934 BiLmV I x"jTM MEDICO-LEGAL AND MEDICO-ETH [CAL. LAPRIL 14; 19cO. space to go into the electrical question, I should like to state THE DIAGNOSIS OF DIPHTHERIA. that one of the chief practical differences between these two E. B. T.-We have read this correspondence over very carefully. and tMe impression left upon our mind is that our correspondent is angry with- instmments lies in the fact that the last named requires no out just cause. In the present state of our knowledge it ij eidusable battery; or to speak may more correctly, the body becomes for anybody to overlook the diagnosis of a case of diphther,- and he certainly has not shown conclusively, as he might have done by .a bac- its own batLery. The placing of one or more voltaic cells in teriological examination, that his son was not infected. We think the circuit is not only unnecessary, but in my opinion a possible gentleman of whom he has complained has written him verY courteous source of error.-I am, etc., letters. He has disclaimed any intention to reflect personally upon our Mansfield Street, W., April gth. W. S. HEDLEY. correspondent, and has explained that in expressing an opinion upon the facts related to him he did so without knowing anything about the identity of the case. As he says he has no recollection of having in- formed his personal friends about the matter, and as furthermore he ROYAL NAVY AND ARMY MEDICAL SERVICES. says he Is " extremely sorT if anything he has said or done hasgiven " our correspondent "pain,' we think that quite enough has been aone in the way of apology, and that our correspondent should not pursue the MODIFIED UNIFICATION. matter any further. THB author of the anonymous pamphlet on Medical and Sanitary Reform in India, writes: In your article (BBRTISH MEDICAL JOURNAL, February 3rd, CHARGING FOR A PRESCRIPTION. I900, page 27I), on "A Militia Medical Service," you state: "We do not J. E. G.-Our correspondent is entitled to make a moderate charge for at present discuss the exact form of such a revival (of the Militia supplying a copy of the prescription, but if the patient disputes it we Medical Service), whether it should be regimental or unified, or a com- should not advise him to insist upon it. bination of the two," etc. If you will refer to my pamphlet, page I2, you will see it was just such a combination of the two that I advocated, as possessing many advantages over either singly. THE COURTESY TITLE OF,' DOCTOR." H. M. R.-It is generally recognised in England that the holder of a INDIAN PAY AND PENSIONS. degree of Bachelor of Medicine may assume the courtesy title of A CORRESPONDENT writing from India takes some exception to what he "; Doctor," and need not fear any adverse criticism by so doing. At the otherwise characterises as our " able artiele on ArmyMedioal Reform " same time we should advise our correspondent to take his M.D. degree (BarrisH MEDICAL JOURNAL, January 21st). He says, "invidious and if he can do so. what is worse incorrect comparisons" are made between the I.M.S. and the R.A.M.C. Particularly he obiects to the statement that the latter AN ALLEGED SLANDER. have " scarcely less tropical service" than the former; again, it is in- M. A. A.-Our correspondent has addressed to us the following com- correct, he states, to say that the home service draws less pension than plaint: He says that a patient came to his house with a cut hand, the Indian, as bothl receive the same, namely, 4365 after twenty and which he dressed on two occasions. Finding him not at home at her £65oo after twenty five years' service. He points out that the R. A.M.C. is next visit she went to a neighbouring doctor, who, it is said, told her thLe only branch of the British service which draws a pension as great that the hand had been dressed badly. Our correspondent wants to as the corresponding branch of the Indian. Cavalry and infantry draw know what he ought to do. We should strongly advise him to take no less pension than the Staff Corps. Does the writer of the article think it notice whatever of the alleged slander. He has very probably been would be just to give the R.A.M.C., with their limited hours in India, misinformed, but even if the story is true it will do him much less harm the same pay as the I.M.S., who spends all his life in this unhealthy than he imagines. Everybody is liable to detraction, and the sooner a climate ? young man makes up his mind to pay no attention to it the better for *** We must leave others to deal with these allegations, but may point his peace of mind. We would further advise our correspondent to try -out that the pension of £500 after twenty-five years' service pertains to to get on terms of personal friendship with his medical neighbours, as the late rank of Brigade-Surgeon. he will find this afford him the best guarantee against a recurrence of snch an annoyance. INVITED TO RETURN ,& CORRESPONDENTr writes: Full five months have elapsed since retired m'edical officers were invited to return to duty, in time of need, and with a high s'ense of patriotism responded; yet not a word has yet been HOSPITAL AND DISPENSARY MANAGEMENT. spoken as to the terms on which they are serving-whether the time will count towards extra pension or promotion. They are the only body THE CITY OF DUBLIN HOSPITAL. not recalled, and not engaged for a fixed period, and who have not re- ON Monday, April gth, H.R.H. the Princess Christian performed the ceived any allowance for provision of uniform, for which militia officers interesting ceremony of laying the foundation stone of the new nursing get a grant of £roo; yet they are expected to appear in uniform. Was home In connection with the City of Dublin Hospital. For a number of the invitation inistead of recall with the object of saving expense to the years the majority of the medical staff of the hospital have been working State? Why are the medical treated differently from any other body of for this much-needed reform, and only a few months ago it was decid,ed by officers ? Those now serving, bringing great experience, and saddled the directors of the hospital that their connection with the City of Dublin with much responsibility, are working for a few shillings a day beyond Nursing Institution should terminate, and that the nursing of the hos- their already earned pensions. Why were they asked to volunteer in pital should in future be entirelyunder their own control. Theceremony, preference to being recalled? There must be a reason. Their case which was witnessed by a large number of the friends and supporters of should be inquired into before it is too late. this important institution, was in itself sufficient evidence that the neces- sary funds for the completion of the building would be easily riised. MEDICAL ADMINISTRATION IN SOUTH AFRICA. A cORRESPONDENT writes: It is not the custom, except in India, to confer on a medical officer the higher rank while performing the duties of the THE CITY ORTHOPAEDIC HOSPITAL. superior grade. But it is quite unfair, because it deprives him of the THIE annual meeting of Governors of the City Orthopaedic Hospital, higher emoluments. It is invariablv done in the combatant ranks as a Hatton Garden, was held on March 28th, under the presidency of matter of course Why should P.M.O.'s be differently treated from Mr. Walter Abbott. During the past year the whole building has been brigade or divisional commanders? reconstructed, the drainage has been made efficient, two wards have been, opened, an operating room has been built and fitted up, a large waiting- room has been constructed, a new heating apparatus has been fitted into LATE MEDICAL WAR UNITS. the basement, and the whole building has been fitted with electric light. A CORRESPONDENT writes to state that the detail of No. Iu General Hos- The report of the medical staff shows that a large amoiunt of relief has pital, given in the BRITISH MEDICAL JOURNAL of March 31st, page 778 si rather misleading. There were only three officers K.A.M.C.; the been afforded to a very difficult class of surgical cases. It was announced that Lord Mansfield had accepted the office of Chairman of the others were of thte Volunteer force, with temoorarv commissions Committee of the hospital, in the place of the Earl of Aberdeen, who had R.A.M.C. In the same hospital it is stated there were only aboutin the eight resigned. or ten N.C.O.'s R.A.M.C., the rest of the per8onnel being made up of a civilian compounders. Volunteer Medical Staff Corps and brigade bearer companies, and St. John Ambulance. THE DUNFERMLINE COTTAGE H03PITAL. THE fifth annual report of the Dunfermline Cottage Hospital bears testimony to a large amount of valuable work achieved. During the past year 323 patients have been under treatment, the daily average number of MEDICO-LEGAL AND MEDICO-ETHICAL. beds occupied has been 27.3, and the average yearly cost of rmaintenance has been 445 a bed. Among the surgical cases werC 22 laparotomies, X trephinings, 6 herniotomies, and many amputations. Of 323 patients "'E1NQUIIRER."-We do not see specially unusual or anything in the letter sent to us wlhich is treated 249 were cured or improved, ,8 were unrelieved, ard( 30 died, I3 of the latter having died within 48 hours after admission. We congratulate objectionable. Our correspondent should remem- the Cottage Hospital on its good work. b.r that where appointments upon the staff of a hospital are determined by the votes of the whole of the governors or sarily a very great deal of most undesirable subscribers distribution of broadcast there is neces- TUBERCULOUS PERSONS AND PUBLIC SCIHOOLS.-In Oakland testimonials, letters of application, and letters in support of candidates. For this res on it is now uiial to limit the electoral body to a small California, the Board of Health has adopted measures for ex- number of tte governors chosen annuallybyballot. remember wli%t used to take place under the former Everyone who can cluding from the public schools of the city all teachers and system In London and many of our large towns must admit that the proceediDgs on behalf pupils suffering from pulmonary tuberculosis. All suspected of various candidates often amounted to a grave professional seandal. persons will be examined by F cornpetent, bh' "io1o2ist at We do not think it would he fair to single out for complaint the par- the city's expense, and the final action of the II. l of Educa- ticular letter of which our correspondent sends us a copy. tion will be based on the bacteriologist's report alone.