1
304 rise. The improvement from these causes, it is believed, would be almost certainly not less than 17.3 per cent., so that the survival-rate would reach 50 per cent. of all cases. As 85.6 per cent. of those who die at all ages from this trouble are capable of being operated on if they could be persuaded to attend early for treatment, it follows on this calculation that not less than 42 per cent. reduction could be secured among those who at present die from cancer of the uterus. Dr. Greenwood and Dr. Lane-Claypon pointed out that the data available for this country show that the mean period elapsing after the patient has become aware of her symptoms is from 8 to 12 months for cancer of the breast (according as the cases of long duration are or are not included) and from 6 to 9 months for cancer of the uterus. Hence, although a small proportion of women may be unaware of their trouble until the disease has passed its early stages, it is at least certain that in both forms of cancer there is great unnecessary delay in making application for treatment. The view that a reduction of approximately 50 per cent. could be effected has been confirmed statistically by calculations based on the survivals among known cases. In the course of the subsequent discussion, Sir James Herry and Mr. W. Sampson Handley strongly emphasised the supreme importance of early treatment. _____ THE LAW AND TRADITION OF MEDICAL PRACTICE. MR. W. SANDERSON and Mr. E. B. A. Rayner, both barristers-at-law, have written an interesting introduction to a complete work1 on the law and tradition of medical practice, the projected volume being a treatise on the rights and duties of physicians, surgeons and dentists, with a complete description of the status of apothecaries and midwives." The work contemplated will thus cover an enormous field, while the introduction deals with little more than general principles, omitting, further, any mention of public health or forensic medicine, because, as is pointed out, both subjects, while extending over a wide field of law, are adequately dealt with in existing text-books. The authors’ description of the contact of medicine and law— that is the relation of medicine to the body politic will make useful reading to every medical practitioner. We are all supposed to know the law-that is to say, to be aware of the rules that govern this relationship ; but while many other citizens can ascertain with fair facility where they stand in regard to particular enactments, in no class, except among lawyers themselves, is professional routine so perpetually in touch with various general and special regulations. Our pages, under the head of " Medicine and the Law," testify to the wide range of questions which fall under this title, and not a little to the presence of anomalies in administration. The statements in this small book upon tradition and custom, as those upon salaries and fees, contain much information that will enable the reader to understand sociological principles as applied to the conduct of medical practice ; it is pleasing to find the arguments developed on which the views are founded that the law is still developing in the wake of medical tradition, and that " the striking harmony between medicine and the body politic has been produced by the high standards of honour and service continuously exhibited by the medical profession, and has been as continuously fostered by the law under the guidance of the judges." The warning against the thoughtless granting by medical men of press interviews is scathing, and we are not surprised to learn that the terms employed should have led to a protest from the Institute of Journalists, nor that the authors should have signified willingness to modify the offending passage. That mischievous or troublesome 1 An Introduction to the Law and Tradition of Medical Practice. By William Sanderson, M.A., LL.B., of the Inner Temple, and E. B. A. Rayner. B.A., LL.B., of Gray’s Inn, Barrister-at-law. London: H. K. Lewis and Co., Ltd. 1926. Pp. 77. 7s. 6d. results have followed upon press interviews granted by doctors cannot be denied, and the annals of the General Medical Council can be quoted in support of this statement ; but the inclusive indictment of all press reporters cannot be justified by facts. THERE has been definite improvement in Sir Ernest Hodder-lll"illiams’s condition generally during the past week. _____ THE death occurred on Tan. 25th, at the age of 69. of Dr. Thomas Robert Bradshaw, consulting phy. sician to the Liverpool Royal Infirmary. Sir Berkeley Moynihan, President of the Royal College of Surgeons of England, will deliver the Ilunterian Oration in the Theatre of the College on Monday, Feb. 14th, at 4 P.M. Fellows and Members who wish to be present are asked to apply to the Secretary for cards of admission. WE publish in another column a letter from a small committee of friends and admirers of the late Sir. Clifford Allbutt, who have decided to erect at Papworth two cottages with which his name will be associated. which are to be used for the accommodation of men disabled by tuberculosis. The inmates will be selected from among those who are unable to support themselves and families, and the association of Sir Clifford Allbutt’s name with such beneficent work is very fitting, for he was deeply interested in the work of the colon v from its outset. -%Ve are sure that many of our readers will welcome the opportunity of helping the good work, while testifying their appreciation of the career of a great leader ; this they can do by sending donations to the fund directed to Mrs. Marcus Dimsdale, Papworth Hall, Cambridge. Mr. J. Hugh .Tones, who died on Monday of innuenzat pneumonia, was a benefactor of metropolitan hospitals. for it was owing to his imagination and enterprise that the scheme for providing wireless to every hospital bed was successfully realised. The money, collected through the columns of the Daily News. exceeded ;E34,000, which was sufficient to equip 15,781 beds in 122 hospitals, leaving something over for Borstat schools and lighthouses. At a crucial time in his early life-as he told the subscribers to the fund when accepting a presentation-he received kindness from a Manchester hospital, and formed a resolution that if ever he grew up he would endeavour to do something for hospitals to mark his gratitude. Mr. Jones was clear-sighted enough to look upon broad- casting as an ally and not as a menace to newspaper production. ROYAL SANITARY INSTITUTE.—A Sessional Meeting is to be held at 90. Buckingham Palace-road. London. S.W. 1, on Tuesday, Feb. 15th, at 5.30 P.M., when a discussion on Immunisation Against Diphtheria will be opened by Dr. Williaiii Robertson, medical officer of health for Edin- burgh. The chair will be taken by Sir Arthur Newsholme. CONTAMINATION OF MILK.—At a conference of 149 local authorities, held at Leeds on Jan. 27th, to consider the requirements of the Milk and Dairies OI’llp!, of 1926. Dr. J. R. Kaye, medical officer of health for the West Riding. said : " In 12 per cent. of the examplt-s of milk we recently took we found liquid manure.... If a farmer does not supply pure milk," he went on. " he is not an honest man and ought not to he a churchwarden. Tt I were a coroner I should want an inquest on every child under 12 BB ho died from intestinal trouble. I should look to milk first for the cause of death, and if I found it there I think I could win the day against the producer before a court and a sensible jury.... We have been too soft-hearted in the past. A great deal is being done by some producers, but why should not Grade A be the standard milk ? There should be a cletined standard, and we ought to get real help from the magistrates instead of tinkering tines that are no use whatever."

THE LAW AND TRADITION OF MEDICAL PRACTICE

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rise. The improvement from these causes, it is believed,would be almost certainly not less than 17.3 per cent.,so that the survival-rate would reach 50 per cent.of all cases. As 85.6 per cent. of those who die at allages from this trouble are capable of being operatedon if they could be persuaded to attend early fortreatment, it follows on this calculation that not lessthan 42 per cent. reduction could be secured amongthose who at present die from cancer of the uterus.Dr. Greenwood and Dr. Lane-Claypon pointed outthat the data available for this country show that themean period elapsing after the patient has becomeaware of her symptoms is from 8 to 12 months forcancer of the breast (according as the cases of longduration are or are not included) and from 6 to 9months for cancer of the uterus. Hence, although asmall proportion of women may be unaware of theirtrouble until the disease has passed its early stages,it is at least certain that in both forms of cancer thereis great unnecessary delay in making application fortreatment. The view that a reduction of approximately50 per cent. could be effected has been confirmedstatistically by calculations based on the survivalsamong known cases. In the course of the subsequentdiscussion, Sir James Herry and Mr. W. SampsonHandley strongly emphasised the supreme importanceof early treatment. _____

THE LAW AND TRADITION OF MEDICALPRACTICE.

MR. W. SANDERSON and Mr. E. B. A. Rayner,both barristers-at-law, have written an interestingintroduction to a complete work1 on the law andtradition of medical practice, the projected volumebeing a treatise on the rights and duties of physicians,surgeons and dentists, with a complete descriptionof the status of apothecaries and midwives." Thework contemplated will thus cover an enormous

field, while the introduction deals with little morethan general principles, omitting, further, anymention of public health or forensic medicine,because, as is pointed out, both subjects, whileextending over a wide field of law, are adequatelydealt with in existing text-books. The authors’description of the contact of medicine and law—that is the relation of medicine to the body politicwill make useful reading to every medical practitioner.We are all supposed to know the law-that is to say,to be aware of the rules that govern this relationship ;but while many other citizens can ascertain withfair facility where they stand in regard to particularenactments, in no class, except among lawyersthemselves, is professional routine so perpetuallyin touch with various general and special regulations.Our pages, under the head of " Medicine and the Law,"testify to the wide range of questions which fallunder this title, and not a little to the presence of anomalies in administration. The statements in thissmall book upon tradition and custom, as those uponsalaries and fees, contain much information thatwill enable the reader to understand sociologicalprinciples as applied to the conduct of medicalpractice ; it is pleasing to find the arguments developedon which the views are founded that the law is stilldeveloping in the wake of medical tradition, and that" the striking harmony between medicine and thebody politic has been produced by the high standardsof honour and service continuously exhibited by themedical profession, and has been as continuouslyfostered by the law under the guidance of thejudges." The warning against the thoughtlessgranting by medical men of press interviews isscathing, and we are not surprised to learn that theterms employed should have led to a protest fromthe Institute of Journalists, nor that the authorsshould have signified willingness to modify theoffending passage. That mischievous or troublesome

1 An Introduction to the Law and Tradition of MedicalPractice. By William Sanderson, M.A., LL.B., of the InnerTemple, and E. B. A. Rayner. B.A., LL.B., of Gray’s Inn,Barrister-at-law. London: H. K. Lewis and Co., Ltd. 1926.Pp. 77. 7s. 6d.

results have followed upon press interviews grantedby doctors cannot be denied, and the annals ofthe General Medical Council can be quoted in supportof this statement ; but the inclusive indictment of allpress reporters cannot be justified by facts.

THERE has been definite improvement in Sir ErnestHodder-lll"illiams’s condition generally during the pastweek.

_____

THE death occurred on Tan. 25th, at the age of 69.of Dr. Thomas Robert Bradshaw, consulting phy.sician to the Liverpool Royal Infirmary.

Sir Berkeley Moynihan, President of the RoyalCollege of Surgeons of England, will deliver theIlunterian Oration in the Theatre of the Collegeon Monday, Feb. 14th, at 4 P.M. Fellows and Memberswho wish to be present are asked to apply to theSecretary for cards of admission.

WE publish in another column a letter from a smallcommittee of friends and admirers of the late Sir.Clifford Allbutt, who have decided to erect at Papworthtwo cottages with which his name will be associated.which are to be used for the accommodation of mendisabled by tuberculosis. The inmates will beselected from among those who are unable to supportthemselves and families, and the association of SirClifford Allbutt’s name with such beneficent workis very fitting, for he was deeply interested in thework of the colon v from its outset. -%Ve are sure thatmany of our readers will welcome the opportunityof helping the good work, while testifying theirappreciation of the career of a great leader ; this theycan do by sending donations to the fund directed toMrs. Marcus Dimsdale, Papworth Hall, Cambridge.

Mr. J. Hugh .Tones, who died on Monday of innuenzatpneumonia, was a benefactor of metropolitan hospitals.for it was owing to his imagination and enterprise thatthe scheme for providing wireless to every hospitalbed was successfully realised. The money, collectedthrough the columns of the Daily News. exceeded;E34,000, which was sufficient to equip 15,781 beds in122 hospitals, leaving something over for Borstatschools and lighthouses. At a crucial time in his earlylife-as he told the subscribers to the fund whenaccepting a presentation-he received kindnessfrom a Manchester hospital, and formed a resolutionthat if ever he grew up he would endeavour to dosomething for hospitals to mark his gratitude. Mr.Jones was clear-sighted enough to look upon broad-casting as an ally and not as a menace to newspaperproduction.

ROYAL SANITARY INSTITUTE.—A Sessional Meetingis to be held at 90. Buckingham Palace-road. London.S.W. 1, on Tuesday, Feb. 15th, at 5.30 P.M., when a discussionon Immunisation Against Diphtheria will be opened byDr. Williaiii Robertson, medical officer of health for Edin-burgh. The chair will be taken by Sir Arthur Newsholme.

CONTAMINATION OF MILK.—At a conference of 149local authorities, held at Leeds on Jan. 27th, to consider therequirements of the Milk and Dairies OI’llp!, of 1926. Dr.J. R. Kaye, medical officer of health for the West Riding. said : " In 12 per cent. of the examplt-s of milk we recentlytook we found liquid manure.... If a farmer does not supplypure milk," he went on. " he is not an honest man and oughtnot to he a churchwarden. Tt I were a coroner I shouldwant an inquest on every child under 12 BB ho died fromintestinal trouble. I should look to milk first for the causeof death, and if I found it there I think I could win theday against the producer before a court and a sensiblejury.... We have been too soft-hearted in the past.A great deal is being done by some producers, but whyshould not Grade A be the standard milk ? There should bea cletined standard, and we ought to get real help from themagistrates instead of tinkering tines that are no use

whatever."