained of pain in the left groin,which, on examination, I found was caused by a hernia. Now, wasthis hernia produced by direct violence? I have no idea of the natureof the accident, as the man cannot tell his own story, having been un.conscious for some time. A suitable truss soon relieved the rupture.On Aug. 17th I was called again to see the same patient ; he told me that"dropsy" had supervened. I examined his left thigh, and found alarge quantity of fluid in or about the sheath of the vastus externus.This I ascertained by exploring with a hypodermic syringe. On recentexamination I find that the fluid is now absorbed. Can this be calleda hydrocele ? ‘? I am, Sirs, yours truly,

Stamford-hill, N., Sept. 2nd, 1889. J. J. STACK, L.R.C.P.E., &c.

"DIFFUSION OF SMALL-POX BY HOSPITALS."

To the Editors of THE LANCET.

SIRS,-I have to thank you for your notice of my papers on small,poIand tuberculosis in THE LANCET of July 27th, though your reviewer hasmistaken me about winds. All that I assumed in that paper was thatwhen the wind was blowing in a contrary direction to the district

affected, cases could not well occur in consequence of infection from thehospital. I was well acquainted with Mr. Power’s work, and had givena close scrutiny to the meteorological conditions at Oldham, but cameto the conclusion that I could make nothing of them, and therefore didnot touch on that subject. I am, Sirs, yours truly,

’ Oldham, Aug. 26th, 1889. JAMES NivEN.

THE FOOD OF THE CHILDREN OF THE POOR.

To the Editors of THE LANCET.SIRS,—If your correspondent, "Parish Doctor and M.O.H.," will

communicate his address to me, I shall be very pleased to send him acopy of a card I had printed some years ago for distribution amongpoor people, entitled, "How to Bring Up Children." It might be ofsome help to him. I am, Sirs, yours faithfully,

Sept. 1st, 1889. JULIUS CÆSAR.

SUBSCRIPTION.

POST FREE TO ANY PART OF THE UNITED KINGDOM.

Post Office Orders and Cheques should be addressed to The Publisher,THE LANCET Office, 423, Strand, London, and crossed " London andWestminster Bank, St. James’s-square."

ADVERTISING.

The Publisher cannot hold himself responsible for the return oftestimonials, &c., sent to the office in reply to advertisements; copiesonly should be forwarded.NOTICE.-Advertisers are requested to observe that it is contrary to

the Postal Regulations to receive at Post Offices letters addressed teinitials only.

An original and novel feature of " THE LANCET General Advertiser" is a special Index to Advertisements on page 2, which not only affordsa ready means of finding any notice, but is in itself an additional advertisement.

Advertisements (to ensure insertion the same week) should be delivered at the Office not later than Wednesday, accompanied by a remittance.Answers are now received at this Office, by special arrangement, to advertisements appearing in THE LANCET.Terms for Serial Insertions may be obtained of the Publisher, to whom all letters relating to Advertisements or Subscriptions should b8

addressed.Advertisements are now received at all Messrs. W. H. Smith and Son’s Railway Bookstalls throughout the United Kingdom and all othet

Advertising Agents. ____________________________

Agent for the Advertisement Department in France-J. ASTIER, 66, Rue Caumartin, Paris.