singular species of puffs

1
353 Bladder, containing -very little thick urine, highly albuminous, .and tinged with blood. Intestines.-The ascending colon passed in its right position -towards the left side, overlaying the stomach, then turned upon itself towards the umbilicus, then back into the hypochondriac region; during its course much distended with flatus, became con- tracted in the left hypochondriac region, and continued so; crossed the root of the mesentery, just below where the ileum passes into the caecum; then ascended on the right side, close to the csecum and ascending colon, as high as the epigastric region, from whence it turned downward*:, towards the left iliac fossa, (having all the small intestines towards its left side,) then in its natural course into the pelvis. Ctreunt distended with faecal matter. (N. B.-Drawings were made of the position of the intestines.) On the removal of some of the bodies of the lumbar vertebrae, very great congestion of the spinal canal was noticed; the blood dark coloured and thick. Cerebro-spinal fluid in large quantity, and of a pale straw colour. The whole of the spinous processes of the vertebrae were next removed; the spinal cord enclosed within its mem- branes exposed, then taken out. Spinal cord (posterior part.)-Bloodvessels on the spinal mar- row very much congested; frequent adhesions between the layers of the arachnoid, from about the seventh dorsal vertebra upwards; arachnoid lining the dura mater presents a minutely granular appearance. Several plates of bone upon the free arachnoid, chiefly opposite the seventh dorsal vertebra. (These plates of bone are confined entirely to the posterior surface.] Anterior part.-Upon inflating the arachnoid of the anterior surface, it was found more opaque on the upper dorsal and cervical region than elsewhere, and also presented a minutely granulated appearance. Adhesions between the two free surfaces not so ex- tensive as at the posterior aspect. Brain.-Nothing abnormal noticed except slight opacity of the arachnoid at the base. The veins in the medullary sheath were congested. No marbling of the white matter, and the grey of natural appearance. The ventricles did not appear to have been distended with fluid. The large veins on the brain and sinuses were filled with blood. SINGULAR SPECIES OF PUFFS. To the Editor of THE LANCET. SIR,-Permit me to ask, through THE LANCET, whether Mr. Chisholm, of Devonshire-street, Portland-place, is aware that scarcely a week elapses without some highly laudatory encomium on his talents appearing in the Weekly Dispatch, in answer to the oft-repeated and tender inquiries of one of its correspondents. In the paper of last Sunday it is stated, in answer to "J. C , of Dover," that the case referred to is just a case for Mr. Chisholm, of Devonshire-street, "whose practice is chiefly amongst the upper classes," but whose " charges are not exorbitant, particularly to those whose means are limited." This is so much in the style of the " SILENT FRIEND," " MANLY HEALTH," &c., in another column of the paper, that, provoked by its repeated appearance, I feel compelled to ask, 1st. Is it paid for by him directly or indirectly ? 2nd. Is this advertisement introduced with Mr. C.’s sanction ? 3rd. Is he aware of its con- stant repetition? I will presume that all these questions are negatived. There is but one course now left for Mr. C. to pursue - e., to protest against and prevent this disgusting blazon of his merits in future. If he be passive on this occasion, he will be a discredit to the profession with which he claims kindred. In conclusion, I beg to say that I do not know, nor did I ever hear, of Mr. Chisholm, till he was assaulted in mistake for the Editor of the Satirist; and have but one motive, that of compelling an observation of those rules of propriety and decency in our pro- fession, which it is an injury to the body politic, at this time especially, to violate. I am, Sir, your obedient servant, ARGUS. Nov. 1 ^th, 1844. THE PAYMENT OF SURGEONS BY THE COMMIS- SIONERS OF POLICE. To the Editor of THE LANCET. I SIR,-As it may not be generally known to your professional readers, that the metropolitan commissioners of police pay the medical men who may be called to an accident in the street by one of the police, or if a policeman meets with an accident in the exercise of his duty, and applies to the nearest surgeon, I beg to inform them, through the medium of your journal, that they do so in the following manner. If the accident happen in the daytime, the commissioners pay the medical man three shillings and sixpence; if at night, seven shillings ; and night is con- sidered to commence at nine o’clock in the evening, when the policemen commence night duty. The bill must be made out to the commissioners of police, and the number and letter of the constable by whom called, or attended, mentioned. I trust, for the benefit of those who are not aware of the rule, that you will allow a space in your excellent journal for this notice of it. I am, Sir, your most obedient servant, H. HODSON RUGG. NEWS OF THE WEEK. GUY’s HOSPITAL.-Mr. John Hilton, lecturer on anatomy and physiology at Guy’s Hospital, has been appointed assistant- surgeon to that institution. THE WEIGIIT OF THE BRAIN OF THE LATE DR. ABER- CROMBIE was not forty-six ounces, as announced in the biography which we gave, but sixty-four ounces, which is considerably above the average weight of that organ. HOM<EOPATHY IN LEEDs.-The town of Leeds has recently, it appears, been favoured with the presence of a homoeopathic doctor, called Irvine. That individual, we are sorry to say, covers his pretensions with the Edinburgh M.D. degree, and on its strength has most imprudently endeavoured to thrust himself on the inti- macy of the Leeds physicians. Dr. Chadwick, physician to the Leeds Infirmary, has forwarded to us a correspondence which has taken place between the Hanhemanist and himself. Wishing, no doubt, to shield his own ignorance by the sanction of an acquaintance with Dr. Chadwick, who stands deservedly high in the opinion of his fellow-townsmen, this Dr. Irvine, after making several calls, which were, very correctly, not noticed by Dr. Chadwick, was at last received by the latter, when an explana- tion ensued. Dr. Chadwick stated to him, in the most gentle- manly, but the most positive manner, that he could not possibly associate with a person professing homoeopathy, even were that person in possession of the same medical degree as himself. The homoeopathic charlatan, not satisfied with this mild private rebuke, subsequently insisted on receiving in writing from Dr. Chadwick the castigation which he so richly deserved, in order that he might shew it to his friends-a rather singular step on his part. We very much approve of the conduct of Dr. Chadwick, who has acted in this instance with judgment and firmness, and we recommend it to the imitation of his professional brethren. We may remark, that such people as this Leeds homoeopathist must now be fully convinced that the University of Edinburgh does not in any way sanction their proceedings, since that University has recently deprived Dr. Henderson of his post as clinical professor at the Royal Infirmary, owing to his having treated some of his patients according to the absurd doctrines of Hahnemann. THE FELLOWSHIP.-The first examination for the Fellowship of the Royal College of Surgeons took place on Tuesday, Dec. 3, and Thursday, Dec. 5, when, out of thirty candidates, the following had the unenviable title conferred on them:-Mr. R. Martin, Holbrook; Mr. Ward, Huntingdon; Mr. Rix, St. Neots; Mr. Sodon, jun., Bath; Mr. Boil, Arundel; Mr. Cotton, Lyme; Mr. Cheeseman, Sheffield; Mr. Rumsey, Gloucester; Mr. Ellison, Chester; Messrs. Robarts, Smith, and E. Enfield Barron, of London, together with three others, whose names have not been forwarded to us. THE SURGEONSHIP TO THE CITY POLICE FORCE.-A petition against the election of Mr. Childs having been made to the Common Council, on the ground that he was not properly quali- fied, not having a recognised medical diploma, the matter was dis- cussed in the court of Common Council on Thursday, the 5th instant, when a division took place, of which the following is the result:-"Petition of Thomas Abraham, and others, against the election of Mr. Childs as surgeon to the police, read." Motion " To refer it to the police committee." Amendment&mdash;" To lie on the table." Court divided:-For the affirmative: The lord mayor, 3 aldermen, 46 commoners, 2 tellers-52. For the nega- tive : 1 alderman, 19 commoners, 2 tellers-22. Majority in favour of Mr. Childs, 30. The petition ordered to lie on the table accordingly." The words of the Act of Parliament require that a surgeon shall be elected, and Mr. Childs bung a member of the Royal College of Surgeons, was chosen by a considerable majority, from ten candidates, to fill the oiEcp. Mr. Abraham, the surgeon of Old Broad-street, in commu- nicating to us the above facts, adds, that "this is not to re wondered at, because the police committee consists of the al- dermen, the deputy aldermen, and a common councilman, from every ward, making altogether about seventy, who attended

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Page 1: SINGULAR SPECIES OF PUFFS

353

Bladder, containing -very little thick urine, highly albuminous,.and tinged with blood.

Intestines.-The ascending colon passed in its right position-towards the left side, overlaying the stomach, then turned uponitself towards the umbilicus, then back into the hypochondriacregion; during its course much distended with flatus, became con-tracted in the left hypochondriac region, and continued so;crossed the root of the mesentery, just below where the ileumpasses into the caecum; then ascended on the right side, close tothe csecum and ascending colon, as high as the epigastric region,from whence it turned downward*:, towards the left iliac fossa,(having all the small intestines towards its left side,) then in itsnatural course into the pelvis.

Ctreunt distended with faecal matter. (N. B.-Drawings weremade of the position of the intestines.)On the removal of some of the bodies of the lumbar vertebrae,

very great congestion of the spinal canal was noticed; the blooddark coloured and thick.

Cerebro-spinal fluid in large quantity, and of a pale strawcolour. The whole of the spinous processes of the vertebraewere next removed; the spinal cord enclosed within its mem-branes exposed, then taken out.

Spinal cord (posterior part.)-Bloodvessels on the spinal mar-row very much congested; frequent adhesions between the layersof the arachnoid, from about the seventh dorsal vertebra upwards;arachnoid lining the dura mater presents a minutely granularappearance. Several plates of bone upon the free arachnoid,chiefly opposite the seventh dorsal vertebra. (These plates ofbone are confined entirely to the posterior surface.] Anteriorpart.-Upon inflating the arachnoid of the anterior surface,it was found more opaque on the upper dorsal and cervicalregion than elsewhere, and also presented a minutely granulatedappearance. Adhesions between the two free surfaces not so ex-tensive as at the posterior aspect.Brain.-Nothing abnormal noticed except slight opacity of the

arachnoid at the base. The veins in the medullary sheath werecongested. No marbling of the white matter, and the grey ofnatural appearance. The ventricles did not appear to have beendistended with fluid. The large veins on the brain and sinuseswere filled with blood.

SINGULAR SPECIES OF PUFFS.To the Editor of THE LANCET.

SIR,-Permit me to ask, through THE LANCET, whetherMr. Chisholm, of Devonshire-street, Portland-place, is awarethat scarcely a week elapses without some highly laudatoryencomium on his talents appearing in the Weekly Dispatch, inanswer to the oft-repeated and tender inquiries of one of itscorrespondents. In the paper of last Sunday it is stated, inanswer to "J. C , of Dover," that the case referred to is just acase for Mr. Chisholm, of Devonshire-street, "whose practice is

chiefly amongst the upper classes," but whose " charges are notexorbitant, particularly to those whose means are limited." Thisis so much in the style of the " SILENT FRIEND," " MANLYHEALTH," &c., in another column of the paper, that, provokedby its repeated appearance, I feel compelled to ask, 1st. Is it paidfor by him directly or indirectly ? 2nd. Is this advertisementintroduced with Mr. C.’s sanction ? 3rd. Is he aware of its con-stant repetition? I will presume that all these questions arenegatived. There is but one course now left for Mr. C. to pursue- e., to protest against and prevent this disgusting blazon ofhis merits in future. If he be passive on this occasion, he will bea discredit to the profession with which he claims kindred. Inconclusion, I beg to say that I do not know, nor did I ever hear,of Mr. Chisholm, till he was assaulted in mistake for the Editorof the Satirist; and have but one motive, that of compelling anobservation of those rules of propriety and decency in our pro-fession, which it is an injury to the body politic, at this timeespecially, to violate. I am, Sir, your obedient servant,

ARGUS.Nov. 1 ^th, 1844.

THE PAYMENT OF SURGEONS BY THE COMMIS-SIONERS OF POLICE.

To the Editor of THE LANCET. ISIR,-As it may not be generally known to your professionalreaders, that the metropolitan commissioners of police pay themedical men who may be called to an accident in the street byone of the police, or if a policeman meets with an accident in theexercise of his duty, and applies to the nearest surgeon, I begto inform them, through the medium of your journal, that theydo so in the following manner. If the accident happen in the

daytime, the commissioners pay the medical man three shillingsand sixpence; if at night, seven shillings ; and night is con-sidered to commence at nine o’clock in the evening, when thepolicemen commence night duty. The bill must be made out tothe commissioners of police, and the number and letter of theconstable by whom called, or attended, mentioned.

I trust, for the benefit of those who are not aware of the rule,that you will allow a space in your excellent journal for thisnotice of it. I am, Sir, your most obedient servant,

H. HODSON RUGG.

NEWS OF THE WEEK.

GUY’s HOSPITAL.-Mr. John Hilton, lecturer on anatomyand physiology at Guy’s Hospital, has been appointed assistant-surgeon to that institution.THE WEIGIIT OF THE BRAIN OF THE LATE DR. ABER-

CROMBIE was not forty-six ounces, as announced in the biographywhich we gave, but sixty-four ounces, which is considerablyabove the average weight of that organ.

HOM<EOPATHY IN LEEDs.-The town of Leeds has recently, itappears, been favoured with the presence of a homoeopathic doctor,called Irvine. That individual, we are sorry to say, covers hispretensions with the Edinburgh M.D. degree, and on its strengthhas most imprudently endeavoured to thrust himself on the inti-macy of the Leeds physicians. Dr. Chadwick, physician to theLeeds Infirmary, has forwarded to us a correspondence which hastaken place between the Hanhemanist and himself. Wishing,no doubt, to shield his own ignorance by the sanction of anacquaintance with Dr. Chadwick, who stands deservedly high inthe opinion of his fellow-townsmen, this Dr. Irvine, after makingseveral calls, which were, very correctly, not noticed by Dr.Chadwick, was at last received by the latter, when an explana-tion ensued. Dr. Chadwick stated to him, in the most gentle-manly, but the most positive manner, that he could not possiblyassociate with a person professing homoeopathy, even were thatperson in possession of the same medical degree as himself. The

homoeopathic charlatan, not satisfied with this mild private rebuke,subsequently insisted on receiving in writing from Dr. Chadwickthe castigation which he so richly deserved, in order that hemight shew it to his friends-a rather singular step on his part.We very much approve of the conduct of Dr. Chadwick, whohas acted in this instance with judgment and firmness, and werecommend it to the imitation of his professional brethren. Wemay remark, that such people as this Leeds homoeopathist mustnow be fully convinced that the University of Edinburgh does notin any way sanction their proceedings, since that University hasrecently deprived Dr. Henderson of his post as clinical professorat the Royal Infirmary, owing to his having treated some ofhis patients according to the absurd doctrines of Hahnemann.THE FELLOWSHIP.-The first examination for the Fellowship

of the Royal College of Surgeons took place on Tuesday,Dec. 3, and Thursday, Dec. 5, when, out of thirty candidates, thefollowing had the unenviable title conferred on them:-Mr. R.Martin, Holbrook; Mr. Ward, Huntingdon; Mr. Rix, St. Neots;Mr. Sodon, jun., Bath; Mr. Boil, Arundel; Mr. Cotton, Lyme;Mr. Cheeseman, Sheffield; Mr. Rumsey, Gloucester; Mr. Ellison,Chester; Messrs. Robarts, Smith, and E. Enfield Barron, ofLondon, together with three others, whose names have not beenforwarded to us.

THE SURGEONSHIP TO THE CITY POLICE FORCE.-A petitionagainst the election of Mr. Childs having been made to theCommon Council, on the ground that he was not properly quali-fied, not having a recognised medical diploma, the matter was dis-cussed in the court of Common Council on Thursday, the 5thinstant, when a division took place, of which the following is theresult:-"Petition of Thomas Abraham, and others, against theelection of Mr. Childs as surgeon to the police, read." Motion" To refer it to the police committee." Amendment&mdash;" To lieon the table." Court divided:-For the affirmative: The lordmayor, 3 aldermen, 46 commoners, 2 tellers-52. For the nega-tive : 1 alderman, 19 commoners, 2 tellers-22. Majority infavour of Mr. Childs, 30. The petition ordered to lie on thetable accordingly." The words of the Act of Parliamentrequire that a surgeon shall be elected, and Mr. Childs bunga member of the Royal College of Surgeons, was chosen bya considerable majority, from ten candidates, to fill the oiEcp.Mr. Abraham, the surgeon of Old Broad-street, in commu-nicating to us the above facts, adds, that "this is not to rewondered at, because the police committee consists of the al-dermen, the deputy aldermen, and a common councilman, fromevery ward, making altogether about seventy, who attended