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249 Apropos of the article on Club Doctors in THE LANCET Of August lOth, a case which has just occurred here deserves mention. One of the surgeons in the town, having resigned a number of clubs, which he had held for some years, and for which he received, on the average, about 4s. per head, the usual competition followed. Applications from surgeons in good practice to take the clubs at 2s. 6d., and some at even a lower rate, were sent in. The Club Committees acted well, however, and appointed a practitioner at an average of about 3s., with the prospect of a return to the old rate. Surely the club doctors have made a "sign" unmistakeable enough to indicate their view of the recent agitation. Birmingham, August, 1867. ABERDEEN. (FROM OUR OWN CORRESPONDENT.) THE annual meeting of the North of Scotland Medical Association was held here on Saturday, the 10th inst., and was numerously attended by medical men from the counties of Aberdeen, Kincardine, Banff, and Elgin. The proceedings of the day commenced by a visit to the Infirmary. Unfortunately for the Association, it happens that the hospital at present is unusually empty, so that none of the capital operations were in the day’s programme, but Dr. Wolfe exhibited successful cases of operations upon eyes. The members then met in the hall of the Medico-Chirurgical Society, Dr. Thomson, Inverury, the President of the Association, in the chair. After some formal business, including a short address by the President, the meeting proceeded to consider a reply by the Board of Supervision to a memorial ordered to be transmitted by the meeting of last year, with reference to the position of parochial medical officers. Their position was contrasted with that of the other Poor-law officials, such as inspectors, considerably to the disadvantage of the former ; inasmuch as medical officers are elected annually, and may be superseded at any election by the parochial board, whereas the inspectors, although appointed by the parochial board, cannot be dismissed without the special sanction of the Board of Supervision. These points were brought under the notice of the Board of Supervision. The reply was to the effect that, without expressing an opinion on the merits of the question, it was considered inexpedient to take up the subject at present. Dr. Jamieson, Peterhead, proposed that the Association me- morialise the Home Secretary to put the position of the parochial medical officers upon a satisfactory footing. This was seconded by Dr. Bruce, Crimond, and agreed to. Dr. Beveridge brought forward a motion that the Associa- tion endeavour to collect statistics of the leading diseases pre- valent in this part of the country. After a short discussion it was agreed to remit the matter to the branch associations. Dr. Kilgour then read a very interesting paper " On the New Pharmacopoeia," giving a short history of the various forms which the Pharmacopoeias have from time to time as- sumed, and concluding with a motion : ’’ That this Association has received with great satisfaction the new edition of the British Pharmacopoeia, and hereby resolves to follow it closely in prescribing. That the thanks of this Association be tendered to the General Council of Medical Education and Registration of the United Kingdom for furnishing the profession with so well-arranged, accurate, and practically useful a work as the British Pharmacopoeia of 1867." " This resolution, having been put to the meeting, was carried unanimously. Dr. McKay, Elgin, then read for Dr. Turner, Keith, a paper own the Lateral Operation of Lithotomy," in which he pro- posed as a means of facilitating the section of the prostate, to use a knife composed of a very short blade attached to an elastic handle, intended to fit upon the right forefinger, so as to allow the blade to project beyond the point of the nail. On the motion of the President, Dr. Gavin, Strichen, was elected president for next year. The members then dined together, and spent a very pleasant afternoon. We are glad to find that this as yet infant Association is gradually assuming such a practically useful form as bids fair to ensure it a long career of prosperity. The examination for degrees in medicine concluded on Thursday last, and was followed on Friday by the ceremony of capping, which, as has been the case for some time back, was open to the public. A new feature this year has been the introduction of clinical examinations, which, along with the practical examinations in anatomy and chemistry, will, if thoroughly carried out, relieve the degrees here of an imputa- tion at one time cast upon them, that they were conferred solely on the ground of theoretical information, without a corresponding practical acquaintance with the subject. Aberdeen, August 12th, 1867. DUBLIN. (FROM OUR OWN CORRESPONDENT.) I REGRET to have to inform your readers that the case of aneurism of the subclavian artery, in which Mr. Porter so skilfully applied compression to the arteria innominata by means of Mr. L’Estrange’s ingenious presse artere, and which was such an object of interest to the many visitors to the Meath Hospital during the Association week, expired on last . Saturday evening, the eleventh day after the operation, in consequence of haemorrhage (as the post-mortem examination disclosed), from the very point of the innominate where the pressure had been applied. Mr. Christopher Heath was pre- sent at the post-mortem examination, the result of which clearly demonstrated that, so far as the operation went, it had been carried out in its fullest details. In this case on a previous occasion acupressure by Simpson’s fourth method had been applied to the distal side of the artery : it presented no appearance of having suffered from the pressure so produced, the vessel being simply impervious, but showing no sign of ulceration. The different results produced by the pre.sse artere and acupressure are full of practical importance. In the one case ulceration and perforation of the artery, haemorrhage, and death ; in the other, simple occlusion of the vessel. In both instances the pressure was continued for very nearly the same number of hours : with the presse artère for fifty-seven, with the acupressure for fifty-two hours. Dublin, August 19th, 1867. THE WEST RIDING MEDICAL CHARITABLE SOCIETY. THE annual meeting of the above-named Society, which is established for the relief of the widows and orphans of the profession, was recently held at Huddersfield. Dr. Turnbull occupied the chair. The following gentlemen were present :-Dr. Chadwick, Leeds ; Dr. Holdsworth and Dr. Kendal, Wakefield ; Dr. Webster, Golcar; Dr. Alexander, Halifax; Dr. Elliott, Sowerby Bridge; Dr. Dobson, Holbeck; Dr. G. C. Hall, Sheffield ; and Messrs. W. H. Phillips, J. B. Pritchett, J. E. Foster, W. J. Clarke. Thomas Brewer, Thomas Webbe, Wm. Robinson, and G. W. Rhodes, Huddersfield ; Samuel Hey, H. W. Price, Henry Chorley, and W. N. Price, Leeds; John Nicholson, R. M’Lachlan, W. Favell, and Martin de Bartolome, Sheffield; R. H. Meade, J. N. Terry, and -Lodge, Bradford; -Lambert, Farsley; J. Hodgson Wright, W. H. Peacock, and Wm. Nowell, Halifax ; J. B. Oldfield, Heckmondwike; J. Corry, Thornton; Robert Farrar, Brig- house ; and Henry Pritchett, Rastrick. There were also pre- sent J. C. Laycock, Esq., president of the Huddersfield In- firmary ; and T. H. Battye, Esq. The members and their friends dined together after the despatch of business. The CHAIRMAN, in proposing success to the Society, dwelt upon the fact that they had met for no selfish object, but to further acts of benevolence and practical philanthropy to- wards their brethren-to cheer the heart of the widow and orphan, and to smooth the pillow of some professional brother who had been overtaken in the battle of life by sickness and poverty. " I need not tell the great majority of those who hear me that the life of a medical man is a life of toil, and that the prospect of realising wealth, and of making provision for old age and for a family, is not encouraging. I speak from no short experience ; and I feel confident that one half of those who practise the healing art never do more than earn a bare subsistence. Should sickness come, therefore,-and come it will,-poverty is its companion; and should the life be cut short, should it succumb to the midnight toil, or fell epidemic, those whose daily bread depends upon that life are at once plunged into abject poverty; hence the utility of such a society

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249

Apropos of the article on Club Doctors in THE LANCET OfAugust lOth, a case which has just occurred here deservesmention. One of the surgeons in the town, having resigned anumber of clubs, which he had held for some years, and forwhich he received, on the average, about 4s. per head, theusual competition followed. Applications from surgeons ingood practice to take the clubs at 2s. 6d., and some at even alower rate, were sent in. The Club Committees acted well,however, and appointed a practitioner at an average of about3s., with the prospect of a return to the old rate. Surely theclub doctors have made a "sign" unmistakeable enough toindicate their view of the recent agitation.Birmingham, August, 1867.

ABERDEEN.

(FROM OUR OWN CORRESPONDENT.)

THE annual meeting of the North of Scotland MedicalAssociation was held here on Saturday, the 10th inst., and wasnumerously attended by medical men from the counties ofAberdeen, Kincardine, Banff, and Elgin. The proceedings ofthe day commenced by a visit to the Infirmary. Unfortunatelyfor the Association, it happens that the hospital at present isunusually empty, so that none of the capital operations werein the day’s programme, but Dr. Wolfe exhibited successfulcases of operations upon eyes. The members then met in thehall of the Medico-Chirurgical Society, Dr. Thomson, Inverury,the President of the Association, in the chair. After someformal business, including a short address by the President,the meeting proceeded to consider a reply by the Board ofSupervision to a memorial ordered to be transmitted by themeeting of last year, with reference to the position of parochialmedical officers. Their position was contrasted with that ofthe other Poor-law officials, such as inspectors, considerablyto the disadvantage of the former ; inasmuch as medical officersare elected annually, and may be superseded at any election bythe parochial board, whereas the inspectors, although appointedby the parochial board, cannot be dismissed without the specialsanction of the Board of Supervision. These points werebrought under the notice of the Board of Supervision. The

reply was to the effect that, without expressing an opinion onthe merits of the question, it was considered inexpedient totake up the subject at present.

Dr. Jamieson, Peterhead, proposed that the Association me-morialise the Home Secretary to put the position of the

parochial medical officers upon a satisfactory footing. Thiswas seconded by Dr. Bruce, Crimond, and agreed to.

Dr. Beveridge brought forward a motion that the Associa-tion endeavour to collect statistics of the leading diseases pre-valent in this part of the country. After a short discussion itwas agreed to remit the matter to the branch associations.

Dr. Kilgour then read a very interesting paper " On theNew Pharmacopoeia," giving a short history of the variousforms which the Pharmacopoeias have from time to time as-sumed, and concluding with a motion : ’’ That this Associationhas received with great satisfaction the new edition of theBritish Pharmacopoeia, and hereby resolves to follow it closelyin prescribing. That the thanks of this Association be tenderedto the General Council of Medical Education and Registrationof the United Kingdom for furnishing the profession with sowell-arranged, accurate, and practically useful a work as theBritish Pharmacopoeia of 1867." " This resolution, having beenput to the meeting, was carried unanimously.

Dr. McKay, Elgin, then read for Dr. Turner, Keith, a paperown the Lateral Operation of Lithotomy," in which he pro-posed as a means of facilitating the section of the prostate, touse a knife composed of a very short blade attached to anelastic handle, intended to fit upon the right forefinger, so as toallow the blade to project beyond the point of the nail.On the motion of the President, Dr. Gavin, Strichen, was

elected president for next year.The members then dined together, and spent a very pleasant

afternoon.We are glad to find that this as yet infant Association is

gradually assuming such a practically useful form as bids fairto ensure it a long career of prosperity.The examination for degrees in medicine concluded on

Thursday last, and was followed on Friday by the ceremonyof capping, which, as has been the case for some time back,was open to the public. A new feature this year has been the

introduction of clinical examinations, which, along with thepractical examinations in anatomy and chemistry, will, if

thoroughly carried out, relieve the degrees here of an imputa-tion at one time cast upon them, that they were conferredsolely on the ground of theoretical information, without acorresponding practical acquaintance with the subject.

Aberdeen, August 12th, 1867.

DUBLIN.

(FROM OUR OWN CORRESPONDENT.)

I REGRET to have to inform your readers that the case ofaneurism of the subclavian artery, in which Mr. Porter so

skilfully applied compression to the arteria innominata bymeans of Mr. L’Estrange’s ingenious presse artere, and whichwas such an object of interest to the many visitors to theMeath Hospital during the Association week, expired on last .

Saturday evening, the eleventh day after the operation, inconsequence of haemorrhage (as the post-mortem examinationdisclosed), from the very point of the innominate where thepressure had been applied. Mr. Christopher Heath was pre-sent at the post-mortem examination, the result of whichclearly demonstrated that, so far as the operation went, it hadbeen carried out in its fullest details. In this case on a

previous occasion acupressure by Simpson’s fourth method hadbeen applied to the distal side of the artery : it presented noappearance of having suffered from the pressure so produced,the vessel being simply impervious, but showing no sign ofulceration. The different results produced by the pre.sse artereand acupressure are full of practical importance. In the onecase ulceration and perforation of the artery, haemorrhage, anddeath ; in the other, simple occlusion of the vessel. In bothinstances the pressure was continued for very nearly the samenumber of hours : with the presse artère for fifty-seven, withthe acupressure for fifty-two hours.Dublin, August 19th, 1867.

THE WEST RIDING MEDICAL CHARITABLESOCIETY.

THE annual meeting of the above-named Society, whichis established for the relief of the widows and orphansof the profession, was recently held at Huddersfield. Dr.Turnbull occupied the chair. The following gentlemen werepresent :-Dr. Chadwick, Leeds ; Dr. Holdsworth and Dr.

Kendal, Wakefield ; Dr. Webster, Golcar; Dr. Alexander,Halifax; Dr. Elliott, Sowerby Bridge; Dr. Dobson, Holbeck;Dr. G. C. Hall, Sheffield ; and Messrs. W. H. Phillips, J. B.Pritchett, J. E. Foster, W. J. Clarke. Thomas Brewer, ThomasWebbe, Wm. Robinson, and G. W. Rhodes, Huddersfield ;Samuel Hey, H. W. Price, Henry Chorley, and W. N. Price,Leeds; John Nicholson, R. M’Lachlan, W. Favell, and Martinde Bartolome, Sheffield; R. H. Meade, J. N. Terry, and-Lodge, Bradford; -Lambert, Farsley; J. Hodgson Wright,W. H. Peacock, and Wm. Nowell, Halifax ; J. B. Oldfield,Heckmondwike; J. Corry, Thornton; Robert Farrar, Brig-house ; and Henry Pritchett, Rastrick. There were also pre-sent J. C. Laycock, Esq., president of the Huddersfield In-firmary ; and T. H. Battye, Esq. The members and theirfriends dined together after the despatch of business.The CHAIRMAN, in proposing success to the Society, dwelt

upon the fact that they had met for no selfish object, but tofurther acts of benevolence and practical philanthropy to-wards their brethren-to cheer the heart of the widow andorphan, and to smooth the pillow of some professional brotherwho had been overtaken in the battle of life by sickness andpoverty.

" I need not tell the great majority of those whohear me that the life of a medical man is a life of toil, and thatthe prospect of realising wealth, and of making provision forold age and for a family, is not encouraging. I speak from noshort experience ; and I feel confident that one half of thosewho practise the healing art never do more than earn a baresubsistence. Should sickness come, therefore,-and come itwill,-poverty is its companion; and should the life be cutshort, should it succumb to the midnight toil, or fell epidemic,those whose daily bread depends upon that life are at onceplunged into abject poverty; hence the utility of such a society