F.R.C.S. Edin., has been appointed an Honorary Surgeon to the Royal Hants County Hospital.

PULLIN, B. GIBBES, L.R.C.P. Lond., M.RO.S, L.S.A., has been appointed a Surgeon to the Sidmouth Cottage Hospital.

SCOTT, WM. G., M.B. Edin., L.R.C.S., has been re-appointed a Surgeon to the Newton Abbot Cottage Hospital,

SKINNER, STEPHEN, M.B., O.M. Aberd. M R.O.S., has been appointed Medical Officer of Health for Clevedon, Somerset.

SMITH, L. C., L.D.S.R.C.S. Eng., has been appointed an Honorary Surgeon Dentist to the Durham County Hospital.

SWETE, E. H. W., M.D. St. And., M.R C.S., D.P. H. Camb., has been reappointed Medical Officer of Health by the Bromyard Urban District Council.

}

THORNE, ATWOOD, L.R.C.P. Lond., M.RO.S, has been appointed Assistant Registrar, Central London Throat, Nose, and Ear Hospital.

TURNER, J. A., M.B., C.M., D.P.H. Camb., has been appointed Medical Officer of Health by the East Herts Urban and Rural District Councils.

VINTER, SYDNEY G., M.R.C.S,, L.R.C.P. Lond., has been appointed
Medical Officer to the Union House and Medical Officer and Public
Vaccinator to the No. 2 District, St. Germans Union, vice Charles
W. Chubb, resigned.
WATKIN-WILLIAMS, PENROSE L., L.R.C.P. Lond, M.R.C.S. Eng., has
been appointed a Medical Officer for the Dunster and Minehead
Village Hospital and Deputy Medical Officer and Public Vaccinator
for the Dunster District of the Williton Union, Somerset.
WHITAKER, E. T., M.B., C.M. Edin., B.Sc., D.P.H. Camb., has been
appointed Medical Officer of Health for the combined Sanitary
Districts of Tenbury, Burford, Cleobury Mortimer, and Rock.
WILLIAMS, N., M.B. Cantab., M.R CS., has been re-appointed an
Honorary Medical Officer to the Harrogate Infirmary and Dis-
pensary.

WOOD, R. E., L.D.S.R.C.S. Eng., has been re-appointed an Honorary
Dental Surgeon to the Harrogate Infirmary and Dispensary.
WOOD, W. C., L.R.C.P. Lond., M.R.O.S., bas been appointed a House
Physician to St. Mary's Hospital, London.

LONDON HOSPITAL, Whitechapel, E.-Surgical Registrar. Salary £100

per annum.

LONDON TEMPERANCE HOSPITAL, Hampstead-road, N.W.-Resident Medical Officer, for one year or more. Salary 100 gulneas per annum; board, lodging, and washing provided. MANCHESTER CHILDREN'S HOSPITAL.-Junior Resident Medical Officer, for six months, unmarried. Salary at the rate of £80 a year, with board and lodging. Also Medical Officer for the Dispensary, unmarried. Salary £180 a year, without board or residenco. METROPOLITAN HOSPITAL, Kingsland-road, N.E.-House Physician, House Surgeon, Assistant House Physician, and Assistant House Surgeon for six months. The former two will each receive a salary at the rate of £40 a year, and the latter two each at the rate of £20 a year. PARISH OF ST. GILES, Camberwell.-Assistant Medical Officer for the Infirmary, Havil-street, Camberwell, and the Workhouse at Gordonroad, Peckham; also for Relief Duty at the Constance-road Workhouse of the parish, for one year only. Salary £50, with apartments, board, and washing. Applications to Mr. C. S. Stevens, Guardians Offices, 29, Peckham-road, S.E.

POPLAR HOSPITAL FOR ACCIDENTS, Poplar, E.-House Surgeon, for one year. Salary £110, with board and residence.

ROYAL COLLEGE OF SURGEONS OF ENGLAND.-Examiners.

ST. GEORGE'S AND ST. JAMES'S DISPENSARY, 60, King-street, London.Physician, and also Physician for the Diseases of Women and Children.

ST. MARY'S CHILDREN'S HOSPITAL, Plaistow, F.-Resident Medical Officer for one year. Salary £80 per annum, with board and washing. STAMFORD HILL AND STOKE NEWINGTON DISPENSARY, 189, Highstreet, Stoke Newington, N.-Junior Resident Medical Officer. Salary for the first three months at the rate of £50 per annum, and afterwards at the rate of £75 per annum, with board and residencein each case.

UNIVERSITY COLLEGE oF SOUTH WALES AND MONMOUTHSHIRE.—Professor of Anatomy. Applications to the Secretary and Registrar, University College, Cardiff.

VICTORIA UNIVERSITY-YORKSHIRE COLLEGE, Leeds,-Demonstrator of Physiology. Salary £150. WEST HERTS INFIRMARY, Hemel Hempstead.-House Surgeon and Dispenser, who shall also be Assistant Secretary, for two years, unmarried. Salary £100 per annum, with furnished rooms, board, fire, lights, attendance, and washing.

Vacancies.

For further information regarding each vacancy reference should be made to the advertisement (see Index).

BETHNAL GREEN BOARD OF GUARDIANS -Second Assistant Medical Officer at the Workhouse and Infirmary, Waterloo-road, Victoria Park, N.E., for six months. Salary at the rate of £80 per annum, with rations, furnished apartmenis, washing, and an allowance at the rate of £3 per annum in lieu of beer. Applications to the Clerk to the Board, Bishop's-road, Victoria-park, N.E. BIRMINGHAM AND MIDLAND FREE HOSPITAL FOR SICK CHILDREN.— Resident Medical Officer and Resid nt Surgical Officer. Salaries £70 and £50 respectively, with board, washing, and attendance at the Institution. Also Extra Acting Physician for three afternoons a week. Salary £40 per annum.

BLACKBURN AND EAST LANCASHIRE INFIRMARY, Blackburn.-Senior House Surgeon. Salary £100 per annum, with board, washing, lodging, &c.

BOLTON INFIRMARY AND DISPENSARY.--Junior House Surgeon, for twelve months. Salary £80 per annum, with furnished apartments, board, and attendance.

BOROUGH OF BURTON-UPON-TRENT.-Medical Officer of Health for the District of the Borough. Salary at the rate of £350 per annum, exclusive of authorised disbursements.-Applications to the Town Clerk, Town Hall, Burton-upon-Trent.

BRISTOL ROYAL INFIRMARY.-Resident. Officer, to perform obstetric and other duties, for one year. Salary £40 per annum, with board, lodging, and washing.

CHILDREN'S HOSPITAL, Nottingham,-House Surgeon (non-resident) for six months. Salary at the rate of £100 per annum. DENTAL HOSPITAL OF LONDON, Leicester-square.-Dental Surgeon. DERBY COUNTY ASYLUM, Derby.-Junior Assistant Medical Officer. Salary £100, rising to £130 per annum, with furnished apartments, board, &c.

EAST END BRANCH OF THE CHILDREN'S HOSPITAL, Sheffield.-Lady House Surgeon (Out-patient Department only). Salary £70 per annum, with board, lodging, and washing.

EAST SUFFOLK AND IPSWICH HOSPITAL, Thorofare, Ipswich. - A Second House Surgeon, sit gle, for one year. Salary £70 per annum, with board, lodging, and washi g. GENERAL HOSPITAL, Biriningham. Pathologist, for one year. Salary £100 per annum, with board and residence, £20 per annum being allowed till residence is provided in the new hospital. GENERAL HOSPITAL, Birmingham.-House Physician, for one year. Salary £70 per annum, with residence, board, and washing. GREAT YARMOUTH HOSPITAL. — House Surgeon. Salary £90 per annum, with board and lodging, but no wines, spirits, beer, &c., are found.

HOSPITAL FOR WOMEN (THE LONDON SCHOOL OF GYNECOLOGY), Soho-square, W.-Clinical Assistants.

JOINT COUNTIES ASYLUM, Carmar hen.-Clinical Assistant for six months. Board, lodging, &c., and honorarium offered. LINCOLN COUNTY HOSPITAL, Lincoln.-Assi tant House Surgeon for six months. An honorarium of £10 and board, residence, and washing.

LONDON COUNTY LUNATIC ASYLUM, Colney Hatch, Middlesex, N.~ Junior Assistant Medical Officer, single. Salary £120 per annum, rising £5 a year to £150, with board, lodging, and washing.-Applications to the Clerk, London Asylumis Cominittee Office, 21, Whitehall-place, London, S.W.

Births, Marriages, and Deaths.

BIRTHS.

BARRITT.-On Feb. 2nd, at Welland-terrace, Spalding, Lincolnshire, the wife of G. Lacy Barritt, M.R.C.S., L R.O.P. Lond., of a son. BENSON,-On Feb. 2nd, at Fulwood-road, Sheffield, the wife (née Simmonds) of Henry Mitchell Benson, M.B., C.M. Edin., of a daughter.. BUCHAN. On Feb. 5th, at Athenæum-terrace, Plymouth, the wife of W. A. Buchan, M.B., of a son.

COCKRAN-On Feb. 3rd, at the Priory, Caversham, the wife of C. H. Cockran, Physician and Surgeon, of a daughter.

GODDARD. On Feb. 6th, at Wembly, the wife of Charles E. Goddard,. L.R.C.P. Lond,, M.R.C.S. Eng., of a son.

HUDSON.--On Feb. 6th, the wife of C. E. Leopold B. Hudson, F.R. C.S., of 16, Harley-street, W., of a son.

PETTER-On Feb. 7th, at Stanhope-road, Darlington, the wife of Walter Petter, M. D., U.M., of a son.

RYLE.—On Feb. 3rd, at Hadley, Barnet, the wife of Reginald John Ryle, M.D., of a daughter.

TOWNSEND. On Feb. 3rd, at Ivy House, Normanby, the wife of F. E. Townsend, M.D., of a so11.

VOELCKER-On Feb. 6th, at Harley-street, the wife of Arthur F. Voelcker, M.D., of a daughter.

MARRIAGES.

MACLAURIN-CROAL-On Feb. 4th, at Sydney, Charles MacLaurin,.
M.B., O.M. Edin., eldest son of the Hon. Henry Norman MacLaurin,
M.D., LL.D., Chancellor of Sydney University, to Anne Bichiah
(Nannie), fourth daughter of Thomas Allan Croal, 16, London-
street, and General Post Office, Edinburgh.
MARSH-BAQUERA.-On Feb. 3rd, at the Garrison Church (King's
Chapel), Gibraltar, Surgeon-Major T. A. Perry Marsh, Army
Medical Staff, youngest son of the late H. G. Marsh, J.P., of
Winterbourne, Glos., to Cecilia de Baquera, second daughter of
Don Nicente Baquera, of Malaga, Spain.
TINLEY-LEA.-On Feb. 3rd, at Christ Church, Bridlington Quay,
William Edwyn Falkingbridge Tinley, M B.. M.R.C.S., older son of
Thomas Tinley, M.D., J.P., of Hildegard House, Whitby, to Ada,.
younger daughter of Thomas Lea, of Abbey-terrace, Whitby.

DEATHS.

BOURNE.-On Feb. 7th, at 5, Pittville-crescent, Cheltenham, Walter
Bourne, M.D., aged 68.
BROWN.-On Feb 7th, at Shaldon, Devon, Osmond P
Percy Brown,
M.R.C.S., L.S.A., aged 35.

FRENCH.-On Feb. 9th, at his residence, Darmstadt, Sutton, Surrey,.
suddenly, Henry French, M.R.C.S., aged 83.
SHARPLES.-Ón Feb 8th, at his residence, Maisonnette, Leam-terrace,
Leamington, William Sharples, M. R.C.S., in his 84th year.
SHEPHERD.On Jan. 24th, at Bloemfontein, Orange Free State, ErnesŁ.
Shepherd, M.R.C.S., L.R.C.P., aged 26.

N.E.—A fee of 58. ts charged for the insertion of Notices of Birtha, Marriages, and Deaths.

Medical Diary for the ensuing Week.

OPERATIONS.

METROPOLITAN HOSPITALS.

MONDAY (15th).-London (2 P.M.), St. Bartholomew's (1.30 P.M.), St. Thomas's (3.30 P.M.), St. George's (2 P.M., Ophthalmic 1.16 p.m.), St. Mary's (2.30 P.M.), Middlesex (1.30 P.M.), St. Mark's (2 P.M.), Chelsea (2 P.M.), Samaritan (Gynecological, by Physicians, 2 P.M.), Soho-square (2 P.M.), Royal Orthopædio (2 P.M.). Oity Orthopedic (4 P.M.), Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.), Westminster (2 P.M.).

TUESDAY (16th).-London (2 P.M.), St. Bartholomew's (1.30 P.M.), Guy's (1.30 P.M.), St. Thomas's (3.30 P.M.), Middlesex (1.30 P.M.), Westminster (2 P.M.), West London (2.30 P.M.), University College (2 P.M.), St. George's (1 P.M.), St. Mary's (2 P.M.), St. Mark's

WEDNESDAY (17th).-St. Bartholomew's (1.30 P.M.), University College (2 P.M.), Royal Tree (2 P.M.), Middlesex (1.30 P.M.), Charing-cross (3P.M.), St. Thomas's (2 P.M.), London (2 P.M.), King's College (2 P.M.), St. Mary's (2 P.M.), National Orthopedic (10 A.M.), St. Peter's (2 P.M.). Samaritan (2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. Northern Central (2.30P.M.).

THURSDAY (18th).-St. Bartholomew's (1.30 P.M.), St. Thomas'e (3.30 P.M.), University College (2 P.M.), Charing-cross (3 P.M.). St. George's (1 P.M.), London (2 P.M.), King's College (2 P.M.), Middlesex (1.30 P.M.), St. Mary's (2.30 P.M.), Soho-square (2 P.M.), North-West London (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynecological, 2.30 P.M.)

FRIDAY (19th).—London (2 P.M.), St. Bartholomew's (1.30 P.M.), St. Thomas's (3.30 P.M.), Guy's (1.30 P.M.), Middlesex (1.30 P.M.), Charing (1 P.M.), King's College (2 P.M.), St. Mary' (2 P.M., Ophthalmic 16.M.), Dancer (900), 80 2p. (2 Pin), t.

cross

(2

Northern Central (2.30 P.M.), West London (2.30 P.M.). SATURDAY (20th).—Royal Free (9 A.M. and 2 P.M.), Middlesex (1.30P.M.), St. Thomas's (2 P.M.), London (2 P.M.), University College (9.15 A.M.), Charing-cross (3 P.M.), St. George's (1 P.M.), St. Mary's (10 P.M.), Cancer (2 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic (10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and the Central London Ophthalmic Hospitals operations are performed daily.

MONDAY

SOCIETIES.

(15th).—MEDICAL SOCIETY OF LONDON.-8.30p.m. Dr. F. de Havilland Hall: Disease of the Nose and Throat in Relation to General Medicine. (Lettsomian Lecture.) TUESDAY (16th).-PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Papers :-Dr. T. O. Fox and Dr. F. R. Bloxall: The Plurality of Ringworm Fungi (with lantern demonstration).—Mr. S. G Shattock: Undescended Testicle Removed in Radical Cure of Hernia. - Dr. 11. M. Fletcher: A Congenital Cyst of the Mediastinum-Dr. F. J. Wethered: Case of Hypertrophy of the Lung. Card Specimens :Mr. J. Poland: Cylindrical-celled Carcinoma of Testis.-Dr. F. J. Smith: Aneurysm of the Thoracic Aorta in a Boy. ROYAL STATISTICAL SOCIETY (Royal United Service Institution, Whitehall, S.W.).-5.30 P.M. Mr. N. A. Humphreys: English Vaccination and Small-pox Statistics, with Special Reference to the Report of the Royal Commission and to recent Small-pox Edidemics. WEDNESDAY (17th).—ROYAL MICROSCOPICAL SOCIETY (20, Hanoversquare, W.)-8 P.M. Mr. G. M. Giles: On a Simple Method of Micro photography.

THURSDAY (18th). SOCIETY OF ANÆSTHETISTS (20, Hanoversquare, W.).—8.30 P.M. Casual Communication by Mrs. Dickinson Berry, M.D. Lond. Paper :-Dr. L. Hill: The Causation of Chloro form Syncope, an Experimental Enquiry.

HARVEIAN SOCIETY.-8.30 г.M. Prof. H. R. Spencer: On the Diagnosis and Dangers of Breech Presentation, and its Treatment by External Version during Pregnancy.

FRIDAY (19th).-EPIDEMIOLOGICAL SOCIETY OF LONDON (11, Chandos-st., Cavendish-sq.).-8 P.M. Meeting.

LECTURES, ADDRESSES, DEMONSTRATIONS, &0. MONDAY (15th).-LONDON POST-GRADUATE COURSE.--London Throat Hospital, Gt. Portland-st., W., 8 P.M., Mr. W. R. H. Stewart: Examination of the Ear.

ROYAL COLLEGE OF SURGEONS.---4 P.M. Mr. C. Heath: Hunterian Oration.

THE SANITARY INSTITUTE (Parkes Museum, Margaret-street, W.).8 P.M. Mr. A. Wynter Blyth: Introductory Lecture, on Factory Legislation.

TUESDAY (16th).- LONDON POST-GRADUATE COURSE.-Bethlem Hospital, 2 P.M., Dr. Craig: Mania, Acute, Hysterical, Acute Delirious. -Hospital for Skin Diseases, Blackfriars, 4.30 P.M., Dr. Payne: Eczema, its Varieties.

CENTRAL LONDON THROAT, NOSE, AND BAR HOSPITAL.-4 P.M. Dr. D. Grant: The Diagnosis and Treatment of Diseases producing Pain in or about the Ear.

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Bloomsbury).—3.30 P.M. Dr. Ferrier: Lecture.

WEST-END HOSPITAL FOR DISEASES OF THE NERVOUS SYSTEM (73, Welbeck-street).-4 P.M. Dr. T. D. Savill: Cases of Hysteria. WEDNESDAY (17th). LONDON POST-GRADUATE COURSE. Parkes Museum, Margaret street, W., 4.30 P.M., Prof. A. Wynter Blyth: Refuse Removal and Disposal.

HOSPITAL FOR CONSUMPTION, &c., (Brompton).-4 P.M. Dr. Wethered: Hemoptysis.

THURSDAY (18th).-London Post-graDUATE COURSE.-Brit. Inst. of Preventive Medicine Gt. Russell-st., W.C., 3.30 PM, Dr. Allan Macfadyen and Mr. A. G. Foulerton: On the more important Constituents of Normal Urine.-Central London Sick Asylum, Cleveland-st., W., 6.30 P.M., Mr. J. Hopkins: Clinical Lecture. SOCIETY OF ARTS.-8 P.M. Prof. J. A. Ewing: The Mechanical Production of Cold. (Howard Lecture)

THE SANITARY INSTITUTE (Parkes Museum, Margaret-street, W.).— 8 P.M. Mr. H. Manley: Sanitary Law, English, Scotch, and Irish; General Enactments Public Health Act, 1875; Model Bye laws, &c. FRIDAY (19th).-LONDON POST GRADUATE COURSE.-Kings's College, 3 to 5 P.M., Prof. Crookshank: The Microscope and "Methods of Cultivation.

CENTRAL London Throat, Nose, and EAR HOSPITAL.-4 P.M. Mr. W. Van Praagh: Defects of Speech.

NATIONAL HOSPITAL FOR THE Paralysed AND EPILEPTIC (Bloomsbury).—3.30 P.M. Dr. Taylor: Jacksonian Epilepsy.

THE CANCER HOSPITAL (FREE) (Fulham-road, Brompton, S.W.).4 P.M. Mr. H. Snow: The Value of "Anticipatory" Gland Excision in Cancer-Surgery.

Notes, Short Comments, and Answers to Correspondents.

EDITORIAL NOTICE.

IT is most important that communications relating to the Editorial business of THE LANCET should be addressed exclusively "TO THE EDITORS," and not in any case to any gentleman who may be supposed to be connected with the Editorial staff. It is urgently necessary that attention be given to this notice.

It is especially requested that early intelligence of local events having a medical interest, or which it is desirable to bring under the notice of the profession, may be sent direct to this Office.

Lectures, original articles, and reports should be written on one side of the paper only, AND, WHEN ACCOMPANIED BY BLOCKS, IT IS REQUESTED THAT THE NAME OF THE AUTHOR, AND IF POSSIBLE OF THE ARTICLE, SHOULD BE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI

"A CRUISE ON A WHALER.”

To the Editors of THE LANCET. SIRS,-Noticing an inquiry in THE LANCET of Jan. 30th as to obtaining a berth as surgeon to a whaler I am induced to offer you a few remarks. I possess, I believe, the distinction (P) of being surgeon to the last sperm whaler out of England. The Cowlitz, to which I refer, left in 1856 returning to England in the autumn of 1859. The surgeon has a fairly rough time of it, having to go aloft daily regularly on the lookout, and is held responsible for the safety of the boats when away from the ship after whales, not a nice job in squally weather or when the boats are away after sundown and the lights of glimmering lanterns have to be kept sight of, with only four boys to work the ship, which is necessraily under easy canvas. He has also to take an occasional spell at boiling oil. Of course, among the South Sea islands the weather is intensely hot. I know nothing as to the black or Greenland whalers, but I saw what I believe was the last of them come into Dundee some four years since when taking a summer holiday. The Americans still do a little from San Francisco, and there are small vessels from Sydney which are only away a few months on a trip. Oil, both sperm and black, is of comparatively little value, and the trade, I fancy, as far as England is concerned, is extinct. I am, Sirs, yours truly, F. E. BARNES, M.R.O S.E., L S.A.

Feb. 7th, 1897.

C. T.-We have replied to the question previously in these columns. We think that the notifications should be stamped.

WINTER RESORTS.

DR. P. O. HICKEY, of Kilkee, co. Clare, writes to us calling attention to the salubrity of the climate and its beneficial effect in cases of irritable throat or mild stages of phthisis. The town "is also a fine sanatorium for convalescents from the effects of surgical operations and debilitating diseases such as whooping cough, Bright's disease, and the various forms of exanthemata. Frost is seldom seen, snow is a rare event, and fogs are unknown. Of the great snow-storm which swept England and Ireland on Jan. 21st and 22nd we have had no evidence except the reports in the daily papers. Kilkee is built round a very small sheltered bay facing the Atlantic, upon a narrow tongue of land averaging a mile or a mile and a half in width, and stretching to the southwest between the ocean and the great estuary of the river Shannon for about sixteen miles. It is, as it were, a ship at sea, therefore the climate is equable. The soil is light and sandy, rain dries almost as it falls, and the Gulf Stream flows close to its shores." Kilkee has direct railway communication with Dublin. It has good hotel accommodation at very moderate prices, and there are two trout rivers within six miles; there is also first-rate sea fishing and the principal hotel has rights of shooting over preserved ground.

Mr. T. WHITEHEAD writes:-"It may interest your readers to learn that while the majority of our watering places have experienced some severe weather this winter yet Bude has been fortunate in having had but little frost and no snow or fog. There are still some stocks and violets in bloom in my garden, and though we have had some cold easterly winds, yet is has always been possible to get out for walks on the sands or cliffs. Rain falls on fewer days in the year at Bude than at any other seaside place, Bournemouth excepted, where the number of rainy days in the year averages 149, Bude making a good second with 150 only. I may add that the temperature is only two-tenths of a degree below Torquay, and that the railway between Holsworthy and Bude is in course of construction and will be completed in about twelve months, so that the ten miles coach drive, always a dreary part of the journey in winter, will soon be a thing of the past. We have a grand sea, fine cliffs, and bracing climate, and your readers might do worse than to give Bude a trial for winter or spring."

SIRS,-In answer to "Regular Reader" in THE LANCET of Feb. 6th, I can say that the most convenient hypodermic syringes I know of are made of celluloid by Mousnier, 26, rue Houdan Sceaux, Seine, France. They are perfectly aseptic on account of the material they are made of; they never require to be asepticised-passed through a flame, &c.-as glass or metal ones. I have had them in continuous use for over four years. I wish to say, further, that the fluid medicines are kept in celluloid tubes; they keep perfectly aseptic. I am, Sirs, yours faithfully,

TREPHINING THE FRONTAL SINUSES.

To the Editors of THE LANCET. SIRS,-Trephining the frontal sinuses is by no means a new surgical operation nor is it infrequently performed, but too often we do not see the patient until a nasty external sinus has been formed. The following interesting case came under my care at the London Throat Hospital towards the end of 1895. The patient, a woman, came complaining of inability to breathe through the right nostril accompanied by a distressing discharge. The difficulty in breathing had come on, gradually increasing, during the last eighteen months; the discharge had lasted for quite five years. On examination the nostril was found full of large polypi and when these were removed the discharge was found to be as bad as before and pus was clearly seen flowing from the infundibulum. It was determined to open the frontal sinus, and this was done with a small trephine a few days later. The sinus was found full of web-like gr: nulation tissue, in which three small mucous polypi were embedded The whole of this tissue was carefully scraped out. A small drainagetube was put in with the object of keeping the wound open for the necessary time. The sinus was well syringed out through the wound with the biniodide of mercury solution (1-1000) each day until the lotion came freely and quite clear into the nose. On the 8th day the drainage-tube was removed and the wound quickly healed up. With the operation the discharge ceased and has not returned since. I saw this patient last November, a year after her first coming to the hospital and nine months after the operation, when she still remained quite free from trouble. I am, Sirs, yours faithfully, Devonshire-street, W., Jan. 25th, 1897.

GRIFFITH C. WILKIN. Cerium." Golf arm" is somewhat of the same nature as "lawn-tennis arm." Probably the injury consists in a strain or rupture of some of the ligamentous and muscular fibres (particularly of the supinator brevis) around the elbow joint. Very likely, too, the posterior interosseous nerve is involved.

Nurse Stewart will obtain all information from the Secretary of the National Society for the Employment of Epileptics, Hanoverchambers, 12, Buckingham-street, Strand.

R. W. S.-The last Students' Number of THE LANOHT was issued on Sept. 5th, 1896, and contains a full account of all that our correspondent wishes to know.

J. R.-We cannot recommend individual practitioners.

THE GENEROSITY OF A Naval CapTAIN.

WE have received a letter from Captain Gallet of East Dulwich in which he desires to make through our columns the following handsome offer:

'

I offer to any university, doctor, or private person," he writes, concerning consumption, "to demonstrate by irrefutable proofs after experiences will have been made upon people suffering from that disease, that by a treatment which I shall subject them to, I can radically cure them, on the condition that the patient is not in the last stage of the illness. ...... I have also a remedy for the cure of external cancer or gangrene, which illness I have cured myself, and for dysentery (from which I saved eighteen of my sailors at Santiago de Cuba). All

these remedies can be easily obtained, and I hold them at the disposal of the Government if they wish it for their expedition to Benin, and I guarantee that with them they will not lose oneman by disease of the above-named natures. Cholera.-I have. been fighting against that illness during the Crimean war, and F possess a certificate that will prove what I did and how my remedies acted."

Shall we be considered narrow and prejudiced if we warn the gallant captain to mind his own business and to abstain from deluding the sick with idle promises? We are willing to believe that he can step. a horn-pipe, box a compass, or lead a cutting-out expedition with any nautical hero afloat. But, avast there! If the history of the Crimean War formed one long paan in Captain Gallet's praise, we should none the less hold him a mischievous person when he took to quackery.

C. P., F.R.C.S.-We have already had our attention called to this matter. There is no evidence that the medical man in question knew anything about the insertion of his naine, and everyone who knows him must be aware that he is the last man to countenance such a method of obtaining publicity.

Leges.-The possibility of the occurrence is so well known that authorities cannot be necessary to prove it. If the persons are physically perfect their consanguinity would be no bar.

THE CAUSATION OF SEX.

A CORRESPONDENT, who writes on the above subject, probably refers to a letter in THE LANCET of May 7th, 1881, page 769. If he will consult "Neale's Digest" he will find that numerous references. to the subject have appeared in our columns, extending from the year 1870 to 1894.

Finding the sublimate described as the best I choose it first and have used it in every case since then-as a vaginal injection in normal labours, and intra-uterine where the hand, forceps, &c., has entered the uterus-with the result that, with one exception, in no case where I have been present at the confinements has puerperal septicemia followed. The exception was in the case of a primipara, aged eighteen years, the wife of a cavalry soldier, who, without my knowledge, had used a waterproof sheet which he had taken from the stable. I had it instantly removed and the bed changed and recovery was uneventful. At no time have I had any symptoms of mercurialism; this I attribute to careful expression of the contents of both uterus and vagina after injecting. In one part of his address Dr. Godson says, "Why the sublimate treatment should not be adopted in private practice as well as in hospitals I am at a loss to understand." Is this assumption correct? As far as I am aware it is a very general treatment in private practice. I am, Sirs, yours truly, Ballincollig, Jan. 26th, 1897. JAMES J. HARDING. W. B. W.-We are unable to say at present whether there is any definite expectation of the drug mentioned being able to keep the particular discase in check. Reports on the matter are very conflicting.

THE SILENT COAL BOX.

AMONG the many trifles which go to make up perfection in the sickroom none is more important than absence of noise, and nothing is more Irritating to a sick person than the noise which attends the operation of putting coals on the fire from an ordinary coal box, which in the quietness of the sick room seems to have been specially constructed as a sounding box from which to obtain the maximum of noise from the minimum of space. More than one inventor has attempted to construct a really silent coal box but perfection is far from having been attained, and the articles put before the public, though more expensive, are little better in practice than the common expedient of placing pieces of coal wrapped in thick soft paper in a paper- or india

STRAIGHT FROM THE COW.

To the Editors of THE LANCET. SIR,-During an attack of dysentery I was advised to take milk-and soda-water. I found that milk warm from the cow was more beneficial. Is there any sucker arrangement to attach to a cow's udder by which milk can be drawn off and sucked through a tube without being exposed to the air at all? If delicate, growing children, and invalids would take milk in this way, it would do them far more good than milk ‘especially boiled milk) which has been exposed to the air. Have wet nurses ever given their services to invalids ? If not, why not? I am, Sirs, yours truly,

Rangoon, Burma, Jan. 1st, 1897. WEAK STOMACH. Liber will find in our Students' Number, which was published or Sept. 5th, 1896, at pages 652, et seq., a very complete list of the best text-books. The two treatises of medicine he mentions are not comparable. We recommend him to reinforce his study of Hilton Fagge's work by reference to special articles in Dr. Olifford Allbutt's System of Medicine.

Alpha. Inhalation is practised with different drugs for different diseases in their different stages, but we know of no treatise dealing with its therapeutics exclusively.

A PROPOSED CRIPPLES' AID UNION. MR. GILLINGHAM, of Chard, Somerset, whose ingenious appliances for artificial limbs, &c., we have previously noticed favourably in our columns, has sent us a proposal for the celebration of Her Majesty'srecord reign. It is that a national provincial cripples' aid union should be formed for the relief of those crippled by accident or disease. Centres of this union should be formed, he thinks, in every large centre of industry, and committees formed for the rural districts. We would make an addition to our correspondent's suggestion, and say that if this proposal is ever carried out the present Surgical Ald Society should be invited to act as the trustees of the parent fund of this union. Mr. Gillingham's suggestion is, we think, a good one and might be usefully acted upon.

Mr. P. S. Oram.-We do not know of any special authority on the subject, but are confident that our correspondent could obtain a sound opinion on the question from any leading consultant in his city.

Mr. Henry Pilkington is thanked for his communication. COMMUNICATIONS not noticed in our present issue will receive attention in our next.

rubber-lined wooden box lid or papier maché tray with a pair of small muffled tongs for a lifter. The article of which we give an illustration is manufactured by Messrs. Reynolds and Branson of Leeds, and is made of cowhide. A pair of tongs covered with india-rubber tubing are supplied for lifting the coals from the box. We have practically tried the invention, and although it is perhaps more convenient and gives less trouble than the expedients mentioned above, the amount of noise is not perceptibly lessened. For a really efficient sickroom coal box it is not only necessary that the material of which the box is composed should be non-resonant, but the coals contained in the receptacle must also be prevented from falling together to take the place of pieces removed. The price of the apparatus is £1 5s. Justitia.-Yes, the duty is at ninepence in the pound. The house in question is not a place where goods are exposed for sale. Canthos.-The recognised custom in the civil profession is for the newcomer to call, but our correspondent need not do so unless he desires. A QUERY.

During the week marked copies of the following newspapers have been received: - Harrogate Advertiser, Wolverhampton Chronicle, Levant Herald, Dundee Courier, Newcastle Leader, Times: of India, Manchester Guardian, Halifax Courier, Pioneer Mail, Oldham Standard, Carlisle Express, Liverpool Daily Post, East Anglian Daily Times, Kettering Guardian, Southampton Times, Builder, Yorkshire Post, Sheffield Telegraph, Norfolk Daily Standard, Architect, Scotsman, Hull Mail, Glasgow Herald, North British Daily, Mail, Essex County Standard, Southport Visitor, Heckmondwick Reporter, Pullen's Kent Argus, Leeds Mercury, Carnarvon Herald, North Wales Chronicle, Bolton Chronicle, Bradford Observer, Birmingham Post, Hampshire Independent, Bristol Mercury.. Doncaster Gazette, Leicester Post, Sussex Daily News, Somerset Journal, Midland Free Press, Halifax Guardian, Hereford Times, Grantham Journal, Chester Chronicle, Peterborough Advertiser, Walsall Observer, Brighton Gazette, Sanitary Record, Ripley Advertiser, Evesham Standard, Le Courrier de la Presse (Paris), City Press, Reading Mercury, Mining Journal, Weekly Free Press: and Aberdeen Herald, Hertfordshire Mercury, Local Government Chronicle, Local Government Journal, Hera'd (Barnes), Kent and Sussex Post, Derbyshire Times, Surrey Advertiser, Montevideo Times, Londonderry Sentinel, Belfast News Letter, Worcester Herald. Chiswick Times, Bath Herald, Pudsey District Advertiser, &c., &C.

Communications, Letters, &c., have been
received from-

A-Mr. B. Ackrill, Harrogate;
Association of Asylum Workers,
Richmond Hill, Hon. Sec. of;
A. O., Lond.; Messrs. Armour
and Co., Lond.; Mr.. T. Arm-
strong, Lond.; Mr. T. B. Archer,
Lond.
8.-Dr. P. M. Braidwood, Amers-
ham; Mr. E. Stanmore Bishop.
Manchester; Miss F. N. Boyd.
Lond.; Dr. E. C. Baber, Brighton;
Mr. S. W. Beck, Tiverton; Dr.
Byrom Bramwell, Edinburgh;
Bristol Royal Infirmary, Sec. of;
Mr. M. Brown, Lond.; Messrs.
Baillière, Tindall, and Co., Lond.; |
Messrs. F. B. Benger and Co.,
Manchester; Messrs. W. H.
Bailey and Son, Lond.; Messrs.
Baird and Tatlock, Lond.; Dr.
T. McL. Brown, Portmoak Manse,
N.B.; Messrs. Burroughs, Well-
come, and Co., Lond.; Birming-
ham Hosp. for Sick Children,
Sec. of; British Museum, Copy-
right Office.
C.-Mr. H. Carter, Lond.; County
Borough of Huddersfield, Med.
Off. of Health of; Messrs. G.
Curling, Wyman, and Co., Lond.;
Dr. E. Chaumier, Tours; Cerium,
Devizes; Carriage Insurance Co.,
Dr. E. M. Courtenay, Kingston;
Mr. F. W. Clarke, Manchester;
Mr. W. F. Collings, Sark; Mr.
F. W. Chapman, Chester City
of Chicago, Depart. of Health,
Asst. Commsssioner of; Mr. Carl
Ricker, St. Petersburg, Russia;
Courier Office, Leamington,
Manager of; Dr. H. Campbell,
Lond.; Cumberland and West-
moreland Counties Asylum,
Carlisle, Med. Supt. of.
O.—Mr. H. L. Dave, Gondal, India;
Dr. D. Drew, Lond.; Mr. T.
Dixon, Lond.; Messrs. S. Deacon
and Co., Lond.; Dr. A. Duke,
Worthing; Messrs. Dakin Bros.,
Lond.; Messrs. Dulau and Co.,
Lond.; Mr. J. de la Mothe, East-
bourne; Mr. J. H. Dewar, Lond.
E-Dr. G. Elder, Nottingham;
Enquirer, Bedford; Messrs. L. W.
England and Co., Lond.; East
Suffolk Hosp., Ipswich, Sec. of.
.-Mr. P. Falcke, Lond.; Messrs.
S. Fisher and Sons, Lond.;
Farmer and Stockbreeder, Lond.,
Editor of.

G.-Dr. S. Grose, Torquay; Gordon
Technical College, Geelong,
Victoria,Hon.Curator of: G. P.O.,
Lond., Sec. of; Gt. Yarmouth
Hosp., Hon. Sec. of; Messrs. J. F.
Goss, Ltd., Lond.

-Mr. A. Haviland, Douglas,
I.O.M.; Dr. T. W. Hime, Brad-
ford; Howard Association (The),
Lond., Sec. of; Hospital Reform
Assn., Cardiff, Hon. Sec. of; Dr.
L. Humphrey, Cambridge; Hosp.
for Women, Soho-square, Dean
of; Hornsey Urban District
Council, Clerk of; Messrs. W.
Hatchman and Co., Lond.; Mr. J.
Heywood, Manchester.
-Iowa State Medical Society,
Iowa, Sec. of.

K.-Dr. O. J. Kauffmann, Birmingham.

L.-Dr. L. Lunsen, Newcastle onTyne; London Institution, Sec. of; Messrs. Lever Bros., Lond.; Mr. C. M. Leakey, Caistor; Dr. R. O. Lucas, Lond.; Life Saving Society (The), Lond., Hon. Sec. of; Lawrence Patent Water

Softener and Sterilizer Co..
Lond.; Messrs. Lee and Nightin
gale, Liverpool; Mr.
Mr. H. K.
Lewis, Lond., Dr. Lane, Douglas,
1.O. M.; La Presse Médicale, Paris,
Manager of.

M.-Dr. R. S. Miller, Windsor;
Medical Guild (The), Manchester,
Hon. Soc. of; Mr. H. Morris,
Lond.; Medical Society of London,
Hon. Secs, of; Messrs. Mather
and Crowther, Lond.; Mr. R. D.
MacGregor, Glasg.; Mr. J. R.
Milnes, Lond.; Dr. J. P. MacLaren,
Claygate; Mr. M. Morris, Lond.;
Manchester Children's
Children's Hosp.,
Sec. of.

N.-Nightingale Home for Trained Nurses, Southsea; Messrs. Newton and Co., Lond.

0.-Mr. P. S. Oram, Manchester ; Messrs. Offord and Sons, Lond.; Messrs. Oliver and Co., Tunbridge Wells.

P.-Dr. M. Pestua, Prague; Mr.

R. B. Popham. Lond.; Mr. C. Pollard, Worcester; Dr. F. Page, Newcastle-on-Tyne; Dr. Rushton Parker, Liverpool; Dr. W. H. Peake, Shenley; Dr. Pynappel, Amsterdam; Mr. O. H. Powers, Gosforth; Messrs. Parke, Davis and Co., Lond.; P. H., Lond. R.~Dr. R. R. Rentoul, Liverpool; Royal Academy of Medicine in Ireland, Dublin, Gen. Sec. of; Royal Meteorological Society, Lond., Asst. Sec. of; Royal British Nurses' Assn., Lond., Acting Sec. of; Messrs. Reynell and Son, Lond.

S.-Mr. E. Sims, Bath; Scarborough

Daily Post, Editor of; Prof. O. S.
Sherrington, Liverpool; Surg.-
Capt. R. R. Sleman,

Lond.;

St. John's Nursing Inst., Lond.,
Lady Principal of; Dr. Sisley,
Lond.; Dr. G Staunton, Simcoe,
Ontario, Canada, Dr. G. Syden-
ham. Exmouth; Sanitary Wood
Wool Co, Lond.; Messrs. Stubbs,
Newcastle on - Tyne ; Messrs.
Street and Co., Lond.; St. Giles,
Camberwell Parish, Clerk of; St.
Mary's Hosp. Medical School,
Lond, Hon. Secs of.

T.-Mr. A. H. Tubby, Lond.; Mr.
G. B. K. Thorpe, Sheffield.
V.-Messrs. Violet Frères, Lond.;

Victoria Club, Southamptonstreet, Strand, Sec. of; Verulam Review, Editor of,

W.-Mr. II. C. Wilson, Lond.; Prof. A. E. Wright, Netley; Dr. L. Wilde, Lond.; Dr. W. Hale White, Arosa, Switzerlaud; Mr. H. T. Wood, Calstock; West Herts Infirmary, Hemel Hempstead, Sec. of; Surg. Capt. C. E. Williams,

Rangoon; Mr. K. Winn, Lond.; Mr. Wright, South Godstone; Mr. C. Williams, Bootle; Wor shipful Company of Plumbers,

Lond., Sec. of; Dr. W. Wallace,
Birmingham.
Z.-Messrs. A. and J. Zimmerman,
Birmingham; Z., Lond.

Letters, each with enclosure, are also
acknowledged from-

A.-Rev. A. Aitkens, Stowupland;
Alpha, Pensarn; Dr. J. H.
Abram, Liverpool; Aorta, Lond.;
Mons. J. Astier, Paris; Surg.-
Capt. O. W. Allport, Valetta,
Malta; A. E. T., Humshaugh.
B.-Mr. B. Brown, Huddersfield;
Messrs. Burgoyne, Burbidges and
Co., Lond.; Mr. W. E. Barton,
Staunton-on-Wye; Mr. R. W.
Branthwaite, Rickmansworth;
Birmingham General Hosp.,
House Governor of; Dr. B. Basu,
Sialdah, India; Mr. R. J. Bed-
ford, Kegworth; Miss Ballard,
Ventnor; Mr. H. Brown, Buck-
burst Hill; Beta, Lond.; Bir-
mingham and Midland Free
Hosp., Sec. of; Messrs. Blondeau
et Cie, Lond.; Mr. J. S. Buck,
Sheffield; Mr. S. H. Byam, Lond.;
Mr. H. R. H. Bigg, Lond.
C.-Mr. C. Candler, Melbourne;
Mr. F. Cufaude, Acle; Mr. R.
Cuffe, Woodhall Spa; Messrs.
J. W. Cooke and Co., Lond.; Dr.
Colvin, Glasg.: Messrs. Condy
and Mitchell, Lond.; Dr. W. R.
Carter, Warwick; Prof. W. H.
Corfield, Lond.: Mr. G. Clark,
Downpatrick; Mr. E J. Carter,
Tunbridge Wells.

D.-Mr. F. J. Davies, Cwmcarn;
Derbyshire Royal Infirmary,
Derby, Sec. of; Mr. Davies,
Aberdare; Mr. J. T. Davenport,
Loud.; Dr. T. S. Dowse, Lond.;
Mr. W. H. Date, Culmstock;
Messrs. Davy, Yates, and Hicks,
Lond.; Mr. W. M. Dabbs, Lond.
E.-Mr. J. R. Essex, Pontypool;
Messrs. Evans, Sons, and Oo.,
Liverpool; Express Tea Co.,
Lond., Manager of; Mr. A. Evans,
Newport, Mon.; Mr. R. D. Evans,
F.-Mr. C. E. S. Flemming, Fresh-
Blaenau Festiniog.
ford; Flower House, Catford,
Med. Supt. of; F. 58, Birming-
ham; F., Lond.

G. Mr. H. B. Gorman, Birming-
ham; Messrs. Garland-Smith and
Drake, Lond.; Mr. F. Gravely,
Newick; G. W., Lond.; Messrs.
Gilyard Bros., Bradford; Mr.
J. H. Goldwin, Rochester; Mr.
H.-Messrs. Hazell, Watson, and
G. W. Gostling, York.

Viney, Lond.; Messrs. Hogg and
Son, Lond.

I. Instruments, Lond.; Inver,
Lond.

Messrs. J. B. Keene and Co.,
Bath.

L. Mr. H. B. Long, East Grinstead ;
Locum Tenens, Leicester; Lan-
caster County Asylum, Clerk of ;
Lux, Lond.

M.-Dr. R. Moir. St. Andrews; Dr.
A. Mills, Brussels; Dr. T. H.
Morton, Sheffield; Messrs. Mar-
grave Bros., Llanelly; Dr. A.
MacPhail, Glasg.; Medicus,
Lond.; Medicus, Cardiff; Middle-
sex County Times Printing Co.,
Baling; Macclesfield General
Infirmary, Sec. of; Messrs.
Maythorn and Son, Biggleswade;
Medical, Halifax; Mr. J. J.
Moynihan, Lond.; Manchester
Royal Infirmary, Sec. of;
Merchant Banking Co., Lond.;
M. O. H., Lond.
N.-Dr. R. Nevin, West Auckland;
Mr. L. Nicholls, Hartest; Nimrod,
Lond.; National Provident Inst
Sec. of.

|0.—Mr. O. O'Sullivan, Lond.; Occi-
put, Lond.

P.-Mr. H. B. Perkins, Newport,

Pem.; Portsmouth Royal Hosp.,
Sec. of; Dr. F. W. Pavy, Lond.;
Primus, Lond.; Plashet Lane (77),
Upton Park; Dr. G. D. Pidcock,
Lond.; Mr. W. Poppelreuter,
Manchester.

R.-Messrs. Reynolds and Branson,
Leeds; Rhei, Lond.; Drs. R.
and S., Sheffield; Royal Hants
County Hosp., Winchester,
Sec. of.

S.-Lieut. H. T. Smith-Dorrien,
Chalfont St. Peter; Dr. G. H.
Salter, Ballarat, Victoria; Mr. G.
Schilling, Haverthwaite; Mr. A.
Snowdon, Hutton-Rudby; Mr.
D. Stead, Alderney; Messrs.
Smith and Gill, Sheffield; Stoke
Newington Dispensary, Senior
Res. Med. Off.; Suffolk County
Asylum, Melton, Clerk of; St.
Mary's Children's Hosp., Plaistow,
Bec. of; Mr. H. W. Scriven,
Lond.; Mr. H. M. Speechley,
Parkgate; Dr. W. C. Sullivan,
Lond.; Swansea Hosp.; Sec. of;
Mr. F. Noble Smith, Lond.;
S. M. J, Westminster.
T.-Rev. G. T Thomas, Fleckfield;
Mr. E. T. Trevelyan, Leeds; Dr.
R. M. Trotter, Cramlington;
Mr. L. A. Tallerman, Lond.; T.,
Lond.; Mr. J. Thin, Edin.
V.-Veritas, Lond.; Volens, Lond.;
Verus, Lond.

J.-Mr. G. Jones, Birmingham;
Messrs. W. and A. K. Johnston,
Edin; Mrs. Jennings, Bexley
Heath; Dr. W. C. Johnson,
Broughton; Jenner Institute for
Calf Lymph, Lond.; Mr. E.
James-Gibbs, Heckmondwike;
J. L. N., Lond.
K.-Dr. W. Kennedy, Beaconsfield;
Mr. D. W. Kemp, Castleford;
Mr. T. S. Keys, Ton Pentre; Mr.
C. S. Kirton, Leigh-on-Sea; X.-X. Y. Z, Ipswich.

W.-Mr. T. Williams, Lond.; Miss

Woodward, Folkestone; Mr. W.
Webb, Crowland; Mr. J. W.
Walker, Wakefield; Mr. J. E.
Walshe, Horwich; Mr. E. Whit-
well, Hunmanby; Mr. R. P. H.
Whitmarsh, Ebernoe; Wirral
Children's Hosp., Birkenhead,
Hon. Treas. of; Mr. A. Wright,
Liverpool.

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