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1016 Medical Diarg for the ensuing Week. Monday, May 16. ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS. - Operations, 10.30 A.M., and each day at the same hour. ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.—Operations, 1.30 P.M., and each day at the same hour. CHELSEA HOSPITAL FOR WOMEN.-Operations, 2.30 P.M ; Thursday, 2.30. ST. MARK’S HOSPITAL.-Operations, 2 P.M. ; Tuesday, 2.30 P.M. HOSPITAL FOR WOMEN, SOHO-SQUARE. — Operations, 2 P.M., and on Thursday at the same hour. METROPOLITAN FREE HOSPITAL.—Operations, 2 P.M. ROYAL ORTHOPEDIC HOSPITAL.—Operations, 2 P.M. CENTRAL LONDON OPHTHALMIC HOSPITALS.—Operations, 2 P.M., and each day in the week at the same hour. SOCIETY OF ARTS.-8 P.M. Mr. J. M. Thomson: The Chemistry of Sub- stances taking part in Putrefaction and Antisepsis. Tuesday, May 17. Guy’s HOSPITAL.—Operations, 1.30 P.M. and on Friday at the same hour. Ophthalmic Operations cn Monday at 1.30 and Thursday at 2 P.M. ST. THOMAS’S HOSPITAL.—Ophthalmic Operations, 4 P.M.; Friday, 2 P.M. CANCER HOSPITAL, BROMPTON.—Operations, 2.30 P.M.; Saturday, 2.30 P.M. WESTMINSTER HOSPITAL.-Operations, 2 P.M. WEST LONDON HOSPITAL.—Operations, 2.30 P.M. ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday, 1.30 P.M. Skin Department. Monday and Thursday, 9.30 A.M. ROYAL INSTITUTION.-3 P.M. Professor Victor Horsley: The Modern - Physiology of the Brain and its Relation to the Mind. SOCIETY OF ARTS.-8 P.M. Sir Augustus Adderley : The West Indies at the Colonial and Indian Exhibition. * PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Dr. Payne: Multiple Neuro-fibromatainconnexion with Molloscum Fibrosum.-Mr. R. W. Parker : Cases of Sarcoma in Children.-Mr. L. Hudson: Sarcoma of Pelvic Fascia.-Dr. Handford: Cerebral Hemorrhage in a Child following Thrombosis of Sinuses.-Dr. Charlewood Turner: Fibrous Contraction with Stenosis of Stomach.-Mr.F.W. Clark: Subpleural Lipoma of Diaphragm.-Mr. Bland Sutton: A Curious Effect of Rickets on the Skulls of Lions.-Mr. S. Paget: Supra-pubic Abscess. - Mr. Shattock and Mr. Ballance: Cultivation Experiments with New Growths and Healthy Living Tissues and the Parasitic Theory of Cancer.-Mr. Battle : Bones from Congenital Syphilis. Card Specimens: Mr. Page (for Mr. Raven) : Sarcoma of Dorsal Ver- tebra. Mr. S. Jones : Tumour of Parotid of Twenty-five Years’ Growth.-Dr. Barlow: Renal Sarcoma.-Dr. Pitt : Pleura Two Years after Drainage for Empyema.-Dr. W. Collier: Pelvic Sarcoma Simulating Haematocele during Life.-Dr. Turner: Bladder Kidney and Dura Mater from a case of Purpura.—Mr. J. Morgan : Cystic Disease of Metatarsal Bone.-Mr. Fenwick: (1) Encephaloid Cancer of Apex of Bladder; (2) Acute Tuberculosis of Bladder and Prostate; (3) Purpura Hæmorrhagica of Bladder.-Mr. Bull (for Mr. Rouse): Sarcoma of Clavicle.—Mr. Mansell Moullin : (1) Abscess of Brain following Disease of Ear, trephined: (2) Sacculated Bladder with Calculus fixed behind the Prostate.—Mr. Poland: Osteo-mvelitis of Scapula and Separation of its Coracoid Epiphysis.—Dr. Gulliver: Aortic Aneurysm opening into Superior Cava. Wednesday, May 18. NATIONAL ORTHOPEDIC HOSPITAL.—Operations, 10 A.M. MIDDLESEX HOSPITAL.-Operations, 1 P.M. ST. BARTHOLOMEW’S HOSPITAL -Operations, 1.30 P.M.; Saturday, same hour. Ophthalmic Operations, Tuesday and Thursday, 1.30 P.M. Surgical Consultations, Thursday, 1.30 P.M. ST. THOMAS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour. LONDON HOSPITAL.—Operations, 2 P.M. ; Thursday & Saturday, same hour. GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M. SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operations, 2.30 P.M. UNIVERSITY COLLEGE HOSPITAL.—Operations, 2 P.M. ; Saturday, 2 P.M. Skin Department, 1.45 P.M.; Saturday, 9.15 A.M. ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday. XlNG’S COLLEGE HOSPITAL.-Operations, 3 to 4 P.M.; Friday, 2 P.M. Saturday. 1 P.M. CHILDREN’S HOSPITAL, GREAT URJiOND-STREET.-Operations, 9 A.M. Saturday, same hour. SOCIETY OF ARTS.-8 P.M. Mr. William Henry Preece : Progress in Telegraphy. Thursday, May 19. ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. Ophthalmic Operations, Friday, 1.30 P.M. C)HARING-CROSS HOSPITAL.—Operations, 2 P.M. NORTH-WEST LONDON HOSPITAL.—Operations, 2.30 P.M. ROYAL INSTITUTION.-3 P.M. Professor Dewar : The Chemistry of the Organic World. PARKES MUSEUM OF HYGIENE.-5 P.M. Major Lamorock Flower, C.E.: The River Lee. HARVEIAN SOCIETY OF LONDON.-8.30 P.M. Clinical Evening. Friday, May 20. ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.—Operations. 2 P.M. SOCIETY OF MEDICAL OFFICERS OF HEALTH.-7.30 P.M. Dr. Alfred Hill (President): On an Improved System of Flush-closets for small House Property.-Dr. B. A. Whitelegge : The Powers and Responsi- bilities of Local Authorities in regard to Rabies.—Mr. Shirley F. Murphy: A few Facts concerning the Recent Prevalence of Winter Diarrhoea in London. ROYAL INSTITUTION.-9 P.M. Mr. Benjamin Baker : Bridging the Firth of Forth. Saturday, May 21. MIDDLESEX HOSPITAL.—Operations. 2 P.M. ROYAL INSTITUTION.—3 P.M. Prof. John W. Hales: Victorian literature- METEOROLOGICAL READINGS. (Taken daily at 8.30 a.m. by Steward’s Instruments.) THE LANCET Office, May 12th, 1887. Notes, Short Comments, & Answers to Correspondents. 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. All communications relating to the editorial business of the journal must be addressed "To the Editors." Lectures, original articles, and reports should be written on one side only of the paper. Letters, whether intended for insertion or for private in- formation, must be authenticated by the names and addresses of their writers, not necessarily for publication. We cannot prescribe or recommend practitioners. Local papers containing reports or news-paragraphs shoisld be marked and addressed to the Sub-Editor. Letters relating to the ublication, sale, and advertising departments of THE LANCET to be addreased "to the : Publisher." . We cannot undertake to return MSS. not used. , THE PENGE CASE. DR. L. FORBES WINSLOW writes to remind us that at the time when the petition respecting the convicts in what was known as the " Penge Mystery" was first sent in, previously to the commutation of the sentence . of death, he also obtained and sent a petition signed by 500 members of the profession. Dr. Winslow desires that all those who signed his, petition should now sign the one alluded to in our last issue by Dr. Bristowe. Studens.-Nothing is yet decided by the Council as to the recognition of American or foreign diplomas. , SERIOUS RESULT FROM UNINTENTIONAL INTRA- UTERINE MEDICATION. To the Editors of THE LANCET. SIRS,—Having read your account of the fatal result of intra-uterine medication related by Dr. Otto Engstrom, I thought perhaps a short account of a case which has just happened in my own practice might be interesting. On March 8th I attended a lady with her first child. About the third day, the discharge being offensive and the temperature elevated, 1, ordered injection of Condy’s fluidand gave quinine. Inafewdaysthetem- perature and discharge were normal. Ten days after this I was suddenly- called at 10 P.M., and found the patient almost in a state of collapse. Violent and incessant vomiting and diarrhcea. Temperature 102.6°. The following was her statement -For the sake of comfort she had continued using the syringe at night; but on this occason when she introduced the vaginal tube she experienced intense pain, which was increased by the injection. Shortly afterwards her condition became so alarming that I was summoned in haste. I found on examination the os some- what patent and the uterus abnormally low. The injection was deeply coloured with ordinary blood. On the following day the sickness had : abated; temperature 1020; no abdominal tenderness, but intense pain in the back, which lasted for two days. The uterus was tender on examination per vaginam. Two days after the temperature rose to 104’40, with rigors and vomiting. The patient was almost pulseless, and apparently in a dying state. My friend, Dr. Moon, saw her with me at 11 A.M. Still no pain, the back pain having left. On the following day the temperature sank to 1030, the rigors had ceased, and only a feeling of nausea remained. The next day the temperature sank another degree, and the patient complained for the first time of pain in the left groin as r far as the left ovary. The pain remained severe for two days; but the temperature sank gradually to normal, the patient improving daily. She is now (April 25th) able to change her room, eating well, but feeling and looking extremely weak. The treatment consisted mainly in the exhibition of quinine, opiates, and soothing applications when necessary. I am, Sirs, yours truly, . West Norwood, S.E., April 25th, 1887. JOHN B. HARBIS, M.D.

Medical Diarg for the ensuing Week

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1016

Medical Diarg for the ensuing Week.Monday, May 16.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS. - Operations,10.30 A.M., and each day at the same hour.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.—Operations, 1.30 P.M.,and each day at the same hour.

CHELSEA HOSPITAL FOR WOMEN.-Operations, 2.30 P.M ; Thursday, 2.30.ST. MARK’S HOSPITAL.-Operations, 2 P.M. ; Tuesday, 2.30 P.M.HOSPITAL FOR WOMEN, SOHO-SQUARE. — Operations, 2 P.M., and on

Thursday at the same hour.METROPOLITAN FREE HOSPITAL.—Operations, 2 P.M.ROYAL ORTHOPEDIC HOSPITAL.—Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITALS.—Operations, 2 P.M., and

each day in the week at the same hour.SOCIETY OF ARTS.-8 P.M. Mr. J. M. Thomson: The Chemistry of Sub-

stances taking part in Putrefaction and Antisepsis.

Tuesday, May 17.Guy’s HOSPITAL.—Operations, 1.30 P.M. and on Friday at the same hour.

Ophthalmic Operations cn Monday at 1.30 and Thursday at 2 P.M.ST. THOMAS’S HOSPITAL.—Ophthalmic Operations, 4 P.M.; Friday, 2 P.M.CANCER HOSPITAL, BROMPTON.—Operations, 2.30 P.M.; Saturday, 2.30 P.M.WESTMINSTER HOSPITAL.-Operations, 2 P.M.WEST LONDON HOSPITAL.—Operations, 2.30 P.M.ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday,

1.30 P.M. Skin Department. Monday and Thursday, 9.30 A.M.ROYAL INSTITUTION.-3 P.M. Professor Victor Horsley: The Modern

- Physiology of the Brain and its Relation to the Mind.SOCIETY OF ARTS.-8 P.M. Sir Augustus Adderley : The West Indies at

the Colonial and Indian Exhibition. *

PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Dr. Payne: MultipleNeuro-fibromatainconnexion with Molloscum Fibrosum.-Mr. R. W.Parker : Cases of Sarcoma in Children.-Mr. L. Hudson: Sarcomaof Pelvic Fascia.-Dr. Handford: Cerebral Hemorrhage in a Childfollowing Thrombosis of Sinuses.-Dr. Charlewood Turner: FibrousContraction with Stenosis of Stomach.-Mr.F.W. Clark: SubpleuralLipoma of Diaphragm.-Mr. Bland Sutton: A Curious Effect ofRickets on the Skulls of Lions.-Mr. S. Paget: Supra-pubic Abscess.- Mr. Shattock and Mr. Ballance: Cultivation Experiments withNew Growths and Healthy Living Tissues and the Parasitic Theoryof Cancer.-Mr. Battle : Bones from Congenital Syphilis. CardSpecimens: Mr. Page (for Mr. Raven) : Sarcoma of Dorsal Ver-tebra. - Mr. S. Jones : Tumour of Parotid of Twenty-five Years’Growth.-Dr. Barlow: Renal Sarcoma.-Dr. Pitt : Pleura Two Yearsafter Drainage for Empyema.-Dr. W. Collier: Pelvic SarcomaSimulating Haematocele during Life.-Dr. Turner: Bladder Kidneyand Dura Mater from a case of Purpura.—Mr. J. Morgan : CysticDisease of Metatarsal Bone.-Mr. Fenwick: (1) Encephaloid Cancerof Apex of Bladder; (2) Acute Tuberculosis of Bladder and Prostate;(3) Purpura Hæmorrhagica of Bladder.-Mr. Bull (for Mr. Rouse):Sarcoma of Clavicle.—Mr. Mansell Moullin : (1) Abscess of Brainfollowing Disease of Ear, trephined: (2) Sacculated Bladder withCalculus fixed behind the Prostate.—Mr. Poland: Osteo-mvelitis ofScapula and Separation of its Coracoid Epiphysis.—Dr. Gulliver:Aortic Aneurysm opening into Superior Cava.

Wednesday, May 18.NATIONAL ORTHOPEDIC HOSPITAL.—Operations, 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M.ST. BARTHOLOMEW’S HOSPITAL -Operations, 1.30 P.M.; Saturday, same

hour. Ophthalmic Operations, Tuesday and Thursday, 1.30 P.M.

Surgical Consultations, Thursday, 1.30 P.M.ST. THOMAS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour.LONDON HOSPITAL.—Operations, 2 P.M. ; Thursday & Saturday, same hour.GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M.SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operations,

2.30 P.M.UNIVERSITY COLLEGE HOSPITAL.—Operations, 2 P.M. ; Saturday, 2 P.M.

Skin Department, 1.45 P.M.; Saturday, 9.15 A.M.ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday.XlNG’S COLLEGE HOSPITAL.-Operations, 3 to 4 P.M.; Friday, 2 P.M.

Saturday. 1 P.M.CHILDREN’S HOSPITAL, GREAT URJiOND-STREET.-Operations, 9 A.M.

Saturday, same hour.SOCIETY OF ARTS.-8 P.M. Mr. William Henry Preece : Progress in

Telegraphy.Thursday, May 19.

ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. Ophthalmic Operations,Friday, 1.30 P.M.

C)HARING-CROSS HOSPITAL.—Operations, 2 P.M.NORTH-WEST LONDON HOSPITAL.—Operations, 2.30 P.M.ROYAL INSTITUTION.-3 P.M. Professor Dewar : The Chemistry of the

Organic World. PARKES MUSEUM OF HYGIENE.-5 P.M. Major Lamorock Flower, C.E.:

The River Lee.HARVEIAN SOCIETY OF LONDON.-8.30 P.M. Clinical Evening.

Friday, May 20.ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.—Operations. 2 P.M.SOCIETY OF MEDICAL OFFICERS OF HEALTH.-7.30 P.M. Dr. Alfred

Hill (President): On an Improved System of Flush-closets for smallHouse Property.-Dr. B. A. Whitelegge : The Powers and Responsi-bilities of Local Authorities in regard to Rabies.—Mr. Shirley F.Murphy: A few Facts concerning the Recent Prevalence of WinterDiarrhoea in London.

ROYAL INSTITUTION.-9 P.M. Mr. Benjamin Baker : Bridging the Firthof Forth.

Saturday, May 21.MIDDLESEX HOSPITAL.—Operations. 2 P.M.ROYAL INSTITUTION.—3 P.M. Prof. John W. Hales: Victorian literature-

METEOROLOGICAL READINGS.

(Taken daily at 8.30 a.m. by Steward’s Instruments.)THE LANCET Office, May 12th, 1887.

Notes, Short Comments, & Answers toCorrespondents.

It is especially requested that early intelligence of local eventshaving a medical interest, or which it is desirable to bringunder the notice of the profession, may be sent direct tothis Office.

All communications relating to the editorial business of thejournal must be addressed "To the Editors."

’ Lectures, original articles, and reports should be written onone side only of the paper.

Letters, whether intended for insertion or for private in-formation, must be authenticated by the names andaddresses of their writers, not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports or news-paragraphs shoisld

be marked and addressed to the Sub-Editor.Letters relating to the ublication, sale, and advertisingdepartments of THE LANCET to be addreased "to the

: Publisher.". We cannot undertake to return MSS. not used.

, THE PENGE CASE.’

DR. L. FORBES WINSLOW writes to remind us that at the time when the

petition respecting the convicts in what was known as the " PengeMystery" was first sent in, previously to the commutation of the sentence

. of death, he also obtained and sent a petition signed by 500 membersof the profession. Dr. Winslow desires that all those who signed his,petition should now sign the one alluded to in our last issue byDr. Bristowe.

Studens.-Nothing is yet decided by the Council as to the recognition ofAmerican or foreign diplomas.

, SERIOUS RESULT FROM UNINTENTIONAL INTRA- UTERINEMEDICATION.

To the Editors of THE LANCET.

SIRS,—Having read your account of the fatal result of intra-uterinemedication related by Dr. Otto Engstrom, I thought perhaps a shortaccount of a case which has just happened in my own practice might be

interesting.On March 8th I attended a lady with her first child. About the third

day, the discharge being offensive and the temperature elevated, 1,ordered injection of Condy’s fluidand gave quinine. Inafewdaysthetem-perature and discharge were normal. Ten days after this I was suddenly-called at 10 P.M., and found the patient almost in a state of collapse.Violent and incessant vomiting and diarrhcea. Temperature 102.6°. Thefollowing was her statement -For the sake of comfort she had continuedusing the syringe at night; but on this occason when she introducedthe vaginal tube she experienced intense pain, which was increased bythe injection. Shortly afterwards her condition became so alarmingthat I was summoned in haste. I found on examination the os some-what patent and the uterus abnormally low. The injection was deeplycoloured with ordinary blood. On the following day the sickness had

: abated; temperature 1020; no abdominal tenderness, but intense painin the back, which lasted for two days. The uterus was tender onexamination per vaginam. Two days after the temperature rose to

104’40, with rigors and vomiting. The patient was almost pulseless, andapparently in a dying state. My friend, Dr. Moon, saw her with me at11 A.M. Still no pain, the back pain having left. On the following daythe temperature sank to 1030, the rigors had ceased, and only a feelingof nausea remained. The next day the temperature sank another degree,and the patient complained for the first time of pain in the left groin as

r far as the left ovary. The pain remained severe for two days; but thetemperature sank gradually to normal, the patient improving daily.She is now (April 25th) able to change her room, eating well, but feelingand looking extremely weak. The treatment consisted mainly in theexhibition of quinine, opiates, and soothing applications when necessary.

I am, Sirs, yours truly,. West Norwood, S.E., April 25th, 1887. JOHN B. HARBIS, M.D.