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the bone being perforated in three or four places, remarked as follows: The patient was a lady twentythrough a single cutaneous opening; and the limb was four years old, married two years. Shortly after mar put up in a starch apparatus. No benefit resulted, and riage she first noticed a tumor in or near the right iliac the operation was repeated August 16, and again fossa. About last August she observed fluid in the abSeptember 22. On the 11th of October a note was dominal cavity. In October she was visited by a made that there was some firmness at the seat of frac-physician, and the case was pronounced one of ovarian ture. On the 20th of that month Brainard's operation tumor complicated with ascites. On the 1st of Februwas tried for the fourth time, On each occasion the ary she was tapped, and about fifty pounds of fluid were drilling had seemed to be very thoroughly done; drawn off. About four weeks later I saw her. The though owing to the thickness of the muscular and adi- largest circumference of the abdomen was then 42 inchpose tissues, it was impossible to tell the exact position es; before the tapping it had measured 484. No defiof the fragments, or just how the drill was penetrating nite information could be gained as to the nature of them. It was now proposed to cut off the ends of the the fluid removed; and the diagnosis of the case offerfragments and wire them together. To this the man ed some points of interest, to which I would call the did not immediately accede. He travelled, and con- attention of the Society. With the patient on her back sulted various practitioners, regular and irregular, I found fluctuation, and dulness on percussion, over finally returning for the operation, which was perform- every part of the abdominal walls. Turning her to either ed February 9, 1867. Cutting down upon the bone, side, there was dulness everywhere except low down the fracture was found to be oblique, the acute ends of over the region of the colon. No fluctuation was comthe fragments overriding each other in such a way as municated, from the mass of liquid in the abdomen, to to present the least possible surface for repair. It was the finger passed per vaginam or per rectum. probably to this peculiar position, that the failure of the patient standing, a tumor, apparently globular and previous operations was attributable. The ends were solid, could be felt just above the ramus of the pubes sawn off, and the fragments tied together by a single on the right side; and this could be raised easily, as stout silver wire (No. 27). This was effected with no if floating in fluid; and upon removing the pressure, little difficulty, from the thickness of the soft parts and would fall back again, as does the head of the fœtus their infiltration. Great care was taken to avoid injury in the process of ballottement. The umbilicus was someto the musculo-spiral nerve, which should run just at what prominent, showing that some fluid, at least, had the point of fracture. A note was made that it was accumulated in the peritoneal cavity. I concluded that looked for, but not found and not injured. On the 27th the diagnosis lay between that of an ovarian tumor of April the limb was finally removed from splints, firm complicated with ascites, and that of a very large ovaunion found, and the wire withdrawn. It was observ- rian sac, with a smaller one floating in a smaller quaned that the patient had lost power over the extensors; tity of ascitic fluid. I decided in favor of the former and the doctor gave an unfavorable prognosis, fearing supposition, though some of the facts just mentioned that the nerve just referred to had become included in militated against it. The patient was immensely anasarcous all over the lower half of the body; but there was no pitting on pressure upon the upper limbs or the face.

the cicatrix.

After this date the Doctor did not see the patient; but the man had lately fallen dead in the street, and he had obtained the specimen. This showed the fracture oblique; the position of the resected ends almost perfect; no trace of the wire ligature. The musculo-spiral nerve ran directly over the seat of fracture, and was either partially or wholly divided; it was difficult to say which, though traction upon one part would move the other. As to the way in which this injury occurred, Dr. Sands was inclined to think that, in spite of the precautions taken, it had been done with the knife; it might have been due to pressure of the nerve between the bones; or the nerve might have been included in the cicatrix; it could not have been included in the wire ligature, for that was passed upon the opposite side. This accident was not a rare one, as several cases of it were already on record. The Doctor did not see how it could always be avoided where the patient was fat and muscular, for it is necessary to resect the ends of the bone without removal of the soft parts to any great extent.

This specimen was preserved in gasoline, which has been proposed as a cheap substitute for alcohol. Some discussion ensued concerning the merits of this fluid, the general opinion being that its antiseptic properties were insufficient for the preservation of fresh specimens, though such as had been already hardened by alcohol might be safely kept in it.

OVARIOTOMY-INTERESTING DIAGNOSIS.

DR. PEASLEE presented an ovarian tumor, together with the other ovary, the uterus showing the ligatures as applied to both pedicles, and a portion of the abdominal wall showing union of the incision, from a patient upon whom he had performed double ovariotomy. He

The

it

Proceeding to the operation, I made an incision three inches long, midway between the umbilicus and the symphysis pubis, through the skin and down to the abdominal aponeurosis; and through this a very minute incision, to ascertain the nature of the fluid in the abdomen. It was evidently ascitic. A steel bougie was passed around the tumor, and its pedicle easily made out as very long. The peritoneal fluid was then evacuated; and before enlarging the incision-not to be again deceived as in another case presented to the Society, where the tumor turned out to be an outgrowth from the uterus-I passed a sound into the uterus, and then found I could completely grasp this organ through the now flaccid abdominal walls, and distinctly feel the pedicle passing off to the right side. The tumor, on being brought into view, was found to be polycystic, but the sacs were all so very small that it could not be diminished by tapping. The incision was accordingly prolonged to an inch and a half above the umbilicus, and the tumor drawn out and removed. Its pedicle was the longest I have ever seen, measuring 3 inches; and in ligation more than half of it was removed as undesirable. The other ovary was sought, and found to have commencing disease of the same kind, so I took that out also. Both pedicles were ligated with the double silk ligature, cut off short and returned into the cavity, as I have always done. Not a drop of blood had escaped into the abdominal cavity. Before closing up the incision, passing my hand down towards the Douglas cul-de-sac, I found that I could not reach it, but met there a globular mass, about three inches in diameter, resembling calves' foot jelly inclosed within a very thin membrane; and another smaller one, about the size of a hen's egg. I took them out and laid them on

a plate for examination; but for this I had no opportunity; for in about twenty minutes, during which I was attending to the patient, the contents had dissolved away the investing membrane, leaving a semi-fluid mass out of which I could make nothing. I have no doubt that they had originally belonged to the ovarian tumor, and, becoming separated, had fallen down into the Douglas cul-de-sac, completely filling it. The fact that the cul-de-sac was filled in this way explains the non-transmission of the fluctuation from the abdominal cavity to the finger in the vagina or the rectum. The dulness on percussion over the abdominal walls, the patient lying supine, was no doubt due to the fact that the fluid rose higher than the length of the mesentery would allow the intestines to rise, so that there was a layer of fluid still above them. Before the operation the fluid had for some time been accumulating at the rate of a pound and a half a day. In view of this, and of the fact that the peritoneum was found more highly congested than I had ever before seen, I expected that the effusion of ascitic fluid would still continue for a time after the operation. I therefore introduced a tent at the lower end of the incision, intending after four or five days to pass a silver catheter to ascertain the amount and character of the fluid in the abdominal cavity.

After the operation the patient appeared to be doing well, and presenting no unusual symptom except that she passed, almost constantly, an immense amount of urine, which seemed to be so irritant that she could not hold it. The anasarca disappeared completely, so that in forty-eight hours she was reduced to a mere skeleton. This gave me anxiety, as it showed much greater emaciation than I had supposed. Still the case went on favorably, with the single exception of irritation of the bladder. There was nothing to denote peritonitis, the pulse rarely rising above 100, though once to 112. On the morning of the third day, the patient, who had passed a good night, was spitting up a little mucus, to which she attached no importance, as she had often done it before. Two hours later, at 11 A.M., I was informed that she had vomited a little bile. Soon after 12 o'clock, the vomited matter much resembled the black vomit of yellow fever; and at 1 o'clock she was dead. Death was so sudden that there was hardly time to send down stairs to tell her husband that it was imminent. This was about 72 hours after the operation. You will see by the specimen that there is no evidence of any loss of vitality in the pedicles beyond the ligatures. A very slight degree of peritoneal inflammation was found. About two quarts of fluid were contained in the peritoneal cavity, all, or nearly all, ascitic, with less than a drachm of fibrinous material floating in it.

The Society then went into Executive Session.

Correspondence.

TRANSMISSIBILITY OF SYPHILIS BY VACCINE VIRUS.

TO THE EDITOR OF THE MEDICAL RECORD.

servedly attracting much attention at present in the profession, and as the reason of its non-transmissibility has never to my knowledge been explained, I submit these few lines, that you may-if you deem it propergive publicity to them, not that I claim infallibility in my explanation, but as everything that awakens discus-ion elucidates truth, I may hope that by this view becoming the bone of contention, the absolute truth may be revealed. That the non-transmissibility of syphilis is founded upon sound doctrine, is, I think, clearly demonstrated by Beale's germinal-mat er theory. He inculcates that germinal matter, from whatever tissue taken, and placed in the substance of another, will always produce that from which it was obtained, and not that in which it is placed, e.g., Periosteum will never produce anything but bone, no matter where it is placed. This holds good in pathological processes; transplant syphilitic virus to a healthy soil, and it will form a chancre; inoculate a person with vaccine lymph and vaccine will be produced. Again, germinal matter possesses the inherent property of CONVERTING the nutritive material derived from the blood into matter like itself.

From these data it seems plausible to infer that vaccine lymph possesses the same property as other germinal matter of REPRODUCING ITSELF, and TRANSFORMING the fluids (syphilitic ?) which it receives from the blood INTO ITSELF, and therefore it is that when taken in a perfect state, it can never transmit any disease except its own. Yours truly,

28 West 15th Street, N. Y.

ALEX. W. STEIN.

LOOSE CARTILAGES IN THE KNEE-JOINT. (INFORMATION DESIRED IN REGard to unpublished cases.)

TO THE EDITOR OF THE MEDICAL RECORD.

In

SIR-In February, 1861, Doctor T. H. Squire, of this city, and myself were obliged to defend a suit for alleged malpractice, growing out of an operation performed by us for the removal of a loose cartilage from the knee-joint-the result of the operation being anchy-losis-the result of the suit being in our favor. preparing ourselves for defence, assisted by physicians at home and abroad, we collected information in regard to 206 operations for this troublesome difficulty, while information, in tabular form, was published by Baron Larrey in the Gazette des Hôpitaux for June 8, 1861.

After an interval of seven years, a letter has been received by Dr. Squire from Alfred Poland, Surgeon to Guy's Hospital, London, in which he states that he is about to publish a small work upon loose cartilages in the knee-joint. He has tabulated all published cases, up to the present date. He is now pushing his investigations still further, and desires of his medical brethren information in regard to cases that have never been published.

Any reader of the MEDICAL RECORD who may possess such information, will confer a favor upon Mr. Poland, and render a service to the cause of science, by communicating the same to me as soon as possible.

MY DEAR SIR-At a meeting of the Journal Associa- The chief items of information are the name, resition, held June 5, a discussion arose relative to the dence, age, and occupation of the patient; the particular transmissibility of syphilis by vaccine matter, in re- knee affected; the size, mobility, supposed cause, and spect to which a diversity of opinion was elicited. I symptoms of the foreign body; the duration of the difbelieve experience more and more establishes the fact, ficulty; the treatment, whether by operation or otherthat syphilis is not transmitted by vaccine lymph, ex-wise; and if operated upon, by what method, and finalcept it be mixed with blood, or the secretion from a ly, the result of the case, together with any reflections specific sore, or when taken at the pustular stage. As or remarks that may be added. tuis is a subject of vital interest, and one which is de

Proper acknowledgment of thanks, and due credit,

will be awarded to all persons who may render assistance, in accordance with this regard. WILLIAM C. WEY, M.D.

ELMIRA, New York, June 24, 1868.

Obituary.

THOMAS C. BRINSMADE, M.D.

OF TROY, NEW YORK.

DR. THOMAS C. BRINSMADE, one of the most prominent medical gentleman of this State, died suddenly of angina pectoris, while officiating, on the evening of the 22nd of June, at a public meeting, held in behalf of the Rensselaer Polytechnic Institute of that city. He was born in Hartford, Conn., graduated at Yale College, and came to Lansingburgh in 1822, where he remained until 1832, when Dr. Elisha Sheldon, then a leading physician of Troy, having died, he and Dr. F. B. Leonard removed to Troy, and succeeded to the practice of Dr. Sheldon. Dr. B. was induced to come there by some fifteen or twenty of the leading citizens -the Warrens, Hearts, and others who guaranteed him a certain sum of money each per year, whether the amount of the income reached that sum or not. Dr. Leonard remained but a short time, when Dr. Brinsmade, for some years, with Dr. John Wright, as partner, continued the practice. In 1848-9 he was elected President of the Rensselaer County Medical Society. In 1857 he was elected Vice-President of the State Medical Society. In 1858 he was elected President of that Society. In 1866 he was chosen Vice-President of the American Medical Association; and in 1867 he was appointed delegate to the International Medical Congress at Paris, and, attending the same, took a prominent and conspicuous part. Dr. Brinsmade was at one time City Physician; repeatedly President of the Board of Health; one of the original Governors of the Marshall Infirmary, and one of the Medical Board; a trustee of the Binghamton Inebriate Asylum; and for twenty-five years was an active member of the Board of Trustees of the Rensselaer Institute. Upon the resignation of President Winslow he was elected President of the Institute. During all the years of his connection with that institution he took a deep interest in its affairs, and it is stated that in his will he has left it a most munificent bequest.

Dr. Brinsmade was well known throughout the country as an active worker in the cause of medical science; and his brethren, in his death, sustain an irreparable loss. He was truly a noble example of the upright, conscientious, Christian physician, one who was untiring in his efforts to advance the best interests of his calling as well at the bedside as in the numerous Society gatherings, at which he was a devoted, zealous, and punctual attendant.

New Instruments.

DESCRIPTION OF AN AIR-TIGHT GALVANIC APPARATUS.

Br G. M. BEARD, M.D., & A. D. ROCKWELL, M.D. THE electricians of this country and Europe have long felt the want of some convenient, powerful, and constant Galvanic apparatus, that should be tolerably portable and not inordinately expensive.

For the purposes of general electrization, we almost invariably use the Faradaic current from the electromagnetic machine of Jerome Kidder, and have found it to combine every element that can be desired in an electro-magnetic apparatus. But, as is well recognised by all electricians, there are certain conditions that can be better met by the Galvanic than the Faradaic current. The Galvanic current wil! sometimes produce muscular contractions, when the Faradaic will not. It will dissipate or cure neuralgic pains, that the Faradaic serves only to aggravate. It possesses greater intensity than the Faradaic, and will also produce more marked chemical effects. It is therefore indicated when we desire to cause the resolution of tumors, or to hasten absorption.

On account of these manifest advantages of the Galvanic over the Faradaic current in various types of diseases, such as organic paralysis, certain forms of neuralgia, rheumatic effusions, and some affections of the eye, we have spared no efforts to obtain a convenient and reliable Galvanic apparatus. Our first attempts were quite discouraging. A horizontal pile of 150 pairs, arranged somewhat after the style of Cruikshank's trough,

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gave a powerful current for a time, but soon became utterly valueless. A modification of the Voltaic pile, manufactured for us by Messrs. Chester & Co., answerThe most trying annoyances that we have experienced our purpose tolerably well for a few weeks; but the ed during all our investigations in the department of electro-therapeutics have been our repeated failures to obtain a convenient and satisfactory Galvanic apparatus.

odor that arose from it was unpleasant, it was not conveniently portable, and, more than all, like Voltaic piles in general, soon became very much coated, and the cur

rent it produced was too feeble and inconstant to be of any service.

Still another modification of the Voltaic pile arranged by Mr. Chester was found to be as uncertain as its predecessors.

At our very urgent and repeated request, Mr. Chester consented to try one more experiment, the result of which is presented in the accompanying cut. It was not completed until after considerable labor and investigation, and many annoying details, that can only be appreciated by those who have attempted similar experiments. The apparatus may be composed of any number of elements that may be desired. Probably 75 or 100, or at most 150 cells, will be sufficient for nearly all the ordinary purposes of electro-therapeutics. The wood-cut accompanying represents two of these cells. They are three inches long, and are inserted in a wooden block. Each glass is provided with a zinc cover from which a projection runs down into the glass, thus forming the zinc element. The other element is carbon carefully connected with platinum, and well insulated from the zinc cover. Between this cover and the glass top, a piece of soft rubber is interposed, and the packing is made completely air-tight and watertight by the pressure of two rubber sponges, that pull the cover firmly down. Connection between the cells is readily made by means of spiral springs. The battery is charged by filling the glasses half full of water, adding some bi-sulphate of mercury. A small bit of cloth is interposed between the plates so as to retain moisture. To use the battery, we invert it, thus allowing the fluid to flow over the plates, and moisten the cloth. It should be kept inverted but for a short time, and then it should be restored to its natural position. While the apparatus is inverted, and for some time afterwards, the current of electricity may be felt by taking hold of the electrodes. The strength of the current, and the length of time it can be felt after the immersion, will depend on the number of cells of which the apparatus is composed. In an apparatus composed of 100 cells, a powerful current has been felt for many hours after inversion. In any apparatus all the cells may be used, or only a part of them, according as a strong or weak current is desired.

The current may be interrupted with any desirable rapidity by means of a brake-piece. With a large apparatus of 100 cells or even of a less number that are in perfect order, one immersion will oftentimes answer for two or three successive applications. This apparatus has the following advantages over any other Galvanic apparatus that has been hitherto devised either in this country or in Europe.

1st. It is portable. Stöhrer's Galvanic apparatus, that has been so popular in Germany, is exceedingly

cumbersome.

The same is true of all the combinations of Daniels, Bunsens, Groves, and Smees elements that have been hitherto employed.

They occupy a large space, are very heavy, and can therefore be transported only with great difficulty.

2nd. It gives a current of great intensity and of sufficient quantity for most of the purposes of electrization. All the modifications of the Voltaic pile, that have been used from the period of its invention until now, have failed to afford a strong current for any considerable length of time. They lose their strength very rapidly. The electro-motive force of this apparatus is superior to that of any form of Voltaic pile. According to the experiments of Mr. C. N. Chester, the lowest electromotive force of this battery, at its lowest power, is fifteen times greater than that of the perforated Voltaic pile, and at its highest force, 256 times greater. The quan

tity force is not so great as that of some other batteries, but yet is sufficient for all the ordinary purposes of electrization. Moreover, it has been found by direct experiment, that the quantity force of many of the ordinary batteries is in excess of the ability of the body to conduct it. On the other hand the intensity of this battery is very great, one cell and a half being equal to one of Grove.

3rd. It retains its strength for a considerable time, and can when necessary be very easily cleaned. It can be pulled to pieces and charged at the rate of 100 cells in two hours. At first some difficulty was experienced in making the cells water-tight, but by perseveraLce this obstacle has been overcome, Some slight improvement in regard to the mechanical details of the apparatus may yet be suggested and adopted, but the general principle of its construction must, we think, hold good for a long time. We have found a battery of eighty cells to work for six weeks.

4th. It is always ready and convenient for use. When we desire to make an application it is only necessary to invert the apparatus for a moment, and the current begins to flow.

It gives forth no unpleasant odor, as do most of the Galvanic batteries in common use; occupies but little space in the office, can be readily transported by hand, and, unlike the familiar batteries of Grove and Daniels, &c., is ornamental as well as useful. This apparatus can be seen and examined at the office of Messrs. Chester & Co., 104 Centre St., N. Y.

WILDE'S OVARIOTOMY CLAMP. THIS instrument was devised to overcome the objections entertained against Mr. Spencer Welles's small clamp, of being unnecessarily heavy and expensive. The accompanying cut accurately represents the clamp, which consists of two parallel fenestrated plates controlled by the screws B, C. The four pivots that receive the screws are loose in the plates. The screw B is larger than C, a circular notch being made near its extremity to receive the small screw A, which works in the pivot at right angles to B. By unscrewing A, B is freed from the pivot, thus permitting the clamp to be applied to the pedicle.

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(The scale is % of an inch to the inch.)

Outside the pivots the plate projects half an inch, that The back of the clamp is convex from end to end. they may rest on strips of adhesive plaster.

and costs from ten to twelve dollars. Mr. Welles's clamp weighs three and a half ounces

about three dollars. This instrument weighs less than an ounce, and costs It is manufactured by Messrs. Tiemann & Co., No. 67 Chatham st., N. Y., to whom I ship in perfecting the clamp. am indebted for their kindness and practical workmanTHOS. WILDE, M.D.

7 Fifth av., Brooklyn.

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THE LATE MICHAEL FARADAY.-Prof. John Tyndall, the successor of Michael Faraday in the Royal Institution, has written a memoir of his friend, in which his scientific investigations are fully discussed.

ACTING Assistant Surgeon F. M. Holly, U. S. Army, having reported at Headquarters Fifth Military District, pursuant to instructions from the chief medical officer, New York city, has been ordered to proceed to Austin, Texas, and report to the Commanding General and to the Chief Medical Officer, District of Texas, for assignment to duty.

MEDICAL PUBLICATIONS.-According to recent statistics of the Leipsic book publishers, the demand for treatises upon medicine, and the natural and collateral sciences, is constantly increasing, while novels and light literature are neglected.

LABOR BUREAU.-The Commissioners of Public Char

ities and Corrections have established a labor bureau, under the direction of the Superintendent of Out-door Poor. The object of the movement is to facilitate the emigration of unemployed labor to the interior, and thereby lighten the burden upon the public charities.

LONG ISLAND COLLEGE HOSPITAL.-Professors Austin Flint, Senior and Junior, and Foster Swift, have resigned their respective chairs in this institution. YELLOW FEVER AND CHOLERA are raging fearfully in

Lima, Peru. In the middle of last month from 200 to 300 persons were dying daily, and 2,500 patients were in the hospitals. The epidemic at Vera Cruz, which was of a dangerous type, is now showing signs of abate

ment.

Sporadical cases of cholera occur daily at Matanzas, Cuba, but they are not of an alarming character.

OUT-DOOR RELIEF FOR THE POOR.-The Superintendents of the Poor, Kings county, New York, have disbursed for the relief of the poor, from August 1, 1867, to July 1, 1868, the sum of $122,984.22.

ANALYSIS OF THE MASSENA OR ST. REGIS SPRING WATER. According to Prof. Mayer, the Massena or St. Regis spring water, in repute for the treatment of cutaneous diseases, contains in one gallon, chloride of sodium, 79.792 grains; chloride of potassium, 0.508 grains; chloride of magnesium, 29.927 grains; bromide of magnesium, 0.673 grains; bicarbonate of lime, 4.852 grains; bicarbonate of iron, 0.488 grains; sulphate of lime, 60.931 grains; sulphate of soda, 3.501 grains; phosphate of soda, 1.320 grains; hyposulphate of soda, 4 205 grains; sulphuret of sodium, 1.405 grains; silicate of soda, and organic compounds, 11.176 grains; total, 198.678 grains. Sulphuretted hydrogen (free and half combined) is also present.

THE REPORT OF THE TRAGIC DEATH OF PIROGOFF, which was first published in the "Wiener Allgemeinen Med. Zeitung," is happily not confirmed. The distinguished Russian is at his villa near Kiew, enjoying excellent health.-Allgemeine Med. Central Zeitung.

THE EMINENT DR. SZYMANOWSKY, Professor of Surgery, died at Kiew on the 25th of April.

DIED, in April, 1868, at St. Petersburg, Peter Alexandrowitsch Dubowitzky, Medical Inspector General of the Russian Army, in the fifty-third year of his age.

INFANT MORTALITY IN PARIS.-The Courrier Medicale, of Paris, in a very able article on the mortality of infants, attributes it in a great many instances to the insufficiency of the development of bone, and adds that the milk of a healthy nurse ought to contain two and one-half grammes of phosphate of lime, which is made, it appears that scarcely one in ten women has the basis of all osseous inatter. From observations milk coming up to this standard, and, therefore, the infants, it is said, necessarily perish or grow up sickly and probably deformed.

PRESENT SYSTEM OF MEDICAL EDUCATION IN GREAT

BRITAIN.-Mr. W. F. Teevan, F.R.C.S., delivered the oration at the ninety-fifth aniversary of the Medical Society of London (Med. Press and Cir.), and took as the theme of his remarks the present system of medical education, reviewing, first, the examining boards, which he styles the " Government Inspectors;" second, the medical schools-the great manufactories of medical men; and, third, the raw article-the medical student. The speaker very ably maintains his opinions that the medical student is no longer "a mere school-boy, but a reasoning, thinking, intelligent young man," and should be allowed to obt in his education when and where he to practise his profession before receiving his diploma; sees fit, provided only that he thoroughly fits himself that the classes at the medical schools are, as a rule, so large that very few of the students can see the demonstrations of the professor of anatomy, and that very many of them are excluded from the advantages which accrue from personal intercourse between teacher and scholar; and that the examinations for graduation are a farce. Mr. Teevan even goes so far as to criticize the ability of men who studied anatomy and surgery fifty

years ago to examine at all; and attributes the fact that so many unqualified men pass their examinations, either to this inability or-to something worse.

He calls special attention to the fact that men who have obtained the diploma of the College of Surgeons, and are still not qualified to practise on those costly articlestherefore qualified to practise on the British public, are Bristish sailors and soldiers-as shown by the fact that they are continually "plucked" by the examiners of the Naval and Military Boards.

DEATH FROM TIGHT LACING.-We record for the benefit of the ladies of England the melancholy death of a young lady in New York from tight lacing. Miss Jones, the lady in question, died suddenly, and, it is alleged, from apoplexy of the lungs in consequence of unusual tight corset lacing. There was an actual postmortem examination and inquest ending in a verdict in accordance with the above statements. Ladies will, of course, be in the fashion. We only show them that this occasionally involves going out of the world.— Lancet, May 23.

New Publications.

LECTURES ON THE DIAGNOSIS AND TREATMENT OF FUNCTIONAL NERVOUS AFFECTIONS, By C. E. BROWN-SEQUARD, M.D, F.R.S., etc. Part 1. Phila.: J. B. Lippincott & Co. 1868.

FOOTPRINTS OF LIFE, OR FAITH AND NATURE RECONCILED. By PHILIP HARVEY, M.D. New York, S. R. Wells, 389 Broadway. 1868.

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