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ALLAN GRANT<br />
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3
Melbourne University Press<br />
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MEDICAL STUDENTS<br />
SHOULD KEEP IN TOUCH WITH THE<br />
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FOR<br />
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4
A Few Remarks on Therapeutics<br />
and Treatment<br />
Albert Abrams, Fool or Sage?<br />
The Banning of Boccaccio ..<br />
CONTENTS<br />
Page<br />
Mr. Greatraks and Mr. Hickson .. 17<br />
The Neuroses<br />
Hospital Silhouettes<br />
Editorial—The Personal Element in<br />
Clinicing<br />
Report of the M.S.S. Committee,<br />
May, 1923 24<br />
Business Manager's Page<br />
Just a Little Headache, Doctor !<br />
9<br />
13<br />
14<br />
19<br />
22<br />
23<br />
25<br />
26<br />
Hospital and Year Notes (<strong>co</strong>ntinued)—<br />
Fourth Year<br />
Third Year<br />
Se<strong>co</strong>nd Year<br />
Al<strong>co</strong>hol as an Infectious Disease<br />
Metastases from Various Foci<br />
The Alfred's Coming Fete ..<br />
Eyes Right—or Wrong<br />
Sports Notes—<br />
Cricket<br />
Football<br />
Rowing<br />
Tennis<br />
Page<br />
Ladies' Letter 28 Athletics 59<br />
Spicula 30 Hockey 60<br />
Belching Through the Ages .. 32 Rifle Shooting 61<br />
Hullo, Patient—A Ragtime Revue 34 Women's Tennis .. 62<br />
Hospital and Year Notes— Commentaries 63<br />
Melbourne 36 Results of Commentaries 64<br />
Alfred !38 Valete 63<br />
St. Vincent's 38 Old Boys' Column 67<br />
40<br />
41<br />
41<br />
43<br />
46<br />
48<br />
48<br />
53<br />
54<br />
55<br />
56
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MILLEDGE BROS<br />
6<br />
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■ 287 ELIZABETH ST.
Si Speculum Placa, Inspice.<br />
tbe Zpecutum<br />
THE JOURN'AL OF THE<br />
MELBOURNE MEDICAL STUDENTS' SOCIETY.<br />
Voari.) of Management:<br />
Editor .. C. CRAIG.<br />
Sub-Editor<br />
Business Manager<br />
The Faculty of Medicine<br />
Graduates<br />
112epresentative6<br />
H. C. MALING.<br />
H. MAUNDER.<br />
PROFESSOR R. J. A. BERRY.<br />
DR. F. L. APPERLY.<br />
MR. H. R. DEW.<br />
Melbourne Hospital Clinical School . W. C. DONALDSON.<br />
Alfred<br />
St. Vincent's<br />
3rd Year ..<br />
2nd Year<br />
Women Students<br />
W. J. SAXTON.<br />
W. J. O'LOUGHLIN.<br />
K. MeG. STEELE.<br />
C. B. MELVILLE.<br />
MRS. E. 1VIcDONALD-WHITTLE.<br />
The Committee are grateful to Messrs. Parker and O'Donnell for tlie4-<br />
services to this issue.<br />
7
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ffi<br />
TAKING BLOOD FOR THE WASSERMAN TEST<br />
Suggestion for a New Technique
tbe Zpeculum<br />
No. 112.<br />
JULY, 1923<br />
3 JTew 1Remarhe on t berapeutics an treatment.<br />
By DR. R. H. STRONG.<br />
It would seem that we are passing through a period in which, notwithstanding<br />
our wonderful advances, there still exist those who, for lack of knowledge,<br />
endeavour to ridicule the procedures which are of ten resorted to by <strong>co</strong>mpetent<br />
and experienced men. Their tendency is to throw doubt upon any method which<br />
fails to stand before what they call "known scientific facts"—meaning by scientific<br />
facts, laboratory results—and to ignore the fact that, even if the explanation<br />
given as to the means by which a remedy does good is wrong, this in no way<br />
impairs the value of the statement that it does good. Such critics do good in<br />
that they push to the front the need of rational processes in treatment, and<br />
because they cause the practitioner to hesitate and think before he proceeds to<br />
the use of a remedy on hearsay or the advice of someone else. They of ten do<br />
harm, in that they dis<strong>co</strong>urage those who are doing their best, with the knowledge<br />
that scientific investigation and clinical experience has given them, and, like the<br />
religious agnostic, they take away faith and give nothing in its place, although<br />
this faith is often founded on years of careful bedside experience, and hundreds<br />
of tests made under most severe <strong>co</strong>nditions.<br />
Until recently the accepted means of treatment <strong>co</strong>nsisted solely in drugs, in<br />
climate, in hydrotherapy and electrotherapy. Now, the wide fields of therapeutics<br />
<strong>co</strong>vered by serum therapy and vaccine therapy have been developed with<br />
more approach to specific treatment than we have ever possessed. During the<br />
time that these advances have been made to pharma<strong>co</strong>logists, the chemist and<br />
pharmacist have enriched the Materia Medica lists, with the result that remedies<br />
are better understood, new ones of great value have been evolved, and all of<br />
them placed in such a form that they can be easily employed.<br />
The skill of the individual physician in adjusting his doses to the needs of<br />
a particular case, in choosing one drug instead of another of the same type for<br />
a particular action, is still the skill of the empiric, and not the skill of the laboratory<br />
investigator. If a given dose of a given remedy were suitable for a given<br />
ailment, there would be little need for the physician, except as a diagnostician.<br />
The man with bedside experience gains his great value from his experience of<br />
the many changes in all living persons, and the different effects of disease in<br />
different individuals. The pharma<strong>co</strong>logist may lay down the fundamental processes,<br />
but the clinician must make the distinctions in their use which develop<br />
results which we desire. The variation from the normal in the body affected by<br />
disease may <strong>co</strong>mpletely reverse the known effects of a drug upon a healthy<br />
organism.<br />
9
There can be no doubt that remedies often gain a reputation that they do not<br />
deserve, chiefly because of <strong>co</strong>incidence of improvement with their administration,<br />
when in reality there is no relationship of cause and effect, or because the<br />
imagination of the physician or of the patient plays a role which in the physician<br />
should be <strong>co</strong>ntrolled, but which in the patient is advantageous. In either case<br />
a remedy may seem to be beneficial when it is really inert. Frequently remedies<br />
have proved themselves of value, even if their effects are inexplicable. In many<br />
instances the advance of knowledge and investigation has dis<strong>co</strong>vered how they<br />
do good after many years of use. This is exemplified in the case of quinine,<br />
which was used for many years before the methods of action were determined,<br />
and of digitalis, the physiological action of which was for a very long time<br />
thought to be quite the reverse of what we know it to be to-day. Frequently our<br />
faith in the efficiency of a drug is shaken when untoward results occur. Nothing<br />
happens without a cause, and careful investigation will often make the unexpected<br />
result clear. Claude Bernard stated : "In physiological studies we must<br />
always carefully note any fact which does not ac<strong>co</strong>rd with received ideas. It is<br />
always from the examination and the discussion of this exceptional fact thal a<br />
dis<strong>co</strong>very will be made, if there is one to make."<br />
Between the time of writing a prescription by the physician and the actual<br />
taking of the medicine by the patient many possible causes of unexpected results<br />
may occur. The prescription itself may be at fault, either as regards the dosage<br />
of the drugs, or in using of some in<strong>co</strong>mpatibility which may quite neutralise or<br />
<strong>co</strong>mpletely alter the action of the ingredients. Wrong dispensing of a <strong>co</strong>rrect<br />
prescription may happen, and fatal <strong>co</strong>nsequences have occurred from these<br />
mistakes. The risk of a wrong prescription is lessened by the fact that it must<br />
pass under the eye of the dispenser, though even that does not remove all risk.<br />
It behoves practitioners who do their own dispensing, in places where there is<br />
no druggist, to check their work carefully. Nowadays most dispensers check<br />
prescription and preparation, and even mark that fact on the label.<br />
Untoward effects may be due to the drugs rather than to the patient.<br />
Strengths and <strong>co</strong>mpositions of preparations are laid down in pharma<strong>co</strong>poeias,<br />
yet many are prone to alter with time. Ergot and hyoscyamus depreciate and<br />
be<strong>co</strong>me useless by keeping. Spiritus wtheris nitrosi also easily degenerates, and<br />
loses the nitrite of ethyl, to which principle it owes its vasodilating and diuretic<br />
action. Oxidation causes it to be<strong>co</strong>me inert. Morphine, if kept for a time,<br />
be<strong>co</strong>mes partly transformed by slow oxidation into apomorphine, and this change<br />
will explain many cases of emesis after administration of the drug. Chloroform,<br />
too, degenerates, especially in the presence of light. Other preparations, like<br />
al<strong>co</strong>holic solutions, tend to be<strong>co</strong>me stronger by evaporation of al<strong>co</strong>hol. It is<br />
necessary, therefore, to make sure that drugs are reliable in every way, as otherwise<br />
treatment, however well thought out, may fail. The best way to be sure<br />
is to use only preparations that are made by reputable manufacturers. Even<br />
then untoward effects may be met with, which are due to various causes. One<br />
of these is the method or manner of administration of a drug. Capsules are<br />
<strong>co</strong>nvenient, and are used fairly generally, but occasionally they give rise to<br />
nausea and vomiting, while, if such preparations were taken in mixtures, no ill<br />
effects occur. Certain drugs require the proper amount of dilution, and these<br />
should not be ordered in capsules. Tablets and pills are <strong>co</strong>mmonly prescribed.<br />
In fact, there is a great tendency nowadays to use these forms rather than<br />
trouble to write prescriptions. Often, owing to the solidity, the patient may fail<br />
to react to the medicine, and may appear to be exhibiting an abnormal tolerance<br />
10
to the drug, when, as a matter of fact, the medicine passed through the alimentary<br />
canal unchanged. This is seen in the case of iron and of quinine preparations.<br />
It has often been my experience to see malarial cases fail to react to quinine,<br />
and, on enquiry and investigation, it has been found that solid preparations of<br />
the drug have been used, which would not dissolve, and might just as well not<br />
have been given. In a similar way cases of anaemia fail frequently to show any<br />
benefit from prolonged treatment by iron because of the insolubility of the<br />
pills used.<br />
The time of day at which a drug is given may influence its action—for<br />
example, a soporific given in the morning will not produce sleep nearly so easily<br />
as when given at the end of the day, when the tired <strong>co</strong>ndition of the individual<br />
predisposes him towards sleep.<br />
Very many people find that certain articles of food do not suit them, and,<br />
without being able to give any further reason, they learn to avoid such things.<br />
Certain foods are specially apt to affect some persons in a special way, and<br />
everyone has met individuals who <strong>co</strong>uld not take strawberries or shellfish without<br />
being more or less disturbed. In the same way certain drugs are apt in<br />
certain individuals to produce untoward effects, which follow a very small dose,<br />
or they may produce symptoms in susceptible people which apparently have no<br />
resemblance to the ordinary toxic effects of such drugs. Potassium iodide is a<br />
well-re<strong>co</strong>gnised example.<br />
These <strong>co</strong>nditions may occur in the apparently healthy, but in disease many<br />
drugs may have most dangerous effects which are not seen when the individual<br />
taking them is healthy. Opium preparations are dangerous if used freely in<br />
bronchitis with profuse expectoration, because opium dulls the bronchial reflex,<br />
and depresses the respiratory centre, and hampers Nature's efforts to keep the<br />
respiratory passages free by frequent <strong>co</strong>ughing. In nephritis also opium may<br />
have untoward effects, as it is difficult for the injured renal epithelium to get<br />
rid of it.<br />
It has been said, "Treatment is an art and an inspiration." Only the properly<br />
educated man can hope to attain to it, because the ignorant may have the inspiration,<br />
but not possess the discrimination necessary for the art. Many, even after<br />
a lone, <strong>co</strong>urse and attendance at numerous lectures, never achieve it either as an<br />
art or as an inspiration. Treatment is based on several factors—physiology,<br />
pathology, chemistry and pharma<strong>co</strong>logy. All these <strong>co</strong>mbined form the basis for<br />
therapeutics. This art is attained only by the person who learns the necessity<br />
for <strong>co</strong>rrelating these, and who re<strong>co</strong>gnises the human element in each and every<br />
individual case. The man who learns therapeutic management and human<br />
management knows how to treat a case, whereas the man who knows only pharma<strong>co</strong>logy<br />
does not know how.<br />
Treatment can be learned only at the bedside. Therapeutic efficiency is just<br />
as hard to acquire as is surgical technique, and its learning <strong>co</strong>mes in the same<br />
way. One cannot learn either in a laboratory or a lecture room, although very<br />
much that helps can be learned in both. "It takes a lot of experience to make<br />
a <strong>co</strong>mmercial florist of a botanist, and a world of it to make a therapeutist of<br />
a pharma<strong>co</strong>logist" is a very true statement. Experience <strong>co</strong>unts just as much in<br />
medicine to-day as it ever did, and medicine is still an art as well as a science.<br />
A well-known London physician in one of his books wrote : "I am disposed to<br />
think that medicine as an art is now in some danger of being lost amidst futile<br />
efforts to exalt it into an exact science. I maintain that a great physician' is,<br />
and must be, a great artist." The trend of medical teaching and writing is to<br />
11
make medicine an exact science. The student is en<strong>co</strong>uraged to be strictly scientific<br />
in the methods employed for arriving at a diagnosis, and to base treatment<br />
on proved facts. The medical man who fails to keep himself abreast with the<br />
recent march of science, or to whom the study of new ideas is irksome, can never<br />
have a firm grasp of his profession, and it would be the better for everyone if<br />
he decided that some other vocation were more <strong>co</strong>ngenial. It is unfortunate<br />
that a few men, as they grow older, are inclined to be<strong>co</strong>me sceptical about the<br />
value of all treatments, old or new. It will be generally found that these men<br />
have never thoroughly mastered their profession; they have managed to get a<br />
diploma or degree, and are able to go through the daily routine of work, but it<br />
can hardly be with much satisfaction to themselves or benefit to their patients.<br />
One advantage the elder practitioner has, or should have, over the younger is<br />
his greater ability to separate the wheat from the chaff. Hardly a week elapses<br />
without the announcement of some new drug or some sensational system of<br />
treatment. A great majority of these are only introduced to die an early death<br />
—most are useless. Many are mischievous, and others have a value that is purely<br />
negative, and only make <strong>co</strong>nfusion worse <strong>co</strong>nfounded.<br />
Sometimes, however, a <strong>co</strong>ntribution of importance and worth is made, such<br />
as the recent treatment of diabetes mellitus, various vaccine treatments, and<br />
sera therapy. The general idea prevails that the older generation of practitioners<br />
cannot know the new dis<strong>co</strong>veries in medicine that have been made since their<br />
student days—that they are not "up to the new tips." It is forgotten that the<br />
best and most valuable parts of any medical practitioner's education is obtained<br />
during his post graduate days, and that a practitioner is always a student. No<br />
member of the medical profession can afford to say to himself, "I know enough."<br />
A stumbling block in the way of students and young practitioners is the<br />
multiplicity of drugs with which the market is flooded. They <strong>co</strong>me chiefly from<br />
overseas, and are ac<strong>co</strong>mpanied by volumes of literature extolling their particular<br />
virtues. The result of this is that official remedies are apt to be supplanted by<br />
<strong>co</strong>mpounds of proprietary nature, and prescription writing is rapidly be<strong>co</strong>ming<br />
a lost art. The young doctor is saved, or, rather, saves himself, the trouble of<br />
thinking and <strong>co</strong>mbining official drugs in an ordinary prescription. The aim of<br />
the present <strong>co</strong>mmunication is to direct the attention of readers of "The Speculum"<br />
to the necessity for a practical knowledge and acquaintance with the<br />
official drugs and preparations of the British Pharma<strong>co</strong>poeia. Such familiarity<br />
will enable students and practitioners to have a better understanding and appre-<br />
ciation of pharma<strong>co</strong>logy, and be less dependent on the pharma<strong>co</strong>logist for protected<br />
proprietary preparations. Each will thus be enabled to trust to his own<br />
judgment based on the only safe foundation—clinical experience.<br />
"The whole of the English-speaking press will watch with interest the <strong>co</strong>urtship<br />
of the Duke of York," stated a recent issue of a Chicago newspaper. It<br />
would surely be less embarrassing for His Royal Highness if a Select Committee<br />
were appointed.<br />
--"Punch" (Eng.).<br />
12
--- ----<br />
Albert Abrams. foot or %age?<br />
A PLEA FOR AN INVESTIGATION OF HIS NEW PERCUSSION<br />
METHODS.<br />
If originality be the criterion of genius, Albert Abrams must be ranked<br />
among the immortals.<br />
A graduate of Heidelberg University, and the possessor of the degrees<br />
M.A., M.D., LL.D., he became eventually Professor of Medicine in the Stanford<br />
University, San Francis<strong>co</strong>. With these qualifications he must be regarded as a<br />
man of <strong>co</strong>nsiderable intellectual ability.<br />
He has written voluminously, and as late as 192o and 1922 articles by him<br />
have been accepted by such reputable publications as the "Lancet" and the<br />
"Journal of the American Medical Association."<br />
His refreshing originality is perhaps best exemplified by his <strong>co</strong>mpletely<br />
novel views on the art of percussion and his peculiar technique. The basis of<br />
his <strong>co</strong>ntentions is that tonicity is <strong>co</strong>nferred to the viscera by the magnetic lines<br />
of force which traverse them. Hence, the orientation of the patient <strong>co</strong>unts for<br />
much—for accurate percussion he must face due west.<br />
He states further that the area of dullness of any organ is increased "pari<br />
passu" with the tonicity. Many of his statements should be easily proved or<br />
disproved by anyone who likes to devote a few hours to his methods.<br />
He claims that there is a variation of 2 curs. in the position of the upper<br />
border of liver dullness when the patient turns from west to north. The upper<br />
border of deep cardiac dullness varies similarly by i cm., and other organs show<br />
<strong>co</strong>rresponding changes.<br />
His percussion technique varies <strong>co</strong>nsiderably from the orthodox text book<br />
method : "Stand the patient facing due west, with his legs separated, on an<br />
earthed <strong>co</strong>pper plate. With the middle finger of the right hand tap the acromial<br />
end of the left clavicle. At the same time draw the left forefinger across the<br />
chest from the axilla towards the sternum." As soon as the finger reaches the<br />
left border of the heart the percussion note on the clavicle changes. The upper<br />
and right borders may be similarly obtained.<br />
An extraordinary claim—one which, by the way, is accepted by Sir James<br />
Barr—is that cancer of any organ will .result in demonstrable dullness over an<br />
area of 5 ems. in the left interscapular region.<br />
No reason is adduced, but the area is only apparent when the patient faces<br />
due west.<br />
Other claims which are easily investigated are that the blood pressure varies<br />
as the patient turns from west to north, and that a slightly lower reading is<br />
obtained if the feet are brought together—i.e., the circuit is <strong>co</strong>mpleted and<br />
tonicity in the vessels diminished.<br />
We admit the apparent absurdity of these <strong>co</strong>ntentions, but would plead for<br />
an investigation by students and honoraries. To disprove should be easy, and<br />
would stimulate the very difficult art of percussion.<br />
Dr. Abrams' originality shows no decline with his advancing years. Long<br />
distance diagnosis has now claimed his attention. He issues his instructions :<br />
Collect a sample of blood, and spread it over 4 sq. ins. of blotting paper—the<br />
patient during the process must stand facing the west—the light must be subdued,<br />
and there must be no red or yellow <strong>co</strong>louring in the room. By examinations of<br />
the blood Abrams claims to be able, not only to diagnose the disease, but to tell<br />
13
the race, sex and age of the patient. Most remarkable of all, however, is a<br />
machine of his own invention—the oscilloclast—an electrical device whose<br />
vibration rate can be varied. Ahams states that each drug has a specific vibration<br />
rate, which 'can be ascertained [how ?]. The oscilloclast is then tuned to this<br />
rate, and allowed to play upon the patient, who thus receives all the benefits<br />
derived from taking the drug by mouth ; for example, if the machine is set at<br />
the vibratory rate for atropine, the patient who is subjected to its oscillations<br />
will develop a dry mouth, dilated pupils, etc.<br />
Can we regard Abrams seriously? Hardly. He is probably an example of<br />
another able man gone very wrong. And yet we wonder whether there may not<br />
be a germ of truth at the bottom of his wierd <strong>co</strong>nceptions. Has anyone ever<br />
troubled to disprove his statements about percussion? It is worth trying. Occasionally<br />
it is the un<strong>co</strong>nventional that is true.<br />
CI* tr;<br />
Ebe Vanning of 36occaccio.<br />
A BALLAD OF BOOKS UNBANNED.<br />
I.<br />
Now this is a ballad most meek and sedate,<br />
Though it fails to solve its own query ;<br />
It has as its aim the casting of blame<br />
On an undemonstrable theory--<br />
The theory that Laws are made with good cause<br />
By people who quite understand,<br />
And so <strong>co</strong>uld give reason why only this season<br />
Boccaccio's books have been banned.<br />
II.<br />
Casanova may speak, with his tongue in his cheek,<br />
Of how he escaped from "The Leads,"<br />
Of the Ladies he captured and those he enraptured,<br />
While the moralists go shaking their heads.<br />
Of his low escapades and the gaming-house raids,<br />
And how he escaped reprimand :<br />
He may garnish each story with guilt or with glory—<br />
So why is Boccaccio banned?<br />
HI.<br />
And though Rabelais writes of his greatest delights,<br />
Not caring a rap for the rules ;<br />
With the wit of a monk most shockingly drunk<br />
He tilts at both pedants and fools.<br />
Though he's lewd and outrageous, his mind is <strong>co</strong>urageous,<br />
He heeds not the Censor's demand ;<br />
If he tickles his rib with the point of his nib—<br />
Then why is Boccaccio banned ?<br />
14
IV.<br />
And Jonathan Swift, with ironical gift,<br />
Oft stepp'd o'er the bounds of good taste ;<br />
Of the Church he was Dean, and therefore quite "clean"—<br />
In fact, he is utterly "chaste."<br />
But his sacrosanct brother, Lawrence Sterne and none other,<br />
Had humour both modest and bland,<br />
While a prurient smirk spiced the whole of his work—<br />
Then why is Boccaccio banned?<br />
V.<br />
Would ye send William Blake to his death at the stake<br />
For his songs giving tongue to desire?<br />
Would ye banish romance from Anatole France,<br />
And have Fielding put to the fire?<br />
Does Gautier sicken the pious, or quicken?<br />
Is Congreve of infamous brand?<br />
Aristophanes' plays set the smoke room ablaze—<br />
Then why is Boccaccio banned?<br />
VI.<br />
Droll tales and pert plays of Love's devious ways<br />
From Chaucer to Balzac and Sue,<br />
And the risque ref rains of literary swains<br />
In Ballet and Masque and Revue :<br />
All sing to the sway of our Goddess to-day,<br />
All bow before her <strong>co</strong>mmand ;<br />
Though the Law <strong>co</strong>me between us we still worship Venus—<br />
So why is Boccaccio banned ?<br />
VII.<br />
Leander and Hero, the vices of Nero,<br />
And Heliogabulus to boot,<br />
The sins of Agrippa, the Pompadour's slipper,<br />
Are tales that one dare not refute.<br />
And Villon may sing of a harlot or king<br />
In Ballades most graciously planned,<br />
Without an embargo restricting his "Margot"—<br />
So why is Boccaccio banned ?<br />
VIII.<br />
The Arabian Nights have increased our delights<br />
By a thousand and one naughty stories ;<br />
For this we are certain that old Richard Burton<br />
Added much to our literary glories.<br />
And Catullus' lyre stirs up our desire<br />
With music that none can withstand ;<br />
While Swinburne re-sings to the same muted strings—<br />
Then why is Boccaccio banned ?<br />
15
12/4/23.<br />
IX.<br />
And Sappho herself, who sang not for pelf,<br />
)t Yet in tones more sweet than a dove,<br />
Would ye have her songs burnt because she had learnt<br />
The delights of her Lesbian Love ?<br />
Would ye set up a bar to the Queen of Navarre,<br />
And the Tales that came from her hand?<br />
Would ye mutilate Scarron until he was barren?—<br />
Then why is Boccaccio banned?<br />
X.<br />
Must Dryden be read in secret and dread?<br />
Must Byron be studied in stealth ?<br />
Is Beaumont and Fletcher the fare for a lecher?<br />
Is Chaucer <strong>co</strong>mpounded of filth?<br />
Must Shakespeare bow down to the Moralist's crown,<br />
Must he suffer the Peckniffs' <strong>co</strong>mmand ?<br />
Should he take off his hat to such petti<strong>co</strong>at chat ?—<br />
Then why is Boccaccio banned ?<br />
XI.<br />
The Bible, of <strong>co</strong>urse, is a spiritual force—<br />
There are chapters one thinks of with dread ;<br />
Tpough often excused, they are seldom perused,<br />
Being usually taken as read. .<br />
And yet as it stands in the innocent hands<br />
Of those in our Christian land,<br />
One puzzles in vain and seeks to explain—<br />
Why Boccaccio ever was banned.<br />
—R.S.E.<br />
A LABORATORY DEMONSTRATION TO THE PUBLIC.<br />
The professor's instructions to his assistants :—<br />
"This department is to be open to the public on Thursday. Let us prepare<br />
for them.<br />
Miss B—, set the mechanical stirrers going at twice their usual speed.<br />
Put about a number of jars of <strong>co</strong>loured water. Scatter round plenty of pink<br />
gauze. Make a great show of activity.<br />
Mr. B—, put a mouse under the bell-jar, and fake the manometer at ioo<br />
atmospheres pressure. Set out the sphygmograph that amused the ladies last<br />
year. Show the great models of the eye and the ear. Everywhere let there be<br />
an appearance of scientific progress."<br />
16
Greatraho anb (Dr. bichson.<br />
A recent rummaging in an obscure shelf brought to light an old book called<br />
"Family Romance, or Episodes in the Domestic Annals of the Aristocracy,"<br />
by Sir Bernard Burke, Ulster King of Arms. All the episodes are highly entertaining,<br />
but there is one of outstanding interest. It is "The Personal History<br />
of Valentine 'Greatraks," whose rise to greatness as a faith-healer created as<br />
much agitation three centuries ago as did that of Hickson to-day. Greatraks,<br />
or the "Irish Stroker," was born in County Waterford, Ireland, in 1628. He<br />
came of a good family, and is described by his son as "one that had a liberal<br />
education, and a <strong>co</strong>mpetent estate left him by his father (who was known to<br />
be a worthy person, and well esteemed in his <strong>co</strong>untry), a man looked upon to<br />
be of generous spirit, but one that had a mind above his fortune."<br />
Of the possession of such a "mind" he gave no indications until the year<br />
1662. Then an extraordinary change came over him. "I had an impulse," he<br />
writes, "or a strange persuasion in my own mind (of which I am not able to<br />
give any rational ac<strong>co</strong>unt to another), which did frequently suggest to me that<br />
there was bestowed on me the power of curing the King's Evil, which, for the<br />
extraordinariness of it, I thought fit to <strong>co</strong>nceal for some time." At length he<br />
told his wife, who wouldn't believe him. But one William Maher brought his<br />
son to the house, and within a month the child was perfectly cured. The career<br />
of Greatraks was started. He next touched Margaret MacShane, who had been<br />
given over by the famous physician, Dr. Anthony, and her he cured in six weeks.<br />
Greatraks' method was to rub the affected place with his hand, whence he was<br />
called by his <strong>co</strong>ntemporaries the "Stroker," and offering at the same time prayer<br />
17
to Jesus that the sufferer might be healed. Shortly after this he cured several<br />
other people of the Evil. So great was his success in this direction that he<br />
decided to 'extend his activities, and to include the Epidemical Ague within his<br />
sphere. In this he was equally successful.<br />
After these triumphs it is no wonder that in 1665, on the Sunday after<br />
Easter, he should feel "that the gift of healing was <strong>co</strong>mmunicated to him by<br />
God." This apparently was the feeling he had been waiting for, for immediately<br />
afterwards he set up as a healer of all ills. His fame had spread all through<br />
Ireland, and the sick crowded in on him from every quarter. "I was left no<br />
time," he says, "to follow my own occasions, nor enjoy the <strong>co</strong>mpany of my family<br />
and friends." Three days a week he set aside, from six in the morning till six<br />
at night, to lay hands on all who came.<br />
About this time he was assailed with many inquiries. "Some demand of<br />
me why some are cured and not all? To which question I answer that God<br />
may please to make use of such means, by me, as shall operate ac<strong>co</strong>rding to the<br />
dispositions of the patient, and therefore cannot be expected to be alike effected<br />
in all. Some will know of me, why or how I do pursue some pains from place<br />
to place till I have chased them out of the body, by laying my hands outside of<br />
the clothes only (as is usual), and not all pains. To which I answer that—and<br />
others have been abundantly satisfied that it is so—though I am not able to give<br />
a reason, yet I am apt to believe there are some pains which afflict men after<br />
the manner of evil spirits, which kind of pains cannot endure my hand, nay, not<br />
my gloves, but fly immediately, .though six or eight <strong>co</strong>ats and cloaks be put<br />
between the persons and my hand. Now another question will arise, whether<br />
the operation of my hand proceeds from the temperature of my hand, or from<br />
a Divine gift, or from both? To which I say that I have reason to believe that<br />
there is some extraordinary gift of God." The <strong>co</strong>nfidential source of his "reason<br />
to believe" he does not reveal.<br />
The star of Greatraks was rapidly rising. Soon he received a summons to<br />
England, and, shortly after this again, received the royal mandate to appear at<br />
Whitehall. He proceeded in triumph to London, was presented at <strong>co</strong>urt, and<br />
set up in lodgings at Lin<strong>co</strong>ln's Inn Fields. Then he publicly cured the sick, and<br />
filled the city with amazement. St. Evremond, a cynical Frenchman, who was<br />
in London at the time, derived a great deal of sardonic enjoyment from the<br />
spectacle of one of Greatraks' assemblies.<br />
"The Irishman made them wait a <strong>co</strong>nsiderable time for him, but came at<br />
last, in the midst of their impatience for him, with a grave and simple <strong>co</strong>untenance,<br />
that showed no signs of his being a cheat. The cripples and others<br />
pressed round so impatiently to be the first cured that the servants were obliged<br />
to use threats, and even force, before they <strong>co</strong>uld establish order among them.<br />
"The prophet affirmed that all diseases were caused by evil spirits. Every<br />
infirmity was with him a case of diabolical possession. The first that was presented<br />
to him was a man suffering from gout and rheumatism, and so severely<br />
that the physicians had been unable to cure him. `Ah,' said the miracle worker,<br />
`I have seen a good deal of this sort of thing in Ireland. They are watery spirits,<br />
who bring on a <strong>co</strong>ld shivering, and excite an overflow of aqueous humours in<br />
our poor bodies.' Then, addressing the man, he said, 'Evil spirit, who hast<br />
quitted thy dwelling in the waters to <strong>co</strong>me and afflict this miserable body, I <strong>co</strong>mmand<br />
thee to quit thy new abode, and return to thine ancient habitation!' This<br />
said, the sick man was ordered to withdraw, and another brought in his place.<br />
This new<strong>co</strong>mer said he was tormented by the melancholy vapours. In fact, he<br />
18
looked like a hypochondriac. 'Aerial spirit,' said the Irishman, 'return, I <strong>co</strong>mmand<br />
thee, into the air ; exercise thy natural vocation of raising tempests, and<br />
do not excite any more wind in this sad, unlucky body !' A third patient then<br />
came forward, who, in the Irishman's opinion, was only tormented by a little bit<br />
of a sprite, who <strong>co</strong>uld not withstand his <strong>co</strong>mmand for an instant. Turning to<br />
the <strong>co</strong>mpany, he said, 'This sort of spirit does not often do much harm, and is<br />
always diverting.' To hear him talk, one would have imagined that he knew<br />
all about spirits, their name, their rank, their numbers, their employment, and all<br />
the functions they were destined to."<br />
The following is St. Evremond's analysis of the influence gained on the<br />
popular mind :—"So great was the <strong>co</strong>nfidence in him, that the blind fancied that<br />
they saw light, the deaf imagined that they heard, the lame that they walked<br />
straight, and the paralytic that they had re<strong>co</strong>vered the use of their limbs. An<br />
idea of health made the sick forget for a while their maladies ; and imagination,<br />
which was not less active in those merely drawn by curiosity than in the sick,<br />
gave a false view in one class, from the desire of seeing, as it operated a false<br />
cure on the other from the strong desire of being healed. Nothing was spoken<br />
of in London but his prodigies, and these prodigies were supported by such<br />
great authorities that the bewildered multitude believed them, almost without<br />
examination, while more enlightened people did not care to , reject them from<br />
their own knowledge. The public opinion, timid and enslaved, respected this<br />
imperious and apparently well authenticated error. Those who saw through the<br />
delusion kept their opinion to themselves, knowing how useless it was to declare<br />
their disbelief to a people filled with prejudice and admiration."<br />
Ebe 'neuroses.<br />
Few medical men have any real patience with the neuropath; there is ample<br />
physical disease in the world to occupy their minds and tax their energies without<br />
the bother of imaginary ills, so-called. It is hard, when one looks closely, to<br />
see the reason for the prevalent belief that physical pain is real and mental<br />
anguish only imaginary. Both have their causes. The physical is obvious.<br />
The origin of mental suffering is always there for those who will seek it ; but<br />
it is often extraordinarily difficult to find, and very seldom sought. It is almost<br />
invariably, in the neurotic, un<strong>co</strong>nscious, and can only be brought to light by<br />
definite method. The neurotic is always in an exceptionally difficult position,<br />
because he is the object of an attack by a phantom enemy, the nature of which<br />
he is entirely un<strong>co</strong>nscious. Once <strong>co</strong>nscious of his enemy, he can return the<br />
assault and <strong>co</strong>me out the victor. It is because he can only state his symptoms<br />
and cannot give the cause that we regard him as unreasonable. I wish to give<br />
you a short summary of the practical treatment of the neurotic. We may proceed<br />
by first of all dividing the neuroses into some practical working form.<br />
Following the classification of Ernest J ones, we may divide all neuroses<br />
into ( ) Actual and (2) Psychoneuroses. In the actual neuroses the pathogenic<br />
agents are operative at the actual time, as when the symptoms are being manifested.<br />
In the psycho neuroses the pathogenic agent always precedes the symptoms<br />
<strong>co</strong>mmonly by many years.<br />
19<br />
rre
Terms are <strong>co</strong>nfusing, for all these varieties are often clinically blended. For<br />
the purpose of this discussion I shall ask you to simply <strong>co</strong>nsider-<br />
(i) The Neurasthenic.<br />
(2) The Psychoneuroses.<br />
Now let us form a rough <strong>co</strong>ncept of a typical individual in each of these<br />
groups upon which we can base our treatment methods.<br />
The Neurasthenic.<br />
This type of case is one in which the cardinal symptoms are an inordinate<br />
sense of mental and physical fatigue ; "brain fag," with difficulty of <strong>co</strong>ncentration,<br />
attention, and application to work ; with often gastro-intestinal and other<br />
minor symptoms. In such cases there is, so to speak, a quantitative loss of<br />
physical and mental energy. The treatment is essentially one of physical and<br />
mental rest and generous diet. The neurasthenic, an actual neurosis, is essentially<br />
different to the psychoneurotic, where the psychic energy is not quantitatively<br />
at fault, but qualitatively so.<br />
The Psychoneurotic.<br />
Every psychoneurotic is a seat of <strong>co</strong>nflict between his will and his emotions.<br />
His personality is the battle ground. His emotional state is the crux of the<br />
situation. It always has a cause, and, when we find the cause, we can cure the<br />
<strong>co</strong>ndition ("Turn demum" in the Latin). The psychoneurotic is a vicious circle<br />
of ever-increasing intensity, in which a fight between reasoning and unbidden<br />
emotion and physical reaction stand at either end of the diameter. Emotionalism<br />
begets emotionalism, and the individual, perceiving his new-born emotion and<br />
its associated ideation <strong>co</strong>ntrolling his will and reason, and increasing his <strong>co</strong>nflict,<br />
vaguely fights for a release, which, if not successful, gradually undermines<br />
his <strong>co</strong>nfidence in himself, and it is this lack of <strong>co</strong>nfidence and a false magnification<br />
of the importance and difficulties of his <strong>co</strong>ndition which is so very apparent.<br />
His mental unrest clouds his life, and, with emotional mental tension <strong>co</strong>ntinuous,<br />
the effort to <strong>co</strong>rrect things is always with him. Life loses its <strong>co</strong>rrect perspective.<br />
The mind for any period of time can only be held by one emotion. Where<br />
anxiety and self-worry prevail, joy and other , emotions have no room to enter.<br />
The pleasures of social inter<strong>co</strong>urse are lost, because he cannot respond. Memory<br />
is faulty from lack of attention, <strong>co</strong>ncentration is impossible, and symptom upon<br />
symptom ensues, each of which produces further worry and <strong>co</strong>ncern, always<br />
forcing introspection and increasing the circle. It is essentially an unhappy<br />
illness. Consider this emotional state. What is its cause? We may answer<br />
briefly thus. Life is to a great extent a matter of wishing and striving—i.e., of<br />
desires. Certain desires we cannot gratify for many and varied reasons. So<br />
we have to repress them, and <strong>co</strong>nsciously forget them as such, pushing them to<br />
the limbo of forgotten things—the so-called un<strong>co</strong>nscious mind. These repressed<br />
desires remain there, but are dynamic, and effect <strong>co</strong>nsciousness by producing<br />
mental <strong>co</strong>nflict unless in some way gratified or sublimated. We have two forces<br />
—first, the wish, and, se<strong>co</strong>ndly, the repression of the wish.<br />
The result is a <strong>co</strong>mpromise. The repressed wish gains fulfilment by appearing<br />
in the person's un<strong>co</strong>nscious phantasy, and is only admitted to <strong>co</strong>nsciousness<br />
in distorted form, such form being determined by the individual's association of<br />
ideas. Repression is not absolute, but it as a rule prevents the significance of<br />
the wish from reaching <strong>co</strong>nsciousness—i.e., our enemy is unknown. The resulting<br />
emotionalism and ideation is a mystery to the person afflicted with it. He<br />
20
attributes it to any but the right cause, and nearly always seeks a physical<br />
explanation. Of human desires the greatest are undoubtedly the sexual and<br />
those pertaining to self-preservation. Such desires usually produce the greatest<br />
psychic trauma.<br />
The Hysteric.<br />
Here the origin of the <strong>co</strong>ndition is the same, but we have physical manifestations<br />
as a solution of the mental <strong>co</strong>nflict. Every hysteric's symptoms are the<br />
means by which he has gained mental peace. Every good physician is therefore<br />
a disturber of this peace.<br />
Hysteria is divided into-<br />
i. Anxiety Hysteria.—Where repressed mental <strong>co</strong>mplexes produce a certain<br />
emotional state, a morbid anxiety with physical manifestations of this<br />
anxiety.<br />
2. Conversion Hysteria.—Here, by a process not involving mental anxiety,<br />
the mental processes directly produce the symptom. The symptom is the symbol<br />
of the <strong>co</strong>mplex.<br />
(The term <strong>co</strong>mplex signifies a set of ideas repressed.)<br />
Treatment.<br />
General.—Treat your patient as a reasonable human being in very great<br />
difficulties with an understanding as nearly scientific and real as you can give.<br />
No neurotic understands his <strong>co</strong>ndition. If he did he would cure himself<br />
without your aid.<br />
Prove to him that you really understand him. Show him the cause of his<br />
<strong>co</strong>ndition in general terms. Give him something definite to work upon, and<br />
throw the onus of cure upon him. Give him an objective interest in himself.<br />
Asking him to use every effort to struggle against his emotion is obvious<br />
folly. Make him analyse and slowly work with you. It will reserve his strength.<br />
Show him that a cause is dis<strong>co</strong>verable for his <strong>co</strong>ndition, and assure him the<br />
road to cure is a sinuous track, and see that he keeps this track.<br />
Further treatment will fall into two categories :—<br />
I. Symptomatic.—By suggestion instilling ideas of equal potency and<br />
directed against the morbid ideas. Displacing one emotional state by another<br />
of an opposed nature.<br />
2. Radical.—Psycho-analysis.<br />
The decision is of ten difficult, and must be as the individual case dictates.<br />
Psycho-analysis is in most cases a necessity, but suggestion is of great use, and<br />
more often the only practical method available. It is only with difficulty that<br />
we realise the power of the idea. It is the preliminary of all action and progress.<br />
The following are the methods of suggestion one may use :-<br />
I. By art create an emotional state in your patient which gives him a new<br />
viewpoint. Such an effect can only be produced by great mental energy and an<br />
absolute <strong>co</strong>nviction in one's own powers to influence another. A religious <strong>co</strong>nversion<br />
by the emotions is an equivalent example.<br />
2. Hypnosis.<br />
3. Suggestions given in semi-hypnotic state (Bramwell's method).<br />
4. Baudoin's method, used by Coue.<br />
5. The method of <strong>co</strong>mpletely tiring the patient, used in hysterical symptoms.<br />
Opposing your personality to the patient's for a period of five or six hours if<br />
21
necessary. Such a method seems to un<strong>co</strong>nsciously <strong>co</strong>nvince a hysteric that he<br />
can move or feel.<br />
6. Isolation, as a means of strengthening suggestion by cutting off unnecessary<br />
interests and forcing introspection and attention to the ideas suggested.<br />
Finally, suggestion is always more likely to be effective if given absolutely<br />
whole-heartedly, with absolute quiet and perfect <strong>co</strong>nfidence. Be half-hearted<br />
and doubt your power and you will attain little result.<br />
If you regard general psychotherapy and suggestion as unlikely to do good,<br />
you will always surely prove your <strong>co</strong>ntention, for with lack of <strong>co</strong>nfidence in your<br />
methods you will never instil the expectancy of cure in your patient.<br />
If, on the other hand, you will openly and with care use mental therapeutics<br />
for cases whose <strong>co</strong>ndition is possibly all or mainly psychic, your results will at<br />
times amaze you, and you will slowly <strong>co</strong>me to realise that in many cases of vague<br />
nature, where you suspected physical causes, but <strong>co</strong>uld not find them, that these<br />
physical <strong>co</strong>nditions are but symptoms of a psychic lesion.<br />
—CLIVE T. STEPHEN.<br />
El ID CI 1:1 a 13<br />
Romital ZiEbouettes.<br />
I.<br />
Your mind's a blank, and life's purged of joy,<br />
When he sadly murmurs, "My darling boy !"<br />
The brainy heads and the blob of the group<br />
Beneath his brilliant sarcasm droop.<br />
He rubs your nose in the mud, and then<br />
He tells you he's one of the mildest men !<br />
You crawl from his clinics limp and depressed,<br />
But still <strong>co</strong>nvinced that he's one of the best.<br />
II.<br />
"Now this is a case of—Where's that man?<br />
You prescribe for him. Yes, you can.<br />
Here is a papule and there's a crust.<br />
Nonsense, my boy, of <strong>co</strong>urse you must !<br />
This is a case of—Where's the pen?<br />
. . . Tell him to wait with those other men !<br />
This is a case of—Dear me, no !<br />
Is it half past five ? Well, I'll have to go."<br />
III.<br />
(To a pathologist, in absentia.)<br />
Tall, well-groomed, and pink and shy,<br />
He blushed on catching anyone's eye.<br />
He whispered low of tumour and cyst,<br />
That <strong>co</strong>nfidential pathologist !<br />
As he slopped the livers about in the sink,<br />
I'd look at him, and I'd sometimes think,.<br />
"You're not a bigamist or a crook,<br />
But, Charles, are you really as good as you look?"<br />
—BLUE PETER.<br />
22
Ebe Ipersonal element in Clinicing.<br />
We wish to avoid in this article the impertinence of "giving hints to young<br />
clinicians." There are, however, one or two things about clinicing that seem so<br />
important from the students' point of view, that they are worth emphasising.<br />
The first of these is the part played by the clinician in providing for the student<br />
the inspiration for work.<br />
The great trouble about the Medical School training is undoubtedly the<br />
difficulty of giving responsibility to the student. The result is that he misses a<br />
very great deal of what goes to make up the interest of medical work. He takes<br />
no part, for instance, in the interplay of personality between physician and<br />
patient—the working for and gaining of the patient's <strong>co</strong>nfidence and gratitude.<br />
Again, he has little part to play in the actual struggle between health and disease,<br />
and misses altogether the extreme gratification of working a cure. In short, the<br />
student is rarely in action. He is doomed everlastingly to the dull and stagnant<br />
part of onlooker. This is true of practically all parts of the hospital training.<br />
There are one or two exceptions. The Women's is one ; the Children's is another.<br />
But for the rest—it is work in "dead water; the whole time.<br />
We are not "moaning" about this. It seems without a remedy in itself.<br />
There is, however, one person who can do a great deal towards making things<br />
better—and that is the clinician. The clinician can, if he will, do much towards<br />
providing a stimulus to work. How can he do this? By introducing a more<br />
personal element into his clinicing. Teaching power is a varying thing, and a<br />
property of individual personality. It must vary from man to man. Every<br />
clinician, however, can know the names of his students, and can call his students<br />
by them. This probably seems a small thing to the clinician. To the student<br />
it means much. It gives him the impression that his teacher—a noted and<br />
eminent man—has in him a more than academic interest ; that he perceives and<br />
is sympathetic towards his own individual doubts and difficulties ; that he sizes<br />
up and is appreciative of his own personal capabilities. And this is immensely<br />
stimulating and inspiring; more so than anything else in clinicing. To be able<br />
to deliver a clinic in a masterly and <strong>co</strong>nsecutive manner is a great thing. To<br />
know and be able to name the students at the clinic is still greater.<br />
23
1Report of the f11).%.%. Committee, Mar, 1923.<br />
COMMITTEE, 1923.<br />
Chairman: Mr. C. Craig.<br />
Hon. Sec.: Mr. J. J. Searby. Hon. Treas.: Mr. J. M. Buchanan.<br />
Hon. Asst. Sec.: Mr. D. 0. Brown. Hon. Asst. Treas.: Mr. H. L. Maunder.<br />
Fifth Year.<br />
Melb. Hosp. Reps.: Mr. C. Craig.<br />
Mr. F. Ross.<br />
Alfred Hosp. Reps.: Mr. W. Saxton.<br />
St. Vincent's Hosp. Reps.: Mr. L. S. Loughnan.<br />
Third Year Reps.: Mr. A. Henderson.<br />
Se<strong>co</strong>nd Year Reps.: Mr. C. B. Melville.<br />
First Year Reps.: Mr. Dixon.<br />
Fourth Year.<br />
Mr. T. Dawes.<br />
Mr. F. Stephens.<br />
Mr. N. Freeinantle.<br />
Mr. Casey.<br />
Mr. H. Burns.<br />
Mr. I. Wood.<br />
Mr. Philpott.<br />
The Annual Meeting was held on April 13th, 1923, in the Physiology<br />
School. Sir Harry Allen again occupied the chair. The attendance was poor,<br />
<strong>co</strong>nsidering the large number of members, but the ladies were well represented.<br />
Sir Harry gave an excellent address. Professor Osborne gave a highly entertaining<br />
ac<strong>co</strong>unt of his recent trip abroad.<br />
The Annual Dinner was to have been held in the last week of first term,<br />
but it was found impossible to obtain any suitable place during that week ; it was<br />
therefore unavoidably postponed, probably till early in third term.<br />
The date for the Annual Ball was fixed for Monday, June 18th, and a full<br />
ac<strong>co</strong>unt will appear in the next issue.<br />
With regard to the Union grant of £15o, some new furniture has been placed<br />
in the Students' Rooms at the Melbourne Hospital, and it is hoped to make<br />
these rooms still more <strong>co</strong>mfortable at some time in the near future. There is a<br />
possibility that the grant may be<strong>co</strong>me an annual one.<br />
At a Special General Meeting, held on April 27th, a motion was passed<br />
altering the <strong>co</strong>nstitution of the M.S.S. The main feature of the new <strong>co</strong>nstitution<br />
is the division of the M.S.S. into five branches—one at each of the Melbourne,<br />
Alfred and St. Vincent's Hospitals, one at the University, and a Women's<br />
Branch. These branches will each have a <strong>co</strong>mmittee, which will send delegates<br />
to the General Executive of the M.S.S.<br />
The Committee would like to take this opportunity to thank the Melbourne<br />
Hospital staff for their generous donation of £20 to the Library fund.<br />
At the Annual General Meeting the following gentlemen were unanimously<br />
elected life members of the Society :—Dr. A. S. Anderson, Dr. R. H. Morrison,<br />
Dr. J. P. Ainslie (former Hon. Sec.), Mr. H. W. Charlton (former Hon.<br />
Treas.), Mr. C. W. Courtney (former Chairman and Editor of the "Speculum").<br />
It was with great regret that we learned of the illness of our President, Sir<br />
Harry Allen, and we wish him a speedy re<strong>co</strong>very. J. J. SEARBY, Hon. Sec.<br />
The University, 12th April, 1923.<br />
LECTURE ATTENDANCES WHILST AT WOMEN'S.<br />
Dear Sir,—I beg to advise you that your letter asking that students be<br />
exempt from attendance at lectures during their <strong>co</strong>urse at the Women's Hospital<br />
and in the Casualty Ward has been <strong>co</strong>nsidered by the Faculty of Medicine.<br />
24
It has been the practice to excuse the students their attendances during their<br />
three weeks' residence at the Women's Hospital—that is, any student whose<br />
attendances were short would be treated as having kept the <strong>co</strong>urse if the lectures<br />
missed whilst at the Women's Hospital would have put him right. The Faculty<br />
approved of this practice, and resolved that, while resident at the Women's Hospital<br />
for intern work, students will be excused from attending University<br />
lectures.—Yours faithfully,<br />
(Signed). J. P. BAINBRIDGE, Registrar.<br />
The Secretary, Medical Students' Society.<br />
El ID El CI 0<br />
Business fil)anager'o Vage.<br />
Old Boys' Subscriptions.<br />
Below you will perhaps see a wafer, or a number of them. This is one way<br />
of reminding you that your subscriptions for back years are owing. The "Speculum"<br />
cannot run itself. Money is required to produce the Magazine, and one<br />
of the principal sources of revenue is the subscriptions from Old Boys.<br />
PAY UP. Don't let your subscriptions get into arrears. The Committee<br />
would like to produce a better and a bigger Magazine—better even than the past<br />
few issues—and you can help us to do this by forwarding subscriptions early.<br />
Will you ?<br />
Each wafer represents an indebtedness of 5/--that is, a year's subscription.<br />
This year's subscription is now due, but the wafers indicate indebtedness for<br />
past years only. The Committee hope that, by next issue, it will not be necessary<br />
to show wafers for back numbers !<br />
An Appeal.<br />
You probably know of Medical graduates who are not subscribers to the<br />
"Speculum." The Committee are endeavouring to increase the circulation, and<br />
assistance in this <strong>co</strong>nnection would be greatly appreciated. Every graduate owes<br />
it to his old Union to be<strong>co</strong>me a subscriber !<br />
Recent Graduates.<br />
In the past it has been the practice to forward a <strong>co</strong>py of the "Speculum" to<br />
the newly-graduated, the subscription for the current year being then <strong>co</strong>nfidently<br />
looked forward to. The response, however, has not always been as good as<br />
it might be.<br />
Recent graduates, who are not already subscribers, are requested to send in<br />
their names and addresses as soon as possible.<br />
Don't lose touch. You are surely interested still in the places where you<br />
spent a few not altogether unpleasant years, and the Magazine <strong>co</strong>ntains the<br />
latest news of the Hospitals, the "Shop," the Colleges, and Old Boys.<br />
Advertising Matter.<br />
Those firms that advertise in the "Speculum" help to support the Magazine<br />
—but they expect some return ! Give it to them on all possible occasions.<br />
Address <strong>co</strong>mmunications to Business Manager, Students' Room, Melbourne<br />
Hospital.<br />
25
tit a 1Little neabacbc, 3Doctor !<br />
Two years ago last Monday I had a headache. Quite a mild one it was,<br />
but, unfortunately, my young friend Brown, a Fifth Year student, happened<br />
to visit me that day.<br />
He greeted me <strong>co</strong>rdially : "Well, old chap, how are you ?" "Oh, all right,"<br />
I replied, "have a slight headache." His face lengthened. He felt my pulse ;<br />
a triumphant gleam of intelligence overspread his features. "Hyperpiesis," he<br />
murmured ; "you should see your doctor. Can't trifle with these things. Saw<br />
three cases of arterial haemorrhage yesterday ; all men about your age ; no symptoms<br />
at all except headache. Fascinating subject, arterio sclerosis. I always<br />
think I should like to specialise in it. Great paying game. You know, we really<br />
understand nothing about it, and there is absolutely no cure." He waxed<br />
enthusiastically eloquent.<br />
As a result of his <strong>co</strong>nversation I visited my physician next morning.<br />
"I'm afraid of apoplexy, doctor," I said.<br />
He sounded my chest, and took what he called the systolic pressure.<br />
"Apoplexy !" he snapped. "Rubbish ! Rubbish ! Blood pressure i io.<br />
Apoplexy ! What nonsense these students talk. . No ! you have pyorrhceathat's<br />
what's the matter with you. See a dentist. I can do nothing for you.<br />
Yes, yes ! Always moving with the times, you know. Ten years ago I should<br />
have diagnosed your <strong>co</strong>mplaint as a chill on the liver, and cured you with two<br />
bottles of medicine. Now we know you have a disease no doctor can cure.<br />
Wonderful the strides science has made."<br />
This was most <strong>co</strong>nsoling. I paid him a guinea and went to the dentist.<br />
"I have pyorrhoea," I said. He assumed a pose of superb gravity, and<br />
motioned me to his chair.<br />
After a prolonged examination he snorted. "Pyorrhoea," he sniffed. "Nonsense<br />
! No more pyorrhoea than I have ! You have several root abscesses. I<br />
can do nothing without an X-ray."<br />
I thanked him for his advice, and made an appointment with the dental<br />
.radiologist.<br />
He X-rayed me, and then announced he <strong>co</strong>uld give no report until he had<br />
<strong>co</strong>nferred with several <strong>co</strong>lleagues. The shadows were obscure, he said. It looked<br />
as though my antrim was infected. As a result of their <strong>co</strong>mbined skill they were<br />
<strong>co</strong>nvinced that I had no root abscesses, but, as there was rarefaction of bone,<br />
the removal of all my teeth was indicated. "And you probably have an antrum"<br />
--they smiled cheerily—"you must see a rhinologist."<br />
Three days later I had all my teeth extracted, to the great detriment of my<br />
appearance and my digestion. From that day I suffered with dyspepsia. I told<br />
my. dentist.<br />
"Probably your stomach is at fault," he said. "One often sees chronic<br />
dyspepsia resulting from numerous extractions. I shall give you a note to a<br />
specialist."<br />
I <strong>co</strong>nsulted him. He amused himself by alternately starving and overfeeding.<br />
He gave me alkalies because my stomach was too acid ; then he gave me a<br />
fractional test meal, and, as the result, told me that I had no acid at all.<br />
"Most interesting work," he remarked. "Only a few years ago we thought<br />
we <strong>co</strong>uld diagnose these <strong>co</strong>nditions, but, of <strong>co</strong>urse, that is absurd. If you had<br />
<strong>co</strong>me to me before the war, I would have told you you had hyper-acidity. I<br />
<strong>co</strong>uld have cured you with diet and alkalies. But recent researches show that<br />
26
alkalies tend to make it worse, and there is no treatment that alters it at all. It<br />
is all reflex—we know that now—and, as there are no localising symptoms, it<br />
seems almost certain yours is the result of chronic appendicitis. You must see<br />
a surgeon."<br />
For this "<strong>co</strong>mplete gastronomical investigation," as he termed it, he charged<br />
me the purely nominal fee of 25 guineas.<br />
On his advice the great surgeon removed my appendix. As I was leaving<br />
hospital he told me that my appendix was really quite healthy, but hastened to<br />
add, "But of <strong>co</strong>urse it might easily have be<strong>co</strong>me diseased." I was fortunate—<br />
he only charged 5o guineas for removing a healthy apendix, and he gave me<br />
some parting advice free. "I think your antrum is causing your trouble," he told<br />
me <strong>co</strong>nfidentially. "See a rhinologist when you have some spare time."<br />
I managed to spare an hour a few days later, and was interviewed by .a particularly<br />
profane gentleman. I understand profanity is a mark of eminence in<br />
this branch of surgery. He <strong>co</strong>mpleted his examination. "Who said antrum?<br />
These surgeons ! Antrum ! Rot ! Your septum is deviated. I must straighten<br />
it—it is a very simple matter." He did. At my final visit he said, as I was about<br />
to go, "I doubt whether you will get much improvement, because you are suffering<br />
from nerve strain, the result of astigmatism. An oculist <strong>co</strong>uld clo more than<br />
anyone else."<br />
Undismayed, I saw an oculist, who told me I had no refractive error at<br />
all, but had definite evidence of albuminuric retinitis.<br />
"You must have your kidneys tested," were his parting words.<br />
For this I had to retire from the world into the privacy of a hospital for<br />
six weeks.<br />
At the end of that time I was to receive the verdict. The doctor arrived<br />
smiling. "You are fortunate," he said. "Only yesterday I got the most recent<br />
work on this subject, which <strong>co</strong>mpletely <strong>co</strong>ntradicts all we previously believed.<br />
You must stay longer." The modern view, he told me, was that tests should<br />
extend over nine weeks, and be repeated every three months for two years. By<br />
this method, he informed me, the date of the patient's death <strong>co</strong>uld be foretold to<br />
within one week. "It is one of the greatest clinical triumphs of recent years,"<br />
he added, with professional pride.<br />
"But what about my case, doctor ?" I inquired. "Well, in your case it tells<br />
us very little, but suggests a liver or gall bladder obstruction. Removal of the<br />
gall bladder is probably the best thing, seeing you would not survive a removal<br />
of the liver." I took his advice—and then the advice of many more stars of the<br />
profession.<br />
As a result I am now penniless. I have a jejunal peptic ulcer instead of my<br />
hyperacidity. I have had diarrhoea ever since my <strong>co</strong>lectomy. I cannot eat because<br />
my false teeth have to be kept out—they obstruct the drainage from my antrum.<br />
I have to take thyroid to prevent post operative trouble. My tonsils<br />
have gone, and my spleen has atrophied—the result of deep X-ray therapy,<br />
which was then in the experimental stage.<br />
But I am not hopeless.<br />
Two weeks ago my charwoman advised me to rub a mixture of onion juice<br />
and beeswax over my kidneys. "It <strong>co</strong>oled the blood," she said, and helped to<br />
open the pores. I did so, and I have felt a new man since. I reckon another<br />
bottle will just about put me right.<br />
27
Dear Dulcie,—<br />
Here we are—some of us adrift in the horrors of Fifth Year, deeply<br />
depressed to find that we must work all day and swot all night, and regard food,<br />
rest, and sleep as sensuous indulgences to be sternly avoided until March, 1924;<br />
others of us, after being told exactly what to do in the nursery, the school, the<br />
Uni. and the hospital for the last twenty years or more, suddenly find ourselves<br />
pushed out into a <strong>co</strong>ld, strange and apparently jobless world, with no one to tell<br />
us what to do now, or to care a hang whether we do it or not—a nasty, draughty,<br />
unsupported feeling! Others of us still in the egg stage at the Uni. look forward<br />
hopefully to the time when we shall arrive at hospital, and all our troubles will<br />
be over; and Fourth Years are beginning to realise that it does not work out<br />
quite that way after all.<br />
Various engagements have <strong>co</strong>me to light—laughing Peachy and Dick Brown,<br />
bonnie Jean Apperly and her Fred. (We regard you as a sort of honorary Med.,<br />
Jean. There's an honour for you, West ce pas ?) Bea has promised to look<br />
after the welfare of a desperately popular ex-<strong>co</strong>llege man who has given medicine<br />
a miss in baulk, and taken up a <strong>co</strong>mmercial life ; and Champ and Roy's engagement,<br />
which has had such a long incubation period, has at last declared itself.<br />
Please goodness, there will therefore be still a little space left to squeeze a little<br />
brass plate or two on to palings in Collins Street.<br />
Cheers for Dr. Kathleen Daly ! We are proud of you, Kath, and of Mrs.<br />
Ossie and Percy, too.<br />
Did you hear that a <strong>co</strong>mmission was appointed last year to find out why so<br />
many of the tram-men on the Brunswick line were suffering from heart failure ?<br />
Its finding was that the <strong>co</strong>ndition was caused by seeing certain of our <strong>co</strong>lleagues<br />
hurl themselves off the tram daily, as it went whizzing full speed past Little<br />
Lonsdale Street. One of the ladies in question was enabled by her superior<br />
height to get a good take-off. Leaping high in the air, she would shut off her<br />
engine and land in a graceful spiral ; while her <strong>co</strong>nfederate, being little hampered<br />
by her rudimentary skirts, would descend almost equally well. The others would,<br />
however, land on the flat of their feet with a crash which would almost drive<br />
their cervical vertebrae through j their hats. The tram-men were worried at the<br />
28
prospect of being blamed should a fatality occur; not at the prospect of there<br />
being a shortage of Meds.—pas de tout!<br />
Such of us as have been to "Kids' " are much in love with life up there. Mr.<br />
Dxxxy cheered things by appearing in a graceful tea-gown of white drill, with<br />
a short, well-cut train. He was much amused to see how his young lady patient<br />
in Ward 13 would hurl her rattle overboard and go into fits of laughter at his<br />
approach. I think, myself, though, that some of the Trinity men put her up to it.<br />
A poker parlour, or some kind of <strong>co</strong>sy little gambling hell, is a crying need<br />
at "Kids.'" It used to worry me dreadfully to find that the poker school, which<br />
had begun at 10 a.m., was still occupying every chair at lunch-time. I used to<br />
be so afraid that I would disturb them by eating my lunch standing up. It is<br />
so difficult to manage a meal without shuffling one's feet a little, especially when<br />
one has been standing all the morning. Even when one stole a stool from the<br />
'massage room, and used a little <strong>co</strong>rner for the table, the poker players had to<br />
blow their pipe smoke into one's face and over one's lunch instead of having a<br />
clear get-away for it. It must have been very un<strong>co</strong>mfortable for them !<br />
By the way, while you are up there, don't make the faux pas of alluding to<br />
a certain popular black-eyed medi<strong>co</strong> by his poetical first name. I did once—<br />
once only !—and the sister said "Who?" and shot out a 20,000-volt glare which<br />
nearly withered me up.<br />
One of my <strong>co</strong>lleagues was out to gain a reputation for extreme carefulness<br />
while she was up there. "Are you going to do a P.M. on little Willie O'Whiskers,<br />
sir ?" she asked the cheery non-fermenting "Webby." "Is Willie dead?" asked<br />
Dr. Webster, in some surprise. "Well, sir, he was this morning," said my <strong>co</strong>lleague<br />
cautiously.<br />
Elvie invited all the women students of her year to a delightful river picnic,<br />
with tea at Rudder Grange, at the end of third term. It was perfectly arranged<br />
and carried out, and everyone enjoyed it immensely.<br />
Well, I must stop now, as I am due at the clinic of a certain amiable skin<br />
specialist, who holds that the pen is mightier than the sword, and ever so much<br />
handier than a scalpel.<br />
Love from<br />
STEPHANIE.<br />
REYNOLDS' PORTRAIT OF JOHN HUNTER.<br />
(From Paget's " John Hunter.")<br />
"Hunter had often been asked by his friends to sit for his portrait, but<br />
had refused : he did not wish that they should pay the hundred guineas for<br />
it, he <strong>co</strong>uld not well afford them himself, and he hated the business of sitting.<br />
But his friend, William Sharp, the engraver, persuaded him ; and Reynolds<br />
promised to paint a masterpiece. Hunter was a bad sitter, and the portrait<br />
came to be nearly finished without being successful; then one day Hunter,<br />
as he was sitting, fell into deep thought. Reynolds silently turned his canvas<br />
upside down and sketched a new head between the legs of ,the figure he had<br />
already painted. Thus he obtained the fine <strong>co</strong>ntrast between Hunter and the<br />
things around him—the manuscripts, the jars <strong>co</strong>ntaining preparations, and<br />
the dangling feet of the Irish giant's skeleton."<br />
The facsimile of Reynold's picture, by the way, is in Ramsay's Book<br />
Room, opposite the M.H.<br />
29
30<br />
%picuiet.<br />
e2c-0<br />
Doctor : "Your hearing seems a little better this morning."<br />
Patient: "What's that, Doctor?"<br />
Doctor (a little louder) : "I say your hearing's a little better this morning!"<br />
Patient: "I beg your pardon, Doctor."<br />
Doctor (shouting) : "Your hearing's better !"<br />
Patient: "Would you mind writing it down, Doctor. I'm a little hard of<br />
hearing."<br />
CI CI El 0 0 CI<br />
Butler (seeing curtain move) : "Is that you, my lord?"<br />
Burglar (hopefully) : "Yes, matey."<br />
O El CI 0 CI CI<br />
Fourth Year Student: "Dr. Whosethis is a rum sort of chap."<br />
Fifth Year Student: " Why?"<br />
Fourth Year Student : "He was clinicing on Sy., and he said, 'This is a rare<br />
manifestation, but I have seen it.' I said, 'Perhaps it is yaws, sir,' and he nearly<br />
bit my head off."<br />
El CI 0 0 CI 0<br />
Her : "Was you ever pinched for going too fast?"<br />
Him: "No, but I've been slapped."<br />
CI 0 CI CI CI 0<br />
FORE (D)<br />
First Lady : "My husband was cranking his car the other day when he ruptured<br />
himself."<br />
Se<strong>co</strong>nd Lady (wife of G.P.) : "What! A hernia?"<br />
First Lady : "No, a Ford."<br />
During the recent famine in Russia Ford cabled over, "What can I do for<br />
suffering humanity?" The reply came, "Put an extra spring in the back seat."<br />
O CI 0 CI CI CI<br />
She: "And the difference between a woman and a lady is<br />
He : "A woman presents for examination superior and inferior extremities,<br />
lateral borders, and dorsal and ventral surfaces."<br />
She : "And a lady<br />
He : "Presents nothing for examination."
LINES TO MR. HICKSON.<br />
Mr. Hickson, stop! enough!<br />
Scalpels bite too deep for bluff.<br />
Volvulus untwined by. thought?<br />
Hookworms mesmerised and caught?<br />
Wonders such are far too stout ;<br />
Blink, my friend, and break the drought.<br />
El El 0 CI CI El<br />
BOWSERISED.<br />
Absent-minded Motor Cyclist (pulling up at fire alarm) : "Half a gallon,<br />
quick, please."<br />
MERE SWANK.<br />
" Look at old Jake ! Trying to kid us he was a hunter in his young days."<br />
CI CI<br />
THE FIRST INSTALMENT.<br />
London Mail (Eng.)<br />
Two S<strong>co</strong>ttish gillies were discussing the tenants of the neighbouring shooting<br />
boies.<br />
"Ye ken that London mannie that took the shootin' up the glen?" said one.<br />
"Ay, mon," replied the other.<br />
"He promised tae send all he shot to the hospital, and he's certainly a mon<br />
o' his wur-rd !"<br />
"Oh! What has he sent, Wullie ?"<br />
"A guest and two keepers is his first donation!"<br />
—"Answers" (England).<br />
31
Velcbing tbrougb the Ages.<br />
To the ordinary man in the street, belching is an act significant of extreme<br />
vulgarity. Little does he know that not very far from the Gothic windows of<br />
Wilson Hall there is a sect that actually practises belching as an art. Still less<br />
does he know that it is an art, the secret of which has been handed down from<br />
the very dawn of time.<br />
To its romantic history a page has been added by the opening of Tutankhamen's<br />
tomb in Upper Egypt. Prominent among the royal treasures was the<br />
figure of a man in the attitude of shouting. The hieroglyphics at the base leave<br />
little doubt that this was the Bromyde, or "Head Belcher," of Pharaoh. Every<br />
prince of ancient Egypt possessed one or more of these servants in his household.<br />
It was his duty to attend his master at all state feasts, to listen carefully to the<br />
<strong>co</strong>nversation, and whenever his master made a joke to acclaim the fact with a<br />
loud belch. His master's reputation for wit depended solely on the quality of<br />
his Bromyde's powers. Consequently there was a great deal of rivalry in the<br />
acquisition of these Bromydes, and all sorts of intrigues and <strong>co</strong>unter-intrigues<br />
surrounded their purchase and exchange. At the palace of Pharaoh there were<br />
a number of these kept in reserve for the use of <strong>co</strong>untry visitors, who <strong>co</strong>uld<br />
claim their services on payment of a small fee. It is re<strong>co</strong>rded that, when the<br />
Israelites were sojourning in Egypt, one of their number, a member of Pharaoh's<br />
household, made a huge sum of money by buying up the reserve belchers, and<br />
then letting them out again at a slightly higher fee.<br />
The art flourished exceedingly until the reign of Amenhotep, when an un-,<br />
fortunate incident took place. The head belcher of Pharaoh so far forgot himself<br />
as to make free with wine before the feast, and <strong>co</strong>mpletely lost all voluntary<br />
<strong>co</strong>ntrol of his belch, with the disastrous result that, whilst he <strong>co</strong>nstantly signalled<br />
the jests of others, he allowed many of the king's choicest specimens to pass<br />
in silence. So angered was Amenhotep that he ordered all Bromydes to be put<br />
to death. Few escaped.<br />
When next we hear of the art, it is three thousand years later, among the<br />
Boohoos, a fanatical tribe of Central Persia. Here the belchers, or Yohos, as<br />
they were called, held a position of great spiritual eminence. Living in little<br />
holes dug into the side of the hills high above the villages, they were regarded<br />
by the whole tribe with awe and reverence, as men possessed of a pious and<br />
mysterious gift. It is probable that the ancient art was never so highly developed<br />
as it was by these Yohos ; and when, at eventide, from the darkness of the<br />
mountain side, there rolled forth the deep, Sonorous tones, the villagers bowed<br />
their heads and abased their bodies, for to them this was as the voice of Kalem,<br />
their god.<br />
From this till some centuries later history is a <strong>co</strong>mplete blank in regard<br />
to the Belchers. This, however, with one notable and extraordinary exception,<br />
related in full by Flatus Augustus. The scene is a spring afternoon in the<br />
Colosseum of old Rome. The galleries are thronged. But the show is poor.<br />
The Christians have put up less than their usual resistance, and the crowd is<br />
plainly bored. Even old Gunga, the favourite and fiercest lion, has refused to<br />
perform with his usual vigour. There are cries of "Give us back our denarii,"<br />
and the management is growing uneasy. At this moment there strides into the<br />
ring a man of most bizarre and striking appearance. So unusual is his carriage<br />
that the mutterings of the crowd are at once hushed, and he marches in silence<br />
to the centre of the arena. Then follows that remarkable and astonishing scene<br />
which Flatus describes so graphically. "The Christian, his arms folded, stood<br />
32
motionless under the gaze of the wondering multitude. Suddenly, his mouth<br />
opening, he sends fOrth a startling belch. At this sound the lions, <strong>co</strong>mposed<br />
to rest and slumbering, lift up their tawny manes and stare incredulous. Again<br />
he lets out his moving belch. At this the lions, with prompt alacrity, rise, and,<br />
approaching the stranger, surround him with wheeling circles. Even Gunga,<br />
too, sedate in years and mature in judgment, joins the moving wheel. Waiting<br />
no longer, the Christian, raising his voice so that it ascends to heaven, sends<br />
out belch after belch. Faster and faster swings the ring of lions, until at length,<br />
able no longer to restrain themselves, they leap into the air and cry out with<br />
sheer glee. Thus, surrounded by the gambolling lions, who, playing, snap at his<br />
heels and at his hand upraised to 'please them, the Christian proceeds with<br />
unhurrying leisure along the arena's edge,'until at length, <strong>co</strong>ming to the open<br />
gateway, he lifts up his voice with one last rolling belch, and, passing out, is<br />
never seen or heard of afterwards. The astonished crowd sits unmoving until<br />
at last the Emperor, his 'tongue being loosed, cries out in ecstasy, "Salve Deum<br />
crens !"*<br />
As has been said, this is the one ac<strong>co</strong>unt in history for some centuries of<br />
the ancient practice. But it had not died out, and, indeed, the next chapter in<br />
its 'history is one of the most glorious. There is no more inspiring or exciting<br />
reading than the ac<strong>co</strong>unt given by Fray Antonio Agapida of the part played by<br />
the Belchers in the re<strong>co</strong>nquest of Granada from the Moors. It was the genius<br />
of Don Fernando de Blan<strong>co</strong> which first perceived the military possibilities of<br />
the Belchers, or Gomees, as they were called. It was at the time of the siege of<br />
Malaga. Fortune was not favonring the arms of Spain, and some" immediate<br />
and bold measure was necessary to allay the factious mutterings of the artily. It<br />
was then that Don Fernando recrtiited secretly a battalion of Belchers, and,<br />
placing them under the <strong>co</strong>mmand of his so_ n-in-law, Ortega de Prad, had them<br />
hurriedly trained as storm troops. At last the day came when a direct attempt<br />
was to be made on the walls of the city. At the break of day the troops of<br />
Fernado flung themselves on the ramparts. But after a sanguinary -battle, they<br />
were repulsed. Again and again they advanced to the attack, but with even<br />
less success. Everything seemed lost. For eight hours the chivalry of Spain<br />
had dashed itself with no effect on the grim ramparts. The exulting Moors<br />
from within their barricades saw the distress of the enemy, and were preparing<br />
to swoop out and finally put them to flight. At this moment there appeared<br />
from a defile on the northern side of the city the Gomees of de Prad. Sweeping<br />
right up to the city walls, they hurled at the astonished guards their fullest<br />
efforts. Before these <strong>co</strong>uld re<strong>co</strong>ver their presence of mind, the Gomees had leapt<br />
over the wall, and, with high-spirited gallantry, hurled 'themselves with their<br />
sinister method of attack on the assembled Moors. So overwhelmed were these<br />
that they were seized with panic,. and, throwing away swords, lances, breastplates,<br />
cross-bows, everything that <strong>co</strong>uld impede their motion, scattered themselves<br />
wildly in all directions. Thee triumph of Fernando was <strong>co</strong>mplete, whilst<br />
the Gomees were specially called before the Queen, and gave an exhibition of<br />
their art, though, at her request, with less energy than they had displayed<br />
against the Moors.<br />
So through the ages the practice has been handed down from mouth to<br />
mouth, until, in our own time, it finds its devotees amongst a certain sect within<br />
the University, whose members are the legitimate successors of the Bromydes,<br />
the Yohoes, the Gomees. They have acquired no mean proficiency in the art,<br />
and, if at sundown one enters their portals, one may hear them gently chanting,<br />
calling and answering, through modulation on modulation, their ancient and<br />
mellowed cries. —XALPHA.<br />
*Taylor translates this, "Gorblime ! What a snifter !"<br />
33
ulk), patient—A 1Ragtime 1Revue.<br />
Dramatis Personae :<br />
Studius .. Conscientious Student<br />
W. J. Smith .. .. Male, wt. 4o, Labourer<br />
Patient is dis<strong>co</strong>vered hiding behind a morning paper.<br />
Studius enters boldly, and puts his face over the top of the paper.<br />
Studius: "Good morning! How are you ?"<br />
Patient: "Eh ?"<br />
S. (louder) : "How are you this morning?"<br />
P.: "I'm not too bad. How's yourself ?"<br />
S.: "What do you <strong>co</strong>mplain of ?"<br />
P.: "Do I know you?"<br />
S.: "No; (sotto voce) but you will. What are you <strong>co</strong>mplaining of ?"<br />
P.: "Can't say I'm <strong>co</strong>mplaining of anything. I reckon they treat you pretty<br />
fair here. Don't you?"<br />
S.: "Yes, yes. But what made you <strong>co</strong>me in here ?"<br />
P.: "It was the wife made me <strong>co</strong>me up here. She says, "Ere, Bill, if you<br />
don't go and—' "<br />
S. (distinctly) : "No, I mean what symptoms caused you to seek treatment?"<br />
P.: "You mean the pain in me tummy? If that's what you mean, now you're<br />
talking."<br />
S. (<strong>co</strong>nsulting notebook for procedure) : "How did it <strong>co</strong>me on?"<br />
P.: "I took bad—was it last Wednesday or Friday, now ? Anyhow, just as<br />
I was gettin"ome from work, when it got me—just like a knife in you."<br />
S. (after pause occupied by scratching this down, and another hasty look<br />
at notebook) : "How many minutes did this pain last?"<br />
P.: "I 'ad it all the week. Couldn't get no sleep at all! Not a wink ! Drove<br />
the ol' woman so dizzy, she dragged me up here ! Fact !"<br />
[Impressive silence, during which P. looks at S. with triumphant expression.]<br />
S.: "Now for the identification."<br />
P.: "Who?"<br />
S.: "Your name is—is what?"<br />
P.: "No, Smith's my name."<br />
S.: "Your Christian name ?"<br />
P.: "William John—after me granddad."<br />
S.: "Your age?"<br />
P.: "It's either forty or forty-one. I'll be able to tell you when<br />
S. "This pain—Have you a good appetite for your food?"<br />
P.: "Too right, I have. Never missed a meal in all me life."<br />
S.: "Did the food affect the pain?"<br />
P.: "Sometimes it a kind 'er would; other times it wouldn't. You know<br />
'ow it is."<br />
S. (trying fresh line of questioning) : "What was it your father died of ?"<br />
P.: "Dad's alive and kicking—too true he is."<br />
S.: "Then your mother is alive and well also?"<br />
P.: "Mum's dead this five year <strong>co</strong>me June. Died in the 'orspital."<br />
[Studius (aside) : "Something at last."]<br />
S.: "What was the illness your mother died of ?"<br />
P.: "Accident. It was this way—"<br />
[Studius (aside) : "Another dud."]<br />
34<br />
f
S.: "Let me see your tongue."<br />
P.: "What?"<br />
S.: "Put your tongue out."<br />
[After enough of the tongue and its odour, Studius feels the pulse, auscultates<br />
the apex, and, undecided what next to examine, <strong>co</strong>mmences to <strong>co</strong>py the<br />
temperature chart.]<br />
P.: "Heart all right, doctor?"<br />
[Studius gets more and more mixed. He spies the resident's history only<br />
three beds away. He must away to <strong>co</strong>llect his thoughts and another person's<br />
information.]<br />
S. (clearly) : "I'll <strong>co</strong>me and see you to-morrow."<br />
P. (from behind his paper again) : "Oh, you needn't trouble. I'll be all<br />
right."<br />
[ Exit Studius resignedly.]<br />
—R.W.N.<br />
The class had been studying the wind all the week—its power, and so on—<br />
until the subject had been pretty well exhausted. To stimulate interest, the<br />
teacher said, in her most enthusiastic manner :—<br />
"Children, as I came to school to-day in the train the door opened, and<br />
something came softly in and kissed me on the cheek. What do you think it<br />
was?"<br />
And the children joyfully answered, "The guard !" —"L'Asino" (Italy).<br />
El El Et El<br />
"About whom did you study in Sunday school this morning ?" queried the<br />
visiting minister of Jimmy, by way of establishing friendly relations with the<br />
small son of his host and most active church member.<br />
"About God," was the response.<br />
"But you have heard a lot about God before, haven't you?"<br />
"Yes, sire, when daddy is putting on the spare tyre."<br />
—"Laguna Life" (U.S.A.).<br />
I:1 El El El El El<br />
First-Aid Instructor: "What would you do in the case of , a person being<br />
blown up ?"<br />
Pupil : "Wait till he came down."<br />
—"Comrades" (S. Africa<br />
35
lbospitat an pear 'Dotes.<br />
Melbourne lbospttal 'Dotes.<br />
"Like one that on a lonely Iliad doth walk in fear and dread ; and, having<br />
once looked back, walks on, and turns no more his head, because he knows a<br />
frightful fiend doth close behind him tread."<br />
This extract from the ancient script gives some idea of the atmosphere of<br />
the place at present. The Fourth Year are within measurable distance of August.<br />
Fifth Year, with the Roman holiday provided by: die Narch Finals fresh in their<br />
minds, feel much the same watery sensation -in,the spine that the old sailor man<br />
gave himself up to. What's it going to be like next year ? There are more of<br />
us to put the boot into, and there are more and bigger boots to do it with.<br />
Gynae<strong>co</strong>logy and Obstetrics to be made "bigger" subjects. Clinical Path. to be<br />
"tightened up." Operative Surgery examiners are buckling on their spurs, and<br />
straight-out Anatomy more important than. ever., On top of which we are to<br />
have the honour of being the first to submit ourselves to the "little exam." in<br />
Children's Diseases—which "none of you can feel the least apprehensive about,"<br />
we are assured. And,_ungratAful dogs that, we are, the. assurance merely makes<br />
the breeze more vertical.<br />
Anyway, <strong>co</strong>ngratulations to all who successfully negotiated the whirlpools<br />
and the rapids, the deeps and the shallows, and 'landed themselves high and dry<br />
on the shores of the promised land. And first of; the lot to Kathleen Daly, who<br />
broke the tape, and showed the field the way -holme. It's a long time since top<br />
place has been won by a girl, and the pleasure in making the <strong>co</strong>ngratulation is<br />
therefore greater.<br />
The Exhibitioners turned up in Jim.'AiriSlie' (Medicine), Bish Carrington<br />
(Surgery), and the Obstetrics - and Gynae<strong>co</strong>logy was shared by Kathleen Daly and<br />
Mrs. Prof. Osborne, the latter lady extending an already very broad domain<br />
of activities by taking her M.B. and B.S. degrees.<br />
The following new residents have taken up their abode, and <strong>co</strong>ngratulations<br />
are hereby handed to. Drs. Daly and Hensley (Women), Ainslie, Carrington,<br />
Burwood, Bennet, Nevill, Waterhouse, RoSs; Sharland, Reid, Hirschfield, Miller,<br />
Fitzpatrick and Holman ; and to RegistrArs Andrews, Simpson, Pennington<br />
and Hall.<br />
36
We wel<strong>co</strong>me Dr. S. 0. Cowen to the position of Hon. O.P. Physician.<br />
Those who had the good fortune to be under him in Dr. Hiller's absence realise<br />
what a valuable addition this appointment makes to the teaching staff.<br />
We are sorry indeed to lose Dr. Patterson. His lectures and clinics were<br />
of the greatest value, his enthusiasin an inspiration, and his manner a soothing<br />
balm to the student. Particularly we re<strong>co</strong>llect with pleasure his P.M. demonstrations,<br />
than which it <strong>co</strong>uld .be, truthfully said the medical <strong>co</strong>urse held nothing<br />
better. We <strong>co</strong>ngratulate him on his appointment to Duff House, England, and<br />
also those with whom he will be associated there.<br />
Commencement Saturday saw a good number of Meds. on the block in<br />
fancy dress, and driving pretty hard bargains in buttons with the wary passer-by.<br />
So long as "The Australia" stands Where it does there will always be a good team<br />
of philanthropic workers for any cause at all. And at the University grounds<br />
at night our side of the lake was fairly well represented. Only "fairly well" on<br />
ac<strong>co</strong>unt of the somewhat injudicious application of Bacchanalian tonics on the<br />
part of many whose frequently expressed intention it was to be "there." Inter<strong>co</strong>llegiate<br />
boat race in the afternoon was a factor for which apparently allowance<br />
had not been made.<br />
Never has the Scriptural expression, "New wine in old bottles," been more<br />
revoltingly exemplified than in the introduction to the old locker room of sundry<br />
glaringly new and distressingly blatant pieces of furniture simulating tables and<br />
pseudo-easy chairs. These were originally intended for the Library, but to introduce<br />
anything modern, not to say new, into the M.S.S. Library would strike so<br />
dis<strong>co</strong>rdant a note that the authors of the innovation falter before aiming such<br />
a blow at tradition. The old lockers have been translated to the new locker room<br />
up in Siberia, greatly to the dis<strong>co</strong>mfort of their owners, and where the present<br />
vandalism is going to stop is something that nobody knows (like Dickie's problems).<br />
The pessimistic maintain that there will be a new top put on the old<br />
carved table, which will then be sold to buy a new garden seat to add to the<br />
<strong>co</strong>llection up above.<br />
We would like to thank the Lady Superintendent and her staff of Sisters<br />
and Nurses for the invitation to their entertainment and dance. That life is<br />
mostly froth and bubble the bard has'drawn attention to some time ago. Anyone<br />
seeking frivolity and light-hearted abandon is advised to attend the next Nurses'<br />
dance. Unfortunately, they only occur about twice a year—there being an impression<br />
(backed by a <strong>co</strong>nsiderable weight of opinion) that Hospitals are for<br />
sick people rather than for revelry. By <strong>co</strong>vering a certain area of floor space<br />
with bed cases, and letting loose sounds, vocal and instrumental, designed both<br />
to amuse and entertain, the impression is created of a Concert for the Patients.<br />
After three hours of this, that portion of the audience in the beds is removed,<br />
and the independently mobile portion make merry in the space they've left.<br />
And, while on the subject, let us take this opportunity of reminding ourselves<br />
of the M.S.S. functions in the near future. It is not generally re<strong>co</strong>gnised<br />
that membership of the Society imposes obligations as well as <strong>co</strong>nferring benefits,<br />
and none but the mentally moribund can ignore those obligations. It is to<br />
be hoped that Melbourne Hospital members of the Society at least will rally<br />
round, and ensure an attendance` At the Hare and Hounds Run, and the Dinner<br />
in something like proportionate numbers.<br />
With the introduction of the exam. in Kids' Diseases, the Children's Hospital<br />
is a bigger factor in our lives, and the impression received by most of us<br />
at that institution is that it is officered by men and women in whom efficiency can
exist side by side with the milk of human kindness. Harried as we are from<br />
exam. to exam., the attitude adopted there of treating you as a future member<br />
of the profession is appreciated. And the mental picture that remains is of a<br />
monument of good fellowship, the top occupied by a figure in the semblance of<br />
Dr. Jock Grieve—the embodiment of the spirit of the "Kids."<br />
Rifreb lbospital 'Rotes.<br />
Stardust sprinkled over the calm, dark waters of an en<strong>co</strong>ralled lagoon, the<br />
faint strains of a ukelele floating softly shorewards, the tinkling of glasses, and<br />
the laughter of merry women, etc., is quite a passable beginning to a tropical<br />
romance, but is no good as a beginning to the hospital notes. That's just the<br />
trouble—to know how to begin.<br />
We are poor starters generally at the A.H.; not even our new furniture has<br />
yet been purchased, although enquiries have been made, and should result in<br />
much added <strong>co</strong>mfort to our rooms. A very necessary thing, this <strong>co</strong>mfort, when<br />
one thinks of those earnest students sitting there "till the morning sun gilds the<br />
tapestries," etc.—anyhow, ask of the Colossal Coombe, and perhaps he'll explain.<br />
The Surgical Wards at present remind one of the union rooms of the Amalgamated<br />
Ice-cream Vendors—in the former case, however, the masses of white<strong>co</strong>ated<br />
beings are the Fourth Year invading the wards for the first time, awestruck<br />
at the "long white rows of beds," and reverentially admiring the long<br />
white <strong>co</strong>ats of the new residents. Great idea„ those long <strong>co</strong>ats, especially when<br />
you think how difficult'it must be for a resident medical officer to get his trousers<br />
patched.<br />
Each month sees fresh sacrifices in the , cause of science, as, pair by pair,<br />
we take our turn in the Antarctic Regions, Lat, D4.<br />
To <strong>co</strong>nclude with some famous deeds by famous men :—<br />
"Mac" has for this year be<strong>co</strong>me an amateur Sherlock Holmes, and is hot<br />
on the trail of the Tubercle Bug in England. We hope he finds out quite a<br />
lot about the little devil, and manages to have a good time in the meantime.<br />
Congratulations are due to six of last year's students in getting on as residents,<br />
and to three of the old residents in be<strong>co</strong>ming registrars.<br />
Keith Brown won the under 21 championship at the autumn tennis tournament,<br />
and a place in the Inter-'Varsity team, vhich won the Niall Cup. Born<br />
very young, this promising player showed an early aptitude for the game by<br />
his dexterity with his rattle. By the way, isn't he like his dear old Dad?<br />
One notices that "Spudder" is back again. Nuff sed!<br />
Jim Buchanan, who also calls one of our Honoraries "Papa," has once more<br />
shown his back to the remaining seven of the Victorian eight.<br />
"Jerry," the Vet., has been elected Sheik of the Sharpshooters, or somethin'.<br />
Surely he at least will not be shot on boat-race night.<br />
"While fillin' yore glasses, gen'lemen, to drink to these 'ere sports, I would<br />
just like to say." The Mob : "One, two . . ."<br />
%t. Vincent's I4otes.<br />
Another year has passed, and it would be hard to start the new one better<br />
than by <strong>co</strong>ngratulating the Fifth Year men who <strong>co</strong>vered themselves and the<br />
Hospital with honour—or, perhaps better, with honours. Theirs was perhaps<br />
38
the best all round performance St. Vincent's has known since the foundation of<br />
its Clinical School some few years ago. To get three honours and then not a<br />
residency has been far from the rule in previous years. It happened, however,<br />
this year, and it is doubly unfortunate that such a popular chap as Kevin O'Day<br />
should be singled out as the exception.<br />
The new men have started rather shyly at first, especially in the case of<br />
Frank, who seems worried with the long <strong>co</strong>at. Nevertheless, Hayden, D'arcy,<br />
King and Brew are a <strong>co</strong>mpetent quartet, from whom student difficulties will<br />
elicit not only sympathy but assistance. Good luck to the retiring four. "Scrog"<br />
at least will need a rest after his strenuous term.<br />
While speaking of final exams., etc., one thinks there is reasonable ground<br />
for <strong>co</strong>mplaint in regard to the Clinical Exams. in Med. and Surgery. Indeed, .<br />
it is very questionable whether they should <strong>co</strong>unt as much as they do in the ultimate<br />
result—especially in Honours. It is essentially a matter of luck as to what<br />
case and what examiner turns up. Some require more time than others, and<br />
some are more difficult and <strong>co</strong>ver a wider field. Moreover, some examiners<br />
make their time too valuable and many of their questions too abstruse. In not<br />
a few cases we have had drummed into our ears at clinics and lectures that the<br />
apparently simple cases frequently require at least an hour's thorough examination.<br />
What, then, of the Honour cases, which have rarely a semblance of<br />
simplicity ?<br />
The first meeting of the Clinical Society was held on April 12th. Three<br />
very interesting cases were presented for discussion. Ern. Burton deserves<br />
special mention for the thorough way in which he prepared his case—one of<br />
acromegaly. Dan. Crotty moved a vote of thanks to Dr. Shaw for presiding.<br />
In reply he apologised for tackling medical cases with a surgeon's experience.<br />
However, as Mr. Little said in reply, Dr. Shaw's medical knowledge appeared<br />
as extensive as his surgical—almost unlimited. It is to be regretted that more<br />
of the honoraries do not show more interest in these meetings ; their assistance<br />
and <strong>co</strong>-operation would be vastly appreciated.<br />
The "Resident Studentship" difficulty is still unsettled. Evidently it is of<br />
little or no <strong>co</strong>ncern to the authorities, for no effort has been made to remedy<br />
the defect. Their idea of a rather important part of our <strong>co</strong>urse seems to be<br />
two meals, two lectures, two anaesthetics, and twopence home on the tram every<br />
night for a <strong>co</strong>ld two weeks. Apart from the four who are lucky enough to<br />
secure residencies, that fortnight is really the only occasion during which a<br />
student has the opportunity of gaining first-hand, practical hospital experience.<br />
Surely we deserve better treatment in this matter. One man's fees would provide<br />
the necessary ac<strong>co</strong>mmodation.<br />
Our part in the Commencement was memorable. Everyone entered into the<br />
proceedings with spirit, and, as a result, things moved swimmingly. In jocund<br />
mood, rotund Kevin insisted that Scan had been "lost in the Baw Baws"—what<br />
time the "water froze in the taps." From the latter delusion we believed Scan<br />
must have disappeared that evening, and dis<strong>co</strong>vered Ernest about to scale the<br />
peaks of Wilson Hall. We are still waiting for an explanation.<br />
With Casey, Keane, Crotty and Burton for <strong>co</strong>mmittee, a Social Club was<br />
formed among the students. A motor boat trip up the Maribyrnong opened the<br />
proceedings. In spite of some unlooked for events which cropped up at the<br />
eleventh hour, the day was enjoyed tremendously by all present. The next item<br />
mooted is a dance.<br />
39
Fourth Year men are beginning to work. As usual, Public Health excursions<br />
are the cause of much <strong>co</strong>mmotion and enthusiastic investigation. On a few<br />
occasions Eccles has startled some of the more somnolent from their reveries<br />
by quoting the numbers of the specimens in the Path. Museum. He is supposed<br />
to have a rough outside chance of getting most of his subjects.<br />
One of our lady students returned from the Women's with a palpebral<br />
'ecchymosis. The occurrence is rather unique; though, ac<strong>co</strong>rding to ac<strong>co</strong>unts,<br />
some of the men in the other divisions narrowly escaped.<br />
Dr. Nelly has presented several more volumes to the library. He had previously<br />
given numerous valuable works, and his generosity is much appreciated<br />
by the students. However, the present library system—if there is one—does not<br />
allow of every student securing full benefit of the extensive <strong>co</strong>llection.. It is a<br />
pity, in a way7—the library should be for all the students, for all time, and at<br />
any time<br />
fourtb Vera 'Rotes.<br />
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'nab Pear 'Rotes.<br />
We started off the year with great spirits, for had not Prof. Berry himself<br />
told us that he <strong>co</strong>nfidently expected at least 100 % of passes ? We all remembered<br />
the repeated spilling of midnight oil last year, and looked forward to a<br />
life of ease this year—to be sadly disillusioned. One fair student, who had made<br />
a mark against every page that Dicky told us was "a favourite site of exam.<br />
question," found, on revision, to her extreme joy, that the whole volume was<br />
so marked.<br />
Commencement, particularly the Gala Night, went off with a great swing.<br />
Amorous students on that night should remember that the Medical School steps<br />
are for the <strong>co</strong>nvenience of Medical students, and not for the low philanderers<br />
of other Schools.<br />
We regret that the Third Year show was not supported as it should have<br />
been. It was left to a few enthusiasts to carry out what should have been the<br />
duty of the whole year. Thanks are voted to Mr. Bottomley, to whose unselfish<br />
help much of the play's success was due.<br />
IT IS RUMOURED—<br />
THAT Mr. Preston has refused a million-dollar <strong>co</strong>ntract to be lantern-man<br />
at Hoyt's.<br />
THAT Wally is going to have a haircut when he draws his Prosector's<br />
"fiver."<br />
THAT Alice is acquiring a blase air.<br />
THAT Honour men at Table 26 are subscribing towards a gag for a<br />
loquacious member.<br />
THAT we are the most brilliant Third Year since 1788.<br />
THAT we are the least brilliant.<br />
THAT Wolfe will have to buy a trailer to ac<strong>co</strong>mmodate his many friends<br />
who cannot afford a tram-fare.<br />
THAT the so-called von Piquet was a Wassermann.<br />
THAT several of us are scared thereby.<br />
THAT Mr. Barnes should make public his method of hair lubrication, and<br />
earn the thanks of a grateful nation.<br />
THAT Ossy's hat is a graceful tribute to the American nation.<br />
Se<strong>co</strong>n0 pear 'Rotes.<br />
Said the student to his wife :<br />
"Femur, dear, upon my life,<br />
Se<strong>co</strong>nd year is all surprises ;<br />
Sudden jolts without the rises.<br />
How <strong>co</strong>uld any man be merry,<br />
Fed on Anderson and Berry ;<br />
Hurley hunting human yolks,<br />
'Ossy' dropping subtle jokes,<br />
Young forgetting, like a filbert,<br />
All his tales of wicked Gilbert;<br />
While beyond our daily toil<br />
Looms the evil midnight oil?<br />
—But, to leave our petty Hell,<br />
Here in part's our personnel:---<br />
41
Eighty men and maidens ten,<br />
Doctors, Profs., and Jack Egan,<br />
Aggregate to fill our year.<br />
As you guess, the issue's queer.<br />
Note amongst them, keen as granite,<br />
Naughty Nettie, joyful Janet,<br />
`Chic' Viola, Lois <strong>co</strong>y,<br />
(—And who is that red-haired boy ?)<br />
Maidens full of fancy, Phyllis,<br />
Molly, Eileen, daily thrill us.<br />
See them cut with ruthless knife,<br />
(So they cut at dawn of life)<br />
Showing with a scalpel gory,<br />
Mother-instinct in its glory!<br />
Sometimes only does this vary,<br />
As when L—s, like a fairy<br />
Floating faintly through the door,<br />
Fleetly flits across the floor.<br />
Still we study in our trade<br />
Labyrinths of man and maid;<br />
Colour, smell of plants that sicken;<br />
Men with <strong>co</strong>lic, mag-sulph-stricken.<br />
Pity help the hopeless living,<br />
When for cash our skill we're giving!<br />
Now through <strong>co</strong>lumns of the paper<br />
Here's to our Commencement caper !<br />
Se<strong>co</strong>nd Year show was divine,<br />
(So "The Age" says)—Arch was fine.<br />
He, with Clinton and his band,<br />
Broke more hearts than "Mud and Sand."<br />
Stop! the midnight chimes are striking<br />
Like the knock-kneeg of a Viking!<br />
Night has fled, bestarred and frosty,<br />
And it's time to tackle `Osty.'<br />
For if pains within the liver<br />
Should suggest the brimming river,<br />
Do we pause to slumber ?—Never!<br />
Like the brook we go forever!"<br />
Father (sternly) : "My daughter, sir, will remain under the parental roof."<br />
Suitor : "That's very kind of you; with the acute house shortage that will be<br />
very <strong>co</strong>nvenient to both of us."<br />
—"Answers" (England).<br />
42<br />
cg?
At<strong>co</strong>bol as an Infectious Visease, witb some 1Rotes on the<br />
Application of AntioCoxin Eberapv to this Visease.<br />
By<br />
A. WYLDE KNIGHT, A.K.Melb., V.B.'Scray, J.D.K.Z.<br />
Out-patient to the Alfred Hospital, Consulting Sanitary Inspector to the<br />
Royal Prince Edward (Hotel).<br />
Historical Retrospect.<br />
Pasteur was the first man to identify the yeast fungus as the cause of<br />
fermentation.<br />
Heule, who first suggested the loop the loop, averred in his two greatest<br />
works, "On Thames" and "On Yarra," that vegetable organisms are the causal<br />
agents in infectious diseases.<br />
Trousseau, famous for having been married on his wedding day, <strong>co</strong>nfirmed<br />
this.<br />
So that we now have the following facts :—Al<strong>co</strong>hol is the toxin of the yeast<br />
fungus; the yeast fungus is a vegetable organism ; vegetable organisms are the<br />
cause of infectious diseases. Therefore al<strong>co</strong>hol is an infectious disease. The<br />
reasoning is simple, and by its very simplicity <strong>co</strong>nvinces.<br />
Let us now examine some of the main points of this disease.<br />
Modes of Conveyance of Infection.<br />
Contagion.—Often by fingers. These are frequently used as measures. Of<br />
29,000 cases seen by me at the Hon. Jopkins Hospital, 28,999 said "Three<br />
fingers, please." The other said "When."<br />
Carriers.—Al<strong>co</strong>hol may persist outside the body, but only for a short time.<br />
Found usually as a localised swelling in the gluteal region—phlasskoma.<br />
Numerous outbreaks have been traced to carriers designated Runno de Rabitos.<br />
Milk.—Sporadic cases appear to be often <strong>co</strong>nnected with the milk supply.<br />
In the history it will often be found that the patient has <strong>co</strong>me home with it.<br />
Water.—Contamination by water has been proved without doubt.<br />
(The student should now turn to the Appendix, which will be found at the<br />
end of this article.)<br />
Immunity.—All immunity is acquired.<br />
Morbid Anatomy.—This may be observed in "The Herald." The body was<br />
found at the point marked X in the ac<strong>co</strong>mpanying picture (inset). Imprint of<br />
hobnails observed near the scene.<br />
Symptoms.—It is unnecessary in this short work to detail the symptoms.<br />
The student should have a knowledge of these from his own observations.<br />
As before observed, al<strong>co</strong>hol is but the toxin of the yeast fungus. A few<br />
remarks on this toxin and its mode of circulation will not <strong>co</strong>me amiss at this stage.<br />
The circulating toxin acts in two ways :-<br />
(a) The first action will be more readily demonstrated by the following<br />
diagram:—<br />
43
Where A, B, C, D, E and F represent six separate patients. Each in turn<br />
utters a cry, which may be called a stomachic rather than cephalic one. The<br />
words used are usually "This is mine." By the diagram one will see that this<br />
means shouts all round. Thus the toxin circulates.<br />
(b) The se<strong>co</strong>nd action will also be more clearly seen by the aid of a<br />
diagram :—<br />
A is the patient. The circles represent the patient's progress while the<br />
disease is at its height. The toxin is certainly circulating here.<br />
With these facts in mind, and imbued with the spirit of the idea, I set<br />
about the preparation of an anti-toxin to <strong>co</strong>mbat this circulating toxin.<br />
My first step was to standardise the toxin. However, a difficulty arose at<br />
this stage, as I was unable to find any animal which would die regularly on the<br />
44
administration of a certain dose of al<strong>co</strong>hol, so as to determine theM.L.D. (maximum<br />
lethal drink).<br />
After many experiments it was found that zii (2 ozs.) of al<strong>co</strong>hol (i Jo%)<br />
killed a crayfish of 250 grammes weight in the middle of the night. This<br />
invariably occurred. Thus zii of al<strong>co</strong>hol (i leo), multiplied by too, was taken<br />
as the unit of anti-toxin.<br />
The next step was the preparation of the anti-al<strong>co</strong>holic serum. Ac<strong>co</strong>rdingly<br />
an advertisement was inserted in "The Medical Annual" as follows :-<br />
FREE ALCOHOL.<br />
Apply 9 a.m., Tuesday. A.H.<br />
After selecting 25 well-nourished men from the 23,000 applicants, I <strong>co</strong>mmenced<br />
by inoculating each with attentuated al<strong>co</strong>hol. (Water impregnated with<br />
CO2 at a pressure of 3 atmospheres was used as a diluting medium in every<br />
case.) The doses were then gradually increased, and given at intervals of time<br />
of to minutes. Each dose was sufficient to produce a slight reaction from which<br />
the patient frequently re<strong>co</strong>vered in the intervals.<br />
Administration was carried out by employing a "neat" incision in the elbow<br />
region, with the joint well flexed.<br />
Such was the <strong>co</strong>ndition of each man in a month that no anatsthetic was<br />
needed to draw off blood from the hepatic veins (these' were chosen' on ac<strong>co</strong>unt<br />
of their easy accessibility.) The blood so drawn off was run into Dewar's flasks<br />
and allowed to <strong>co</strong>agulate. The free serum was then decanted into decanters.<br />
Before administering anti-toxin, it is necessary to dis<strong>co</strong>ver if the patient<br />
needs such. That is, to see whether the patient is immune or not. For this<br />
purpose I have perfected a simple test which I have named "Schick-ers Test."<br />
A small amount* of toxin is injected. A positive reaction is when the following<br />
syndrone is observed :—<br />
Circumoral smile, followed by logorrhcea, with occasionally disorientation<br />
as to time and place.<br />
This indicates that the patient is not immune. The <strong>co</strong>nverse holds true.<br />
It was with some difficulty that I obtained three persons who were not<br />
immune, and injected them with anti-toxin. A short history of each case and<br />
the result obtained is appended :—<br />
Case I.—A.B., wheat lumper, att. 32. Never tasted al<strong>co</strong>hol, but was willing<br />
to try. I injected to,000 units. He assured me of its great success. Said he<br />
<strong>co</strong>uld drink all day, and always was sober. A month later I heard of his<br />
departure to U.S.A. By the cables I followed his progress across America :<br />
"Wis<strong>co</strong>nsin, Dry," "Minnesota, Dry," "New Jersey, Dry. '<br />
Case II.—Unnamed, mot. 3 minutes. Injected 5000 units without preliminary<br />
"Schicker Test." One minute later methylated spirits were poured on the<br />
child's chest to induce breathing. This had .no effect. The child died, thus<br />
proving the efficacy of the anti-toxin.<br />
Case III.—X.Y., University student, art. 21. The youth's father came to<br />
me and laid the case before me. He said that his son, on his daily trip to the<br />
University, was <strong>co</strong>mpelled to pass the Carlton Brewery. The fumes emanating<br />
from this source seemed to have an intoxicating effect on the youth. I injected<br />
15,000 units, and a week later the father called to say that ever since his son'<br />
had appeared quite normal. I have before me his letter of thanks. I have also<br />
before me a letter of thanks from the son, <strong>co</strong>upled with a request for another<br />
15,000 units.<br />
*Weather <strong>co</strong>nditions will determine the amount.<br />
45
The success of these experiments has enabled me without diffidence to offer<br />
to the Nation for £3o,000 all the anti-toxin in my possession, with full details<br />
for manufacturing the same.<br />
My thanks are due to Dr. Glen Livett for the use of the laboratories under<br />
his charge, and to Drs. S<strong>co</strong>tt, Windsor and Menzies for allowing me to work<br />
in their wards at their respective hospitals.<br />
Appendix. — The appendix, unfortunately, is retro-cxcal. See cxcurn.<br />
fliDetastasez from Oarious loci.<br />
From "Harvard Lampoon"—<br />
"Breathes there a man with soul so dead,<br />
Who never to himself hath said,<br />
This is my own, my fav'rite gland."<br />
From "Sydney Sun"—<br />
"Miss Betty Brown, daughter of Mr. and Mrs. A. H. Brown, was taken to<br />
hospital suffering from intestinal pneumonia."<br />
Been breathing too deep.<br />
From "Age"—<br />
"Wanted : General, to clean and relieve nurse, when required."<br />
Do us !<br />
From "Dublin Post"—<br />
Magistrate (at Irish <strong>co</strong>urt) : "The next person who cries 'Down with England'<br />
will be thrown into the street."<br />
Prisoner : "Down with England."<br />
From "S.M.H."—<br />
"A <strong>co</strong>stly racing launch burned after being beached on the <strong>co</strong>ast; the engineer<br />
was s<strong>co</strong>rched and suffered at a lonely spot."<br />
Always a tender place.<br />
From "The Herald"—<br />
"The Hampton Life Saving Club was on the beach this morning, practising<br />
at bringing in the drowning, and resuscitating the prostate bodies."<br />
It's a wonder this new method has never struck anyone before.<br />
From "The Illustrated London News"—<br />
"Gold stools found in Tutankhamen's tomb."<br />
The magnificence of these ancients!<br />
From "The London Daily News" —<br />
"He was admitted to the hospital for an operation of the bowels."<br />
Many of us don't go to the hospital for that.<br />
From "The Argus"—<br />
"The <strong>co</strong>roner found that death was due to exposure, after a P.M. examination."<br />
It's a scandal!<br />
From "The Lancet"—<br />
"How can the practitioner best serve the patient with Renal Disease?"<br />
A Sauce of Infection, well stirred up, might do.<br />
46
From "The Aussie."<br />
STOMACH TO STOMACH TALKS.<br />
By H.M.<br />
Humour in a medical journal is not expected; but "The American journal<br />
of Public Health" thrusts home some health truths in "The Diary of a Stomach."<br />
Here is the stomach's re<strong>co</strong>rd of a day's suffering :-<br />
"10 a.m.—Oh, dear ! Another warm day. Wonder if I'll be abused as I<br />
was yesterday. If I am, I'm going on strike. Just disposed of a half-chewed<br />
breakfast. We ran for the train, which meant I was so jiggled about and so<br />
tired that it took me twice as long to do my work. Hope she gives me an hour<br />
or two of <strong>co</strong>mplete rest before anything more <strong>co</strong>mes my way.<br />
"10.3o a.m.—Two glasses of ice-water have just arrived. It will take all<br />
the energy I can pump up in the next hour just to warm me up to normal again.<br />
"io.5o a.m.—Half-chewed breakfast did not satisfy her, and she bought<br />
some peanuts and started again.<br />
"12 noon.—Peanuts have been drifting along steadily ever since. Think<br />
she has finished them, too.<br />
"12.30 p.m.—Decided she wasn't very hungry, and, instead of a good solid<br />
dinner, sent me down a <strong>co</strong>ld egg-nogg heavy with cho<strong>co</strong>late. Could have<br />
managed it all right if it hadn't been so unnaturally <strong>co</strong>ld, but that made it terribly<br />
difficult to deal with.<br />
"'Jo p.m.—More ice-water.<br />
"I.40 p.m.—Was mistaken about the peanuts; she found another handful<br />
in the bottom of her vanity bag, and now I am getting them again.<br />
"2.5 p.m.—More ice-water.<br />
"2.10 p.m.—She has been lifting some heavy books, and, as usual, used my<br />
muscles, instead of her arm muscles. You see, she's never had any proper<br />
physical education—soft, flabby, slouchy sort. Tired me almost as much as a<br />
six-<strong>co</strong>urse dinner.<br />
"3.20 p.m.—Furtive fellow has brought us a box of caramels. Just heard<br />
her say, 'Oh, dear ! I don't feel a bit well. The milk in that egg-nog must have<br />
been sour.'<br />
"6.30 p.m.—We played a set of tennis before dinner, and here I am all tired<br />
out and a lot of work to do.<br />
"6.5o p.m.—We were invited by a sissy sport with a belt on his <strong>co</strong>at to have<br />
a soda before going home. Had a lemon phosphate and then had to run for a car.<br />
"7 p.m.—Fried 'taters, cucumbers, veal cutlets, catsup, <strong>co</strong>okies and canned<br />
blueberries. What do you know about that?<br />
"7.45 p.m.—We are strolling down to the <strong>co</strong>rner with a knock-kneed guy<br />
in a sport shirt and white pants for a pineapple walnut <strong>co</strong>llege ice.<br />
"8.2o p.m.—Got home, and found somebody had made some iced-tea. She<br />
drank two glasses. I tried hard to keep the tea and the <strong>co</strong>llege ice separated,<br />
but they mixed in spite of me. I go on strike.<br />
"8.3o p.m.----I have sent back the <strong>co</strong>llege ice and the iced-tea.<br />
"8.4o p.m.—Returned the blueberries.<br />
"8.45 p.m.—And the peanuts.<br />
"9 p.m.—The devil to pay—can't get the doctor.<br />
"9.17 p.m.—Doctor found at the movies. Mother thinks it's a weak stomach<br />
she inherited from her father. Knock-knee suggests it's the beastly weather<br />
--the big boob !<br />
"9.45 p.m.—Doctor says it is from a bilious temperament. Good-night !"<br />
47
Ebe Atfreb's Coming Fete.<br />
The big fete to be held in the grounds of the Alf red Hospital on 28th and<br />
29th September is going to be "the best ever." This is the prediction of students<br />
on the spot, who ought to know, seeing that they are organising some plain and<br />
fancy stunts for the occasion. The Alfred recently .grew <strong>co</strong>mpletely °tit of its<br />
swaddling clothes, and is now reaching out for garments of full maturity, which<br />
it will reach at the end of this year, when there will be 34o beds, and further<br />
expansion in sight. A powerful <strong>co</strong>mmittee is running the fete, and it is expected<br />
that the students' part in the affair will be a feature of the two days and nights ,.<br />
Eves 1Rigbt or Wrong.<br />
So I took her to see an oculist.<br />
We arrived with <strong>co</strong>mmendable punctuality, and were ushered by an obsequious<br />
menial into the impressive gloom of the waiting room, where six others<br />
were already patiently waiting.<br />
On our entry all eyes were turned in our direction—all, that is, save the sky<br />
blue organ in the left socket of the tall man third from,the right. This maintained<br />
its steadfast regard of the ceiling with an impassivity that caused one to<br />
suspect it spent its nights in the glass on the washstand along with the false teeth.<br />
We seated ourselves with what assurance we <strong>co</strong>uld muster under the circumstances,<br />
though I must <strong>co</strong>nfess to a sudden tightening of the <strong>co</strong>llar when I dis<strong>co</strong>vered<br />
the small boy with the alternating squint in the act of "changing eyes"<br />
while fixing the end of my nose.<br />
The voice of the menial<br />
upraised.<br />
The silence was unbroken.<br />
Suddenly it was rudely shattered by the<br />
voice of the menial upraised in a demand for<br />
"Mr. Jinks."<br />
The tall man third from the right started<br />
<strong>co</strong>nvulsively, with the immediate effect of causing<br />
his left eye to spring smartly into the fireplace,<br />
whence it was retrieved by the small boy, and<br />
returned to its owner with the graceful remark,<br />
"Your eye, sir, I fancy." The silence was once<br />
more unbroken. , 't<br />
It was our turn next, and, proudly answering<br />
to the name which has run not a few times<br />
through the echoing arches of the temple of<br />
fame, we rose at the menial's gentle bellow of<br />
"Mr. and Mrs. Smith."<br />
She wafted us through a hospitable open<br />
door into the brilliantly lit surgery. In one <strong>co</strong>rfier,<br />
under the <strong>co</strong>ncentrated glare of several electrics,<br />
stood what I took to be the Western equivalent<br />
of the Rosetta Stone. In the diametrically<br />
opposed <strong>co</strong>rner stood a forbiddingly aloof<br />
chair, over which glowed a ( ?) sacred lamp.<br />
48
The doctor advanced to meet us with the<br />
Collins Street smile on his lips, and, waving my<br />
wife towards the lone chair, dug himself in behind<br />
a huge desk.<br />
"Now," he said genially, "why do you <strong>co</strong>me<br />
in to see me ?"<br />
"We're strangers to Melbourne," I answered,<br />
"and yours was the first optician's plate we<br />
saw."<br />
The smile on the doctor's face became even<br />
more Collins Streety, but he spoke suavely<br />
enough.<br />
"But what leads you to search for an oculist<br />
at all ?"<br />
"It's her eyes," I replied. "She has glasses,<br />
but she thought they needed changing, though<br />
she used to be able to see beautiful with them.<br />
But I said to her<br />
PI<br />
He waved me to silence with a magnificent<br />
gesture, and turned questioningly to my wife.<br />
On receipt of her explanation, he sprang<br />
up, and, abstracting from a case a <strong>co</strong>ntraption<br />
not unlike a rachitic cavalry bit, fitted it across<br />
her nose, and, blocking up one eye with a little<br />
disc, called upon her to "read, please."<br />
The Doctor advanced to meet<br />
us with the Collins Street<br />
smile on his lips.<br />
My wife responded by<br />
rendering some of the<br />
sprightly stanzas engraved on<br />
the Rosetta Stone. She read<br />
down as far as I <strong>co</strong>uld see,<br />
and then made up a whole lot<br />
more on her own ac<strong>co</strong>unt.<br />
The doctor rewarded her<br />
by putting in each eye a drop<br />
from a gaily <strong>co</strong>lored bottle,<br />
which he selected from a<br />
battalion of its fellows who<br />
gave to one of his tables the<br />
pleasing appearance of that<br />
now extinct institution, an<br />
American Bar. If you'd seen<br />
the fuss she made !<br />
I nearly died laughing.<br />
Then I strolled over to where<br />
she was sitting to see how<br />
Blocking up one eye with a little<br />
disc. many of the letters I <strong>co</strong>uld<br />
read.<br />
When I told the doctor how far I <strong>co</strong>uld get he raised his eyebrows until he<br />
appeared to be bald, made me sit down in the chair of penance, and awarded me<br />
the Order of the Ferrous Face-piece (no class).<br />
b 49
One eye was jake, but, with the other, all save the most arresting of the<br />
letters were invisible to me.<br />
The doctor removed the birdcage from my nose, and with it a modicum of<br />
the epithelial <strong>co</strong>vering of that organ—a fact he was much too preoccupied to<br />
notice.<br />
"Look out of the window," he says, all of a sudden. "Now at my finger.<br />
Now out the window. At my finger. Out the window."<br />
"It's no go, doc," I says. "I've studied the little grey books, and you can't<br />
bamboozle—" but he switched on an electric torch a few inches from my face,<br />
and fairly took my breath away. Then he switched it off, then on, then off,<br />
then on again.<br />
"What's it advertising, doc?" I asked. "I can't make out the lettering."<br />
That seemed to rile him a bit, for he asked me to look up, and emptied into<br />
each eye about half a hatful of strong nitric.<br />
Hurt? I should say ! And to hear my wife laugh you'd have thought I<br />
was making a fuss about nothing. Heartless, I call it!<br />
He seemed to tire of us after that, and drafted us off into a half-dark room<br />
"to wait till the drops had acted." Acted, indeed! I'd had enough action for<br />
one day, but the window wouldn't open, and the only door was the one <strong>co</strong>mmunicating<br />
with his surgery, so I sat down.<br />
After about ten minutes, when I was three-parts blind, and getting worse<br />
every minute, in he <strong>co</strong>mes again with his squirter loaded in barrel and magazine:<br />
and held at "the ready." I unlaced my hoots. By the time I again reached the<br />
surface he had vanished.<br />
After a while he led us back into his surgery, and, setting me up in the<br />
sacrificial chair, again fitted the trial frame on my face. His next move was<br />
to turn on a fair sizzler of a light just abaft my right ear. I broke out in a<br />
gentle sweat, but, thinking to "crack hardy," said :<br />
"How do you like 'em, doc? Hard or lightly done?"<br />
But he never smiled.<br />
Instead he stood off a pace or so, fitted a little shiny instrument up against<br />
his eye, and projected a beam of overproof brilliance—bing !—f air into my right<br />
eye. I ducked and smothered as best 1 <strong>co</strong>uld, but that beam of light followed<br />
me around.<br />
"Look at my forehead," says the doctor.<br />
His f orehead! All I <strong>co</strong>uld see was a shiny green blur with his legs under<br />
it, and all the sparks of Morwell darting from its centre. However, I kept<br />
what remained of my gaze glued on where I had last seen his noble brow, and<br />
he seemed satisfied.<br />
Suddenly he switched off the fireworks, fitted a <strong>co</strong>uple of glasses before<br />
my eye, and—<br />
"Now tell me what you read," he says.<br />
"Not much, doctor," I answered. "The paper of a morning, and sometimes<br />
the Spec—"<br />
"No, no," he says, quite snappish. "What can you read on that card in<br />
the <strong>co</strong>rner?"<br />
I <strong>co</strong>uld see nothing but the good old<br />
chapter headings from the Rosetta Stone,<br />
E. TB. DLN."<br />
"Ve-ery good," he says, with a smirk.<br />
if I hadn't altered the card."<br />
50<br />
blur, but I remembered a few of the<br />
so I began—<br />
"And they would be quite <strong>co</strong>rrect-
By the time I had re<strong>co</strong>vered a bit the blur was lifting, so I obliged with<br />
that truly noble passage which <strong>co</strong>mmences, "B. DE. TBR."<br />
Soon I came to where the letters get all blurry, and then the doctor took<br />
a hand.<br />
He did something to the crockery before my eye.<br />
"Is it better now ?" he says.<br />
"L.F.O.," I answered.<br />
"Is it any better ?" he asks.<br />
"I can see the letters, but I can't tell what they are."<br />
"Is it worse, then?"<br />
"It's not any better. I can't see it."<br />
"But is it better or worse ?"<br />
"Oh, no. It's not any worse. It's clear for the big ones, but then they<br />
look double to me."<br />
He altered the lenses again.<br />
"Is that better ?" he says.<br />
"They look like Chinese characters now," I replied. "Now they look as<br />
if they had lines through them."<br />
He twisted the lenses a bit more.<br />
"Oh, now they look upside down," I exclaimed.<br />
"Read on," he says grimly, "I was born that way."<br />
I was pretty mad by this time, so replied : "Well, you'll die right side up—<br />
with a rope to keep you so."<br />
But you can't ruffle these Collins Street <strong>co</strong>ves—not outwardly. He just<br />
heaves a bit of a sigh.<br />
"Mr. Smith," he says, "tell me. Can you see better like that or like this ?"<br />
"Like what ?" I snaps.<br />
"I altered the lenses a bit," says he, speaking very slow. "Can you see better<br />
with them as they are now ?"<br />
"No," I says. "Just about the same."<br />
"Well, is it better like this?" he says, monkeying with the glasses again.<br />
"Much of a muchness," I replied.<br />
"Bone. Pure bone," he mutters, sort of "so so voice." Then out loud,<br />
"Please read the letters and I'll judge for myself."<br />
"B. DE.," I began, but he interrupted.<br />
"In the sacred name of sanity, I <strong>co</strong>njure you to omit the earlier chapters,<br />
and to read only the lowest line you can manage."<br />
"I can't see it," I <strong>co</strong>nfessed. "It only looks like a row of dots to me."<br />
"But I merely asked for the lowest line you <strong>co</strong>uld SEE," he fairly shouted.<br />
"The sixth," I said.<br />
"Oh, read it, read it," he says.<br />
"I can't, after all," I replied. "Only a letter here and there."<br />
"Well, try the line above it."<br />
"PZE—PZE—er—and then I can't make out the next letter. It may be a<br />
U or an E or—"<br />
"Call it a 'U'," he says with a sigh.<br />
"USC," I finished triumphantly.<br />
He made me sit down in front of a black curtain.<br />
"Put your chin on the cross-bar," he says.<br />
"My chin ?"<br />
51
"Yes, your chin—that gentle declivity <strong>co</strong>nnecting your lower lip with your<br />
pomum adami, on which a sparse vegetation maintains a precarious existence."<br />
I did so.<br />
"Now," he says, brisk as a bookmaker, "<strong>co</strong>ver your left eye with your<br />
fingers, watch the white dot in the centre of the curtain, and tell me when you<br />
see the other dot appear below."<br />
I raised my head.<br />
"What other dot?" I asked.<br />
"This one I am holding in my hand," he shouts, waving it.<br />
"I can see it all the time," I said, with a grin.<br />
"Yes, but you're looking at it," he snaps. "Put your chin back on the<br />
cross-bar, watch the centre dot, and tell me when you see the other one."<br />
"NOW," I yells suddenly, and nearly bit my tongue off. I'd forgotten<br />
about that blamed cross-bar.<br />
"Didn't you see it before that?" he says.<br />
"Not much before," I answers through clenched teeth.<br />
At last he was finished (he gave the wife a terrible easy spin).<br />
"Now I shall want to see you both again in a <strong>co</strong>uple of days' time," he says<br />
with a smile. "Just look up a moment, please."<br />
I hadn't noticed the eye-dropper in his hand, and by the time I re<strong>co</strong>vered<br />
my breath we were both in the street, half blinded by the glare of the sun, in<br />
spite of a thick fog which had descended on the city since we went in to the<br />
doctor.<br />
Oculists is Hades !<br />
—"BRASSARD."<br />
LISTER'S FIRST EXPERIMENT WITH THE DRAIN-TUBE.<br />
(From Wrench's " Life of Lord Lister.")<br />
"Lister opened an abscess beneath Queen Victoria's arm. The operation<br />
was successful. He put in a strip of carbolic lint to keep the wound open<br />
for drainage. But, unfortunately, the matter of the abscess did not <strong>co</strong>me away<br />
properly, and the Queen was still feverish and in pain. Lister, disturbed by<br />
this unfavourable <strong>co</strong>urse, walked alone: in the grounds of Balmoral, a<br />
lonely walk being his custom when he had a difficult problem to solve. During<br />
his <strong>co</strong>gitations it 'occurred to him that a piece of indiarubber tubing<br />
might form an excellent path of exit to the discharge of a wound. It is illustrative<br />
of Lister's bold faith in himself that, though his patient was the<br />
highest in the land, he did not hesitate to make her the first subject of this<br />
experiment. He returned from his walk, cut a piece of tubing from the spray<br />
apparatus, and soaked it all night in carbolic. In the morning he made use<br />
of it, and at the next dressing, to his 'inexpressible joy,' the discharge was<br />
thin and watery."<br />
52<br />
0,0
d<br />
//<br />
op<br />
N<br />
000 luck, 'Ilan 1<br />
Our tennis <strong>co</strong>ntributor, whose identity is not difficult to guess, has written<br />
little <strong>co</strong>ncerning Ian McInnes. We think that something more should be said<br />
on the matter.<br />
. Congratulations, Ian ! on your selection in the Davis Cup team.<br />
I. D. McInnes is the first present student of the Melbourne "Shop" to be<br />
thus honoured, though two past students—P. O'H. Wood and R. C. Wertheim—<br />
have previously represented Australia in the Davis Cup.<br />
McInnes, though only lately turned 21, has been a front rank tennis player<br />
for years. He won the under 21 championship several times, and has been very<br />
successful in Interstate and championship tournaments. He ranks fourth in<br />
Victoria at present, after Patterson, Wood and Hawkes.<br />
McInnes' plpy is characterised by extreme grace of style. He has <strong>co</strong>mmand<br />
of every stroke, and knows when to use them. A little more sting, given by<br />
greater size and strength, would make him a champion. Good luck !<br />
Cricket.<br />
We started off the season with great dash, putting it all over district<br />
teams, having our photos. printed in the "Herald," and making victorious<br />
swoops on both Adelaide and Sydney. The end of the season was a bad anticlimax,<br />
however, and we finished up very much amongst the "also rans."<br />
It was a great season in many ways, though. In the first place, there<br />
was our magnificent win in the Inter-'Varsity, the first time we've raised the<br />
two flags for many years. What great matches they were ! No so much<br />
because of the closeness of the s<strong>co</strong>res (we won both pretty easily), but<br />
53
ecause of the pleasure of meeting such enthusiastic players and such cheery<br />
sportsmen as the Adelaide and Sydneyites. Inter-'Varsity stands head over<br />
shoulders above the rest of the matches in interest and enjoyment. It is the<br />
climax of the season.<br />
Then there was the immense success of Les. Freemantle, who, like the<br />
great cricket artist he is, rose to the zenith of his University career in his<br />
last year. And what a year ! Inter-club, Inter-'Varsity, Inter-State, and a<br />
star performer in all ! We suppose it's "good ye" to dear old Les. If it is,<br />
he has with him a good deal more in the way of "best wishes" than can be set<br />
down in black and white. Few greater cricketers have walked on to the<br />
University ground than Les.; no greater sportsman.<br />
Bill Bailey captained the team this year. Bill leads us as a sergeant-<br />
major grills his favorite squad—in paroxysms of roaring at any slight mistake,<br />
but with only the gruffest acknowledgment of any well-executed feat.<br />
To mention one thing he has done, the fielding of the team has improved 5o<br />
per cent. Bill had one or two triumphs in the junior interstate teams, but his<br />
greatest triumph was in refraining from swearing at the umpire in the<br />
Adelaide Inter-'Varsity match. Bill Irvine had a rotten batting season, but<br />
his skill at fielding and poker still excites the greatest admiration. Jack<br />
Hasker was the great find of the season, his favorite disguise being that of a<br />
stonewall, a disguise which he was able to throw off at any moment in a most<br />
startling manner. "Langie" was the high-velocity gun of the "battery," as<br />
the Adelaide papers call it, and at the end of the season had in his bag such<br />
champions as Ransford and Ryder. Baring, too, won't easily forget the ball<br />
that clean bowled him. Bern. Baker bowled the wily leg theory, his famous<br />
shooter being particularly destructive in Adelaide. "Jorg.," the other lefthander,<br />
left his mark on the Adelaide team, too, but was able to heal the<br />
wound at the dinner by a touching rendering of Rachmaninoff's "Prelude."<br />
Normey Mitchell put up his great effort with Ern. Austin in the opening<br />
innings against Adelaide. He is known, too, amongst district teams as the<br />
mystery bowler. Cliffey Craig showed some patches of excellent form behind<br />
the stumps, and was at one end of a number of batting partnerships. Ian<br />
Wood was a great battler at point in the Inter-'Varsity matches, bowled<br />
with head in Adelaide, and played a most dashing last-wicket innings in<br />
Sydney. Roy Beattie lifted some great drives to the outfield when he was<br />
batting, and stopped a good many lifts to the outfield when he was fielding.<br />
Altogether it was a highly enjoyable season, in spite of our later defeats.<br />
If Dick Porter is about at the end of this year we think we'll be able to do<br />
without these defeats next season.<br />
footbali.<br />
As the season is but yet a pup we can have but little news, except the<br />
arrangements' that have been made for the season and the results of the few<br />
matches played.<br />
There are still sixteen clubs in the M.A.F.A. So it was necessary to have<br />
two divisions, as last year, but the first division <strong>co</strong>mprises the best eight teams,<br />
of which two are "Shop" teams. The other division is made up of the eight<br />
weaker teams.<br />
The office-bearers for 1923 were elected at the annual general meeting, and<br />
are as follow<br />
54
President: Prof. A. J. Ewart.<br />
Vice -Presidents: Prof. Skeats, MT. 12'. C. Heatley, Mr. E. C. Crawford Mr.<br />
A. O'Brien, Dr. A. S. M. Tymms.<br />
Hon. Secretary: Mr. J. 0. Smith.<br />
Hon. Treasurer: Mr. J. R. Hasker.<br />
Committee: Vessrs. R. Broadbent, R. Sholl, NV. Orchard, F. Rusden, and<br />
K. Morrison.<br />
The two teams have been kept as much as possible the same as last year,<br />
but at present on paper the Blues appear to have a slightly stronger side, but<br />
when the whips are out in the finals we are sure the Blacks will be there.<br />
The Blues are captained by K. Morrison, while L. Lockwood is vice-captain.<br />
Up to the present they have been defeated by Hampton, Old S<strong>co</strong>tch Collegians<br />
and the Blacks. Without wishing to detract from our opponents' performances.<br />
we state that they were extremely unlucky not to beat Hampton, while they met<br />
S<strong>co</strong>tch in the vac., with a very weak side. Against the Blacks, also, they were<br />
<strong>co</strong>nsiderably weakened, as the s<strong>co</strong>res indicate : Blacks, to.i6; Blues, 5.13.<br />
The Blacks are captained by N. F. Mitchell, and W. Orchard is vice-captain.<br />
So far they have had three wins and two defeats. They have beaten Old<br />
Xaverians, Elsternwick and the Blues. They were defeated by S<strong>co</strong>tch in the<br />
first match of the season, and by Hampton at the Hampton ground (where they<br />
have only won one match during the last three seasons). But we venture to predict<br />
a rather warm reception for Hampton when they meet the Blacks on the<br />
oval, as the latter, we believe, mean to prove well and truly that they can play<br />
football and then some.<br />
One very pleasing feature is that keenness seems to be increasing, and, as<br />
this was very <strong>co</strong>nspicuous by its absence at the beginning of the season, it argues<br />
well for our chances this year, and for the building up of a strong Inter-'Varsity<br />
team, which we trust will reverse the result of last year.<br />
During the past season the M.U.B.C. have participated with some success<br />
at nearly every regatta of the season. The outstanding crew was an eight<br />
stroked by K. H. Hadley, which was successful in Maiden Eights at Henley, in<br />
Junior Eights at V.R.A., and came se<strong>co</strong>nd to Mercantile in the Champion Eights.<br />
Pairs and fours represented the Club at most of the Xmas regattas without<br />
success, but at Barwon an eight was got together by R. Keon Cohen, and by<br />
great enthusiasm in training were successful in the Maiden Eights again. It is<br />
an excellent sign that schoolboys now are rather waiting to join the M.U.B.C.<br />
than to row with other clubs in the Xmas vacation of their last year at school—<br />
a practice which several Shop oarsmen adopted during the re<strong>co</strong>nstructional<br />
period following the war. Automatically, once a man rows in a race with a<br />
club, he must race for that club during the remainder of his career. If the<br />
M.U.B.C. <strong>co</strong>ntinues to get the pick of the public schools eights every year, it<br />
will not be long before the Senior Eight will be of very high class again.<br />
The Inter-Collegiate Boat Race was held on April 20th and 21st, and<br />
resulted in an easy victory for the Queen's College crew, which supplied most<br />
of the men who represented 'Varsity in the Champion Eights. Indeed, it would<br />
have been a great surprise if they had been beaten.<br />
On the Tuesday before, Queen's defeated an Extra-Collegiate crew in a<br />
race for a new trophy, the John Lang Cup, given by some old Blues in memory<br />
55
of Mr. John Lang. The race will take place annually between the Extra-<br />
Collegiates and the winning <strong>co</strong>llege crew of the year before.<br />
In the heats Newman beat Ormond easily, and Queen's as easily ac<strong>co</strong>unted<br />
for Trinity. On Saturday Queen's were never hurried, and won <strong>co</strong>mfortably<br />
by about 21 lengths.<br />
The Se<strong>co</strong>nd Eights were rowed immediately before the Collegiate final,<br />
and, after a good race, Trinity were successful by three-quarters of a length<br />
from Queen's and Ormond, who put up a great race for se<strong>co</strong>nd place.<br />
The Inter-'Varsity crew has now been finally settled after a good many<br />
aggravating changes. Under the care of Mr. C. Donald, the eight is now starting<br />
to move nicely, and should do well in Sydney on June 1st. The eight at present<br />
is :—R. G. Orr (T.), W. N. Ricketts (E.), J. F. Williams (Q.), H. S. Thomsa<br />
(Q.), W. J. Pannell (N.), J. M. Buchanan (O.), H. C. Maling (E.), K. H.<br />
Hadley (Q.), str., J. James (Q.), <strong>co</strong>x.<br />
Extra-Collegiate members are taking great interest during the last term,<br />
and several beginners are undergoing <strong>co</strong>aching from the senior members. It is<br />
to be hoped that anyone who wishes to take up rowing will not be backward<br />
in <strong>co</strong>ming forward. A note to W. N. Ricketts in the Club House will be all that<br />
is necessary. Big men are urgently requested to look into this matter.<br />
STOP PRESS : Brisbane won the Inter-'Varsity.<br />
tennis.<br />
The first round of Inter-'Varsity tennis was played on March 28th and 29th,<br />
between Melbourne and Adelaide.<br />
The teams were :—Melbourne, McInnes (c.), Fitts, Hallowes, Holyman,<br />
Brown, Baker. Adelaide : G. Hone (c.), Sumner, Hoopman, R. Hone, Leidig,<br />
Willing.<br />
As a result of the first day's play Melbourne led by 7 rubbers to 5. Hal-<br />
lowes and Holyman s<strong>co</strong>red good wins against R. Hone and Hoopman respectively.<br />
Fitts extended G. Hone to 7-5 in the first set by good play, but then Hone<br />
showed his superiority, and won the se<strong>co</strong>nd set 6-1.<br />
On the se<strong>co</strong>nd day Melbourne increased their lead, and won 13 rubbers to 7,<br />
the last being unfinished. G. Hone defeated McInnes decisively, 6-3, 9-7. He<br />
served and smashed wonderfully, while McInnes seemed to be a bit out of<br />
touch. Hallowes played brilliantly against Hoopman, and, after 3 all in the<br />
first set, only allowed him 5 points in the last 9 games, 6-3, 6—o. McInnes<br />
and Fitts defeated G. and R. Hone, 6-3, 6-0. Fitts excelled himself, and<br />
played brilliantly, his smashing being very severe, while McInnes was steady.<br />
K. B. Brown played splendidly, winning both his singles, and <strong>co</strong>mbined well with<br />
Baker in the doubles.<br />
In the final Melbourne opposed Sydney, the holders of the Niall Cup, on<br />
March 3oth and 31st. Melbourne's team was the same as against Adelaide.<br />
Sydney: Halliday (c.), Parker, Todd, Aitken, Garvin, Brewster.<br />
At the end of the first day's play the s<strong>co</strong>re was 6 all. Fitts s<strong>co</strong>red a good<br />
victory over Halliday, 6-2, 6-4, after being 4-1 down in the se<strong>co</strong>nd set.<br />
Todd played brilliantly against Holyman, and defeated him, 6-4, 6-3. Brown<br />
and Baker had good wins over Brewster and Garvin respectively.<br />
A good double was that in which McInnes and Fitts defeated Todd and<br />
Aitken, 6-3, 4-6, 6-3. All four played well.<br />
56
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58
The final day provided a very exciting finish. In the morning Sydney won<br />
three singles, Holyman, Baker and Brown going down to Aitken, Brewster and<br />
Garvin respectively. Sydney thus led, 9 6. The turning point of the match<br />
was when Hallowes easily defeated Todd, 6-1, 6-3. Hallowes played brilliantly,<br />
his backhand driving being excellent, and well backed up by decisive<br />
volleying. McInnes was extended by Halliday, but won, 6—i, 3-6, 6-3. Fitts<br />
<strong>co</strong>ntinued his brilliant play, and allowed Parker only one game in the two sets.<br />
These wins made the s<strong>co</strong>re 9 all. Hallowes and Holyman then defeated Gargin<br />
and Brewster by steady play, with good smashing by Holyman. The match<br />
was finally decided by Baker and Brown defeating Aitken and Todd by good<br />
play, Baker serving and smashing splendidly. McInnes and Fitts defeated<br />
Halliday and Parker, 7-5, b-2, in what was more or less an exhibition match.<br />
Melbourne thus won an exciting match by 12 rubbers to 9, regaining the<br />
Niall Cup for 1923.<br />
The visitors were entertained at the Princess' Theatre on Thursday, 29th,<br />
and at dinner at S<strong>co</strong>tt's Hotel on Saturday.<br />
The annual meeting was held in the Club House on Monday, April 9th.<br />
The following office-bearers were elected :—<br />
President : Professor Skeats.<br />
Vice-Presidents : Profs. ferry, Rivett, Mr. Sproule, Judge Williams.<br />
Hon. Secretary : C. Focken.<br />
Committee : B. Baker, K. B. Brown, C. H. Fitts, I. D. McInnes.<br />
I. D. McInnes is to be <strong>co</strong>ngratulated on his inclusion in the Davis Cup team<br />
f or 1923; also for his recent successes in Adelaide, where he won the Mixed<br />
Doubles Championship with Miss Boyd, and was runner-up to G. L. Patterson<br />
in the Singles. C. H. Fitts is also to be <strong>co</strong>ngratulated on his Interstate successes<br />
in Sydney and Adelaide.<br />
atble ttCS.<br />
Athletic sports ;<br />
Only <strong>co</strong>me once a year.<br />
Thank goodness !<br />
For we've got to scratch up something about them.<br />
Meds. not so prominent this year.<br />
Still a few on the <strong>co</strong>mmittee, however.<br />
And we must mention the retirement of the two old hairies, Macmillan and<br />
Hewitt, who've been joint hon. secretaries for years.<br />
Former was elected captain at annual general meeting, but has since left on<br />
a jaunt to Sweden and London to show them there how to run.<br />
We wish him the very best of luck.<br />
First day was 'Varsity championship day.<br />
Meds. only won four championship events, which isn't too good.<br />
Perhaps some aren't game to train seriously for fear of developing epilepsy.<br />
Anyway, it's a big business.<br />
One, Eccles, pole vaulted better than anyone else.<br />
We were told that Jack, between his jumps, sought the <strong>co</strong>mpany of Hutchison<br />
and Rainey, but we don't believe that.<br />
If they'd said the last two had been seeking Jack's <strong>co</strong>mpany—well-<br />
Claud Hallett won the loo in the last few strides. A good run.<br />
He was unlucky, too, to lose the 220 to Clinton.<br />
59
Bob Almond retained his title in the hurdles. He also <strong>co</strong>llared the long jump.<br />
Various Gentiles s<strong>co</strong>red in the other championship events.<br />
O'Brien won the quarter, and Eddy the high jump.<br />
Ross was too good for his opponents in the half and the mile. What a fine<br />
runner he is.<br />
Tubby Dodds heaved and putt with his usual virility, beating his own re<strong>co</strong>rd<br />
in the hammer throw.<br />
In the handicap events Jim Buchanan's "young feller" walked well, and<br />
broke the tape in the mile walk.<br />
In Wally Macmillan's absence, his brother upheld the family rep. in the<br />
<strong>co</strong>llegiate Too.<br />
Almond managed to pull off the hurdles from the back mark.<br />
Quite a good day's sport.<br />
Inter<strong>co</strong>llegiate sports promised to be one plurry good go.<br />
They were.<br />
Ormond, two points up, and long jump to go.<br />
They say strain predisposes to atheroma.<br />
We'll say, quite a few interested spectators' arteries will be that way—in<br />
time, anyhow.<br />
Last event, however, went to the leaders.<br />
Almond jumped 23 ft. ol in.—a State re<strong>co</strong>rd.<br />
Clinton was se<strong>co</strong>nd, so total victory was by 5 points—Ormond, 681; Newman,<br />
631.<br />
Bloomfield won the putt, while Borland and Sproles halved the high jump.<br />
Seekamp pinched the half and the mile—the former in 2 min. 2 1-5 sec.—<br />
another re<strong>co</strong>rd.<br />
Newman got all the three sprints—Clinton the Too and 220, and O'Brien<br />
the quarter.<br />
Hurdles again to Almond—also two se<strong>co</strong>nds—in the Too and 220.<br />
Queen's, 20 points, and Trinity, 19, didn't have a look in.<br />
Intervarsity sports.<br />
On performances Melbourne should win, but you never can tell.<br />
Witness the young man of Cape Horn.<br />
Adelaide and Sydney will be over.<br />
The good old president, Dr. Kent Hughes, has promised the teams a dinner<br />
after the sports.<br />
We aren't prophets, but to us there's no doubt who'll be president for years<br />
and years and years.<br />
Which is our way of thanking him.<br />
And why not?<br />
STOP PRESS : Melbourne won the Inter-'Varsity.<br />
lbocke9,<br />
The Hockey Club looks forward to the present season with every prospect<br />
of its being a most successful one. Despite the fact that the grounds have been<br />
very dry and hard, players have been turning out regularly, getting rid of the<br />
superfluous adipose tissue which has accumulated since last winter.<br />
We are fortunate in having, as our President Mr. Alan Newton, who was<br />
Captain of the University team in 1909; also, we have eight of last year's team<br />
60
again available, and, with many "B" grade players showing good form, the<br />
struggle to obtain (and to retain) positions in the Inter-'Varsity team will be<br />
keen. J. A. Thwaites, who was Captain last season, has again been elected to<br />
that position, and to him we offer our <strong>co</strong>ngratulations.<br />
It had been intended to enter two "A" grade teams this season, but, owing<br />
to the fact that players may not be changed from the one team to the other, it<br />
was decided to enter one "A" and two "B" teams. The "A" team has won<br />
both matches played so far, the first being against Fairfield, last year's premiers.<br />
The "B" grade matches have not yet started.<br />
H. A. Maling is not yet available, as he is rowing with the University crew.<br />
First and se<strong>co</strong>nd year men would be particularly wel<strong>co</strong>med as recruits, as it<br />
is from the Meds. that the Club draws most of its players, and, unless new<br />
players can be got from these years, we cannot hope to build up such strong<br />
teams in future years. Sticks are made available by the Club for beginners,<br />
and there is plenty of room for new players. For the last four years Meds.<br />
have held the Spencer Cup against the other faculties, and have <strong>co</strong>mprised<br />
75 per cent. of the Inter-'Varsity teams. Let the men in the junior years carry<br />
on the good work !<br />
Congratulations to Messrs. W. J. Mallinson, C. J. Sharp, and Drs. R. F.<br />
May and G. R. Davidson, all of whom have finished their University <strong>co</strong>urses.<br />
We hope to meet them all on the field this year, and show that, although we<br />
miss them, we are still (as one report put it recently) a "fast and deadly <strong>co</strong>m-<br />
bination."<br />
—W.D.L.F.<br />
Rifle 1)ootin3.<br />
We enter upon this year with very healthy prospects, for, although we<br />
sustain a casualty in that a former captain, Dr. L. M. Smith, will not be shooting<br />
for us this year, we have received large reinforcements of new members, and<br />
hope to maintain our success of the last year.<br />
The 1922 Club Championship, <strong>co</strong>mpleted in the third term of last year; was<br />
annexed by H. G. Mitchell, with 266 points, from L. G. Griffiths, 262, and<br />
A. C. Pedler, 26o.<br />
The Club has entered a team in the Pennant Matches <strong>co</strong>nducted by No. 21<br />
Rifle Clubs' Union. Teams of six. Handicap and Scratch Matches over 300,<br />
500, 600, 700, Boo and goo yards. Ten shots each range.<br />
The Club won the Handicap at 50o yards with 30o points (possible), and<br />
were amongst the leading teams in the other matches. In the Aggregate for<br />
the three Handicap Matches over 300, 50o and 600 yards, the Club tied with<br />
Footscray for first place.<br />
These Pennant Matches are still in progress.<br />
C. W. Nye, s<strong>co</strong>ring 48 out of possible 5o, tied with H. V. Siddle (M.R.C.)<br />
and T. Pettit (Fairfield) for best s<strong>co</strong>re of the day at 30o yards, and at 50o yards,<br />
with 5o (possible), he again tied for individual honours with L. Armstrong and<br />
D. R. Davies (M.C.C.), but lost the tie-shoots.<br />
C. W. Nye, C. H. Dickson, W. P. Heslop (3 matches), A. C. Pedler, N. B.<br />
White (2 matches), H. G. Mitchell, L. G. Griffiths, N. J. Griffiths, J. G. Barnaby,<br />
A. R. Haywood (I match) have represented the Club in these matches.<br />
The V.R.A. Annual Matches, held at Williamstown during March, were<br />
attended by several of our members, and, in addition to the trophies won, the<br />
experience gained should prove of great value to them later on.<br />
61
At the annual meeting, held in the Biology School on 22nd March, the<br />
trophies won during 1922 were presented to the winners by the President (Sir<br />
D. Orme. Masson). Members also took advantage of the occasion to make presentations<br />
to the Captain (A. C. Pedler), in re<strong>co</strong>gnition of his sterling services<br />
in entirely reorganising the Club, and to whose efforts the high standard of<br />
efficiency to which the Club attained last year was largely due ; and to C. W.<br />
Nye, to mark his success in making the highest individual s<strong>co</strong>re in each of the<br />
last three Inter-'Varsity Matches—some re<strong>co</strong>rd, indeed.<br />
This year's Inter-'Varsity Match will be held in Sydney during the August<br />
vacation. Teams representing Adelaide, Sydney and our own Club will <strong>co</strong>mpete<br />
for the Nathan Shield, which we hold.<br />
Inter-faculty <strong>co</strong>ntests for the North<strong>co</strong>te Cup, won last year by Meds., will<br />
be fired about the end of the se<strong>co</strong>nd term, just prior to the Inter-'Varsity Match.<br />
First year Meds. will be <strong>co</strong>rdially wel<strong>co</strong>med at practice on Saturday afternoons.<br />
There is a large supply of bovine optics on which they can operate.<br />
'omen's Trennis.<br />
This year the tennis looks quite hopeful. Why, one may ask. Well, the<br />
Meds. are represented, and that's sufficient!<br />
It is a great help to have Miss Dua Davies back in the four. For a year she<br />
has been unable to play, owing to illness. Now she has got back all her old<br />
form, plus something extra. Miss K. Stephenson is in again this year.<br />
The matches are to be played in Adelaide this year, beginning the 21st May.<br />
Brisbane is plucky enough to send a team all the way to S.A., so four teams<br />
will be <strong>co</strong>mpeting.<br />
The 'Varsity four are :—Miss Tovell (Arts), Miss D. Davies (Med.), Miss<br />
Mary Davies (Science), and Miss K. Stephenson (Med.).<br />
The se<strong>co</strong>nd pennant also has the privilege of having two Med. representatives.<br />
The worthy pair are Miss P. Tewsley and Miss S. Hawkins. These<br />
matches start May znd.<br />
The national song of Bolshevik Russia.—"I'm forever blowing roubles."<br />
62
Commentaries.<br />
MEDICAL—DR. KEANE.<br />
Female, wt. 45, school teacher. First seen, February, 1923.<br />
Became ill two nights ago. Felt dopy and feverish, and suddenly developed<br />
severe frontal and occipital headache, with shivering. Took her own temperature,<br />
which was 102. Took two aspirin tablets and a hot bath before going to<br />
bed. Felt better in a.m., and did her day's work, although suffering still from<br />
headache, mostly in occipital region. Was very tired in evening. Took more<br />
aspirin and an aperient. As her head was still aching in the morning, and her<br />
temperature was I00°, she remained in bed, and sought medical advice in the<br />
afternoon.<br />
Patient had been under my care on and off for about three years. She had<br />
slight visceroptosis, and suffered much from flatulent dyspepsia, which had been<br />
relieved by careful dieting, but which always recurred if she took any liberties<br />
with her diet. She was of a highly neurotic disposition, and had a good deal of<br />
nervous disturbance at the climacteric. When za. 15 she was under medical care<br />
for twelve months with a suspicion of lung trouble.<br />
Examination showed patient's temperature 102°. Pulse R. 77. Tongue<br />
clean, throat slightly engorged. Heart : A.B. 5th I.S., inside N.L., sounds clear.<br />
Lungs : Suspicion of prolonged expiration at L. apex, no adventia. Nervous<br />
system, N.A.D. Abdomen, N.A.D.<br />
During the first week of her illness the temperature ranged between Too°<br />
in the morning to 103° in the evening. B.O. only with aperients, stools loose.<br />
Urine 1025, water Ai, no alb., no sugar, no pus. B.P. 130.<br />
During the se<strong>co</strong>nd week patient's temperature had about the same range,<br />
and she still <strong>co</strong>mplained of severe headache, chiefly occipital. During this week<br />
a few scattered rhonchi <strong>co</strong>uld be heard in her chest, though she said she rarely<br />
<strong>co</strong>ughed, and had no expectoration. Bowels still not open without assistance,<br />
stools loose. Examination of her abdomen disclosed no spots, no tenderness<br />
anywhere, no enlargement of the spleen, no signs of any free fluid. Her Widal<br />
was negative.<br />
During the third ,week her temperature began to show greater remissions,<br />
ranging from 104° at night to 99° in the morning, with profuse sweating. Her<br />
headache disappeared, and she said that she was feeling better, but her apex<br />
beat had shifted out slightly, and a soft cystolic murmur <strong>co</strong>uld be heard, which<br />
was <strong>co</strong>nducted out for about an inch from the A.B. A trace of alb. appeared<br />
in her urine. The lung signs were unchanged.<br />
Towards the end of the third week she developed tenderness in the R.<br />
hypochondriac, and one <strong>co</strong>uld feel what seemed to be a tender liver margin. Her<br />
tenderness became most marked over the region of the gall bladder. She was<br />
not jaundiced. There was no bile in her urine.<br />
Discuss the possible diagnosis in this case, and the steps you would take on<br />
the facts presented to elucidate the diagnosis.<br />
SURGICAL—MR. FAY MACL URE, M.D., F.R.C.S.<br />
(Hon. O.P. Surgeon, A .H )<br />
H.H., male, wt. 59, labourer.<br />
In April, 1919, admitted to hospital, <strong>co</strong>mplaining of abdominal distension<br />
with little pain and diarrhoea for two weeks. A year before had been in hospital<br />
with the same symptoms.<br />
63
On Examination.—Wass + ye. Marked distension of abdomen ; progressive.<br />
Visible waves of peristalsis, no tenderness or rigidity ; tympanitic ; no<br />
area of dullness.<br />
Motion : Fluid faeces, no blood, no pus.<br />
P.R., nothing abnormal detected.<br />
Discharged after five weeks in hospital.<br />
In November, 1919, again admitted to hospital, <strong>co</strong>mplaining of indefinite<br />
abdominal pains, which appear to he <strong>co</strong>licky in nature. Says abdomen has<br />
been more or less distended since previous treatment. Bowels open daily, but<br />
it is necessary to take purgatives. Now admitted because of increase of pain<br />
for two days. Increase of distension and of vomiting on two occasions. Has<br />
not lost weight or strength. Appetite good. No <strong>co</strong>ugh in dyspncea. Nocturnal<br />
micturition 2 or 3 times a night. No dysuria or hxmaturia.<br />
R. eye removed 5 years ago, L. eye normal.<br />
On Examination.—T. 98, P. 76, R. 24. Urine 1020, Ac. No alb. or sugar.<br />
Well-built elderly man, not looking acutely ill. Heart and lungs clear.<br />
Abdomen : Very marked distension of whole abdomen ; tympanitic ; no<br />
dullness detected ; no tenderness.<br />
P.R., nothing abnormal found. Nervous system ditto.<br />
Discuss the diagnosis and the treatment in detail.<br />
1Re.til0 of Corninentario.<br />
DR. TURNBULL.<br />
Dr. Turnbull awarded his prize of £11.t/- to Mr. T. Heale.<br />
The heart in this case was undoubtedly damaged by the rheumatic infections<br />
to which it had been subjected. There was a mitral valvulitis, and also it<br />
had definitely failed on one occasion when subjected to an ordeal which a normal<br />
heart might certainly have been expected to undergo with ease. Spinning a<br />
heavy motor caused <strong>co</strong>llapse, probably an acute dilatation, though there is no<br />
definite information as to the actual <strong>co</strong>ndition at that time. This was re<strong>co</strong>vered<br />
from <strong>co</strong>mpletely after rest and care, and he was then quite well till the attack<br />
of influenza. This infection, acting on a damaged heart, caused so much further<br />
weakening as to produce on very slight exertion definite signs of failure, chiefly<br />
cardiac pain. Note that pain appeared before sufficient exertion <strong>co</strong>uld be taken<br />
to give rise to dyspncea. This is <strong>co</strong>mmonly seen.<br />
The prognosis must take into ac<strong>co</strong>unt the transient nature of the added<br />
toxaemia, and this, with the absence of the signs of ordinary cardiac failure, and<br />
the good <strong>co</strong>ndition at rest, makes it reasonable to look for restoration to, or<br />
nearly to, the pre-influenzal level. He was kept in bed for ten days, with moderate<br />
doses of bromide, and then gradually increasing exercise was given, and<br />
within two months he was back at work, and able to do as much as before his<br />
illness. The significance of a transient or removable cause for the cardiac pain<br />
is of the utmost importance.<br />
64
MR. DEW.<br />
Prize of £0/- awarded to Mr. Burwood.<br />
Diagnosis.—Mesenteric Thrombosis with un<strong>co</strong>mplicated inguinal hernia.<br />
Notes.—The presence of a large inguino-scrotal hernia, with severe abdominal<br />
pain, <strong>co</strong>mbined with tenseness and tenderness locally, led to the preoperative<br />
diagnosis of strangulated hernia. The extreme <strong>co</strong>llapse, the slight<br />
degree of abdominal distension, and the absence of absolute <strong>co</strong>nstipation were<br />
a typical feature which were noted at the time, but were not <strong>co</strong>nsidered sufficient<br />
cause to review the diagnosis.<br />
At operation there was no doubt that there was no strangulation of the small<br />
bowel. The interesting feature was the presence of many pints of blood-stained<br />
peritoneal exudate. This is the sign around which a discussion of the <strong>co</strong>ndition<br />
should be centred. The following diagnosis should be <strong>co</strong>nsidered :.-<br />
(r) Strangulation of small bowel, with ac<strong>co</strong>mpanying vascular <strong>co</strong>ngestion.<br />
(2) Acute Pancreatitis.<br />
(3) Acute hxmorrhagic peritonitis.<br />
(4) Mesenteric thrombosis or embolism.<br />
(5) Malignant disease of the peritoneum.<br />
The finding of a length of small intestine, intensely engorged with no definite<br />
<strong>co</strong>nstriction, and the absence of any obvious disease elsewhere, led to the<br />
diagnosis of mesenteric thrombosis. The age of the patient, the <strong>co</strong>llapse and<br />
agonies, the extreme pain are all in favour of this.<br />
At the Autopsy.—A semi-gangrenous <strong>co</strong>nditioh of several feet of small<br />
intestine, with thrombosis of several of the large branches of the superior mesenteric<br />
artery. The vessels were all thrombosed, causing great thickening of the<br />
mesentery. No cardiac disease, apart from atheroma of the aorta, and marked<br />
atheromatous change in the abdominal aorta and branches.<br />
Etiology.—(1) Senility with sluggish border line circulation.<br />
(2) Arterial disease.<br />
(3) Some mild injective process or mild trauma which indicates the<br />
thrombosis.<br />
Valete<br />
DR. F. H. ANDERSON.<br />
The announcement of the f orth<strong>co</strong>tning resignation of Dr. Anderson from<br />
the position of Lecturer in Anatomy will be received with regret by all members<br />
of the Melbourne Medical School.<br />
Dr. Anderson was an Ormond student, and, while there, was a member of<br />
the Eight, and an active participant in student affairs. We have heard from<br />
his own lips that College rowing is not what it was in his day. However, he has<br />
always been willing to do what he <strong>co</strong>uld to raise the standard, by <strong>co</strong>aching crews,<br />
finding them rough, and leaving them good. After graduating, Dr. Anderson<br />
E 65
was the first Stewart Lecturer in Anatomy, holding the position for three years.<br />
Later he was examiner in anatomy for three years, and spent some time in<br />
private at Benalla.<br />
He enlisted, and remained in the army from 1914 to 1920. He became<br />
Colonel, Asst. Director of Medical Services, and was de<strong>co</strong>rated. He returned<br />
to Melbourne in 1920, having received a cable with the offer of the Lecturership<br />
in Anatomy, which he accepted.<br />
Dr. Anderson has been very active in the medical world apart from his<br />
University duties, being a <strong>co</strong>mmitteeman of the B.M.A., and secretary of the<br />
Permanent Post Graduate Course Committee, to name duly two of his many<br />
activities.<br />
Lately he has been engaged in <strong>co</strong>llaborating with Professor Berry in the<br />
production of a book, "Brain and Mind," shortly to be published in London.<br />
Such is a brief outline of the salient points of Dr. Anderson's career. But<br />
this is only bare bones, and it is the man students will remember. "Jock" was<br />
always willing to give a hand to students in difficulties.<br />
A cheerful man, with charming personality, even the cadavers wore a more<br />
pleasant aspect when he entered the room. He gave great help in the re<strong>co</strong>nstitution<br />
of the M.S.S. and "Speculum" Board, and was always ready with advice<br />
(and good advice, too) on matters of student life.<br />
In <strong>co</strong>nclusion, we can only give him the best wishes of the Med. students<br />
for his future work, and the wishes of such a multitude must carry weight<br />
somewhere.<br />
DR. S. W. PATTERSON.<br />
Dr. Patterson graduated in Melbourne in 1904, and Was later resident at<br />
the Melbourne and Children's Hospitals. Later he became M.D.Melb., and University<br />
Scholar in Physiology, and was appointed Beit Memorial Research<br />
Fellow in 1911. He was chiefly occupied with research work in the physiology<br />
of diabetes and cardiology. Much of this work was done at University College<br />
Hospital in London, at the Lister Institute, and in Germany till the war broke out.<br />
Enlisting, he was Captain in the R.A.M.C., and throughout the war did hospital<br />
and pathological work. The end of the war found him Major, R.A.M.C.,<br />
and Assistant Director of Pathology, Rouen.<br />
He returned to London, and became D.Sc., and in 1919 was appointed<br />
Director of the Walter and Eliza Hall Institute of Research. While there, and<br />
previously, he published many pieces of research work in physiology, biochemistry,<br />
bacteriology and pathology.<br />
Lately Dr. Patterson accepted an appointment as Physician to Duff House,<br />
Ruthen, North Wales. He will <strong>co</strong>ntrol the laboratories there. This institution<br />
is a branch of the well-known Duff House in S<strong>co</strong>tland, and is <strong>co</strong>nducted by the<br />
Medical Research Council. Patients suffering from special metabolic diseases,<br />
such as diabetes, are admitted to this hospital, and the fullest investigation is<br />
carried out.<br />
Dr. Patterson, while O.P. physician at the Melbourne Hospital, was an able<br />
clinician, and gave many valuable demonstrations to students in the post-mortem<br />
TOM.<br />
What we lose, England gains, but that in no way makes less the sense of<br />
our loss.<br />
66
Sam. Woods.—H.S., West London Hospital.<br />
Lin. Male.—Richmond (London).<br />
Ray Hennessy, Lee, Bunny Cato, Bill Cuscaden.—Lectures at Middlesex<br />
Hospital for F.R.C.S.<br />
Ian Pender.—H.S., Leamington Spa.<br />
Ron. Cuttle.—Blighty.<br />
Dick Saltau.—St. Mary's, Manchester.<br />
Bob Brodie.—H.S., St. George's. Very bold and gay.<br />
B. Clarke.—Clinical Assistant, Guy's Hosp. Learned in X-rays.<br />
Carl Wood.—Back with F.R.C.S., Ed.<br />
"Wog" Mackay.—Passed F.R.C.S. Primary ; now in Dublin.<br />
Gilles Wynne.—Nose and Throat in Birmingham.<br />
Harrie B. Lee.—X-ray therapeutist in London.<br />
Chas. Kellaway.—Experimental Research at U.C.H.<br />
Bill Johnston.—England.<br />
Rex Sweetnam and Dorothea Church.—As expected.<br />
Dougall McCowan.—Yea.<br />
Keith Fairley.—Back to childhood.<br />
Tommy Harris.—Ipswich.<br />
Roy Stevens.—Engaged, and looking round.<br />
Cliff. Mallalieu.—Wyndham, W.A. Specialising in P.M's. and <strong>co</strong>rroborees.<br />
P. J. Campbell.—Private, Natimuk.<br />
Keith Abernethy.—Kojenup, W.A.; lately married ; "sic transit."<br />
Rexie Clarke.—Southern Cross, W.A. ; finds obstetrical work simple.<br />
0. W. Rawson.—Private, Elmore; engaged, and supporting a car.<br />
Hedley Somers.—Understudying Bill Lemmon, Geelong Hosp.<br />
Bill Lemmon.—Super., Geelong.<br />
Paddy Moran.—Skirt chasing in England.<br />
J. T. Tait.—Assisting Thomson Walker, England.<br />
J. R. Bell.—Mentioned in "Lancet" as Moynahan's off-sider in Pathology<br />
of Gastric Ulcer.<br />
67
Pod Watson.—Round town, avec car, seeking a job.<br />
Nugget True.—Private, Malvern.<br />
E. W. Chenoweth.—Last seen in town sacrificing his spinsterhood.<br />
C. E. Backwell.—Honeymooning in England.<br />
Les. Hurley.—Private, Murrumbeena ; doing well, and taking a rest for a<br />
while.<br />
Arthur Crooke.—Fishing and golfing at Dunolly; finds time for a little work.<br />
J. Henderson.—Naval Base.<br />
Conk Hayes.—Amongst the best people at Ivanhoe.<br />
H. R. Hawkins.—Last heard of in England.<br />
Bob Wallace.—F.R.C.S., England.<br />
Aroldoo.—Breaking the heads of hydatids with a new car of icteric tint.<br />
Tommy Barker.—Home with mother at Fiji.<br />
Catchlove.—Surgical Asst., O.P., M.H.<br />
Henry Searby.—Life just one damned cadaver after another ; Stewart Lecturer<br />
in Anatomy.<br />
Gordon Cameron.—Stewart Lecturer in Path.; Armytage Research Prize.<br />
Keeps the A.M.J. going.<br />
Noel Brown.—Private, Mildura.<br />
Kelmar.—Last seen attached to a walking stick and cigar.<br />
Bill Greer.—Down for the races.<br />
Oswald Carr.—Wyalcatchem, W.A.; well married.<br />
Alan McCutchean.—Assistant O.P., Kids ; very popular with the mothers.<br />
Fat Derrick.—A.D.C., Turnbull, England.<br />
Sandy McLorinan.—Se<strong>co</strong>nd in <strong>co</strong>mmand, Fairfield.<br />
Mildred Mocatta.—Amongst the Insane.<br />
Esme Anderson.—Eye and Ear.<br />
Jean Littlejohn.—Also Eye and Ear.<br />
Beatrice Warner.—Upholding the social side of the Walter and Eliza Hall.<br />
Marion Wanliss.—Cancer Research Scholar. Helping to "push the curtain<br />
a little further back."<br />
H. F. Maudsley.—Assistant Medical O.P., M.H. Married.<br />
W. H. J. Moore.—Still demonstrating at Path. School in between exacerbations<br />
of private practice.<br />
S. 0. Cowan.—Collins Street, etc.; dermoid on labium superior.<br />
"Jock" Anderson.—Retired from Anatomy School, and leaving for England.<br />
We wish him the best of luck.<br />
Monk Harbison.—Private, Newcastle, N.S.W. Married.<br />
Mart Gavin.—Invalided with damaged oscalcis.<br />
Val. Brownell.—Still on the "Terrace," South Australia. Proptosis of<br />
waist<strong>co</strong>at and bank balance.<br />
Hughie Melville.—Repat., Queensland.<br />
"Frank" Shannasy.—Returned from Adelaide. Taking things easy.<br />
Alma Admans.—Residing at Fairfield.<br />
Peggy Anderson.—Well married. Snapped from the bargain <strong>co</strong>unter at<br />
Myer's.<br />
Len Johnson.—Private, Tatura.<br />
C. E. Cook.—Private, Canungra, Queensland. Contemplating.<br />
Lex Matthew.—Private, Tongala, avec wife.<br />
T. A. Harris.—Ipswich, Queensland.<br />
A. W. Bayley.—R.M.O., Kyneton Hospital.<br />
68
S. Rabe.--Private, Murtoa.<br />
S<strong>co</strong>tch Fulton.—Private, Geelong.<br />
E. Prendergast.—Private, Ripponlea. Congrats. on M.S.<br />
Bill Flannagan.—Private, Donald.<br />
J. O'Keefe.—Private, Moreland.<br />
Bill Collopy.—Trafalgar. Considering matrimony.<br />
H. N. Mortenson.—Yarrawonga. Flourishing as ever.<br />
Basil Colahan and Leo Doyle.—Heading for England.<br />
Tom Tighe.—Private, Benalla. Wgt., i6 st.<br />
Johnny Byrne.—Mater Miseri<strong>co</strong>rdiw Hospital, Brisbane.<br />
"Lad" Lane.—Private, Brisbane.<br />
F. M. Burnett.—One of the <strong>co</strong>mpany at the W. and E. Hall "putting the<br />
wind up" the spirochxte.<br />
F. W. Green.—Specialising in anaesthetics and "plus fours."<br />
McCowan.—Private, Yea. Married.<br />
H. B. Graham.—Appointed Super., Kids.<br />
Bob Southby.—Congrats. on M.D.<br />
A. P. Derham.—Super., Neglected Kids, Royal Park. Running his motor<br />
cycle on "humanised milk" with success.<br />
H. L. Praagst.—Partnership with Clendinnen in X-ray swindle. Also engaged<br />
(vide society <strong>co</strong>lumn, any paper).<br />
H. Furnell.—Private, Abbotsford.<br />
Zac. Schwartz.—Writes from India with tales of marvellous feats in surgery.<br />
Bongey Longden.—Private, Bungaree. Sporting activities.<br />
Moke Ja<strong>co</strong>bs.—Private, Bendigo.<br />
E. Rosanove.—Private, Tocumwal, N.S.W.<br />
Jim Brown.—Trying England as a cure for Dysphoma and F.R.C.S.<br />
Sam Fitzpatrick.—Leading the field at Hamilton with X-ray findings.<br />
Ivan Connor.--Private, Coleraine.<br />
S. A. McKenzie and W. Griffiths.—R.M.O's., Women's Hospital.<br />
Violet Eddy.—Labour Ward, Women's H.<br />
Kate McKay.—Queen Victoria Hospital.<br />
Squeaker Martin.—Burnie, Tas. ; Fair, Fat and Functionating.<br />
Bertie Woods.—Goulburn, N.S.W. Wondrous tale of a son.<br />
Eric Woods.—Hay, N.S.W. Married, without wondrous tale.<br />
Jean Davis.—Back from Korea.<br />
Arthur Joyce.—Eye and Ear.<br />
Eric Glassf ord.—Ear and Eye.<br />
A. P. Lawrence.—Assistant Surgical 0.P., M.H.<br />
Jean Staley.—Back to the Bush from Kew.<br />
Ivan Blaubaum.—Private, Malvern ; also Assistant at Alfred.<br />
Jack Grieve.—Commenced in Collins Street ; good to students at Kids.<br />
Reg. Webster.—Pathologist, Kids.<br />
K. S. Cross.—Afternoon tea parties for students at my rooms with nurse.<br />
Mark Gardner.—In between meetings of League of Nations, does a little<br />
ophthalmic work. Recently seen with intermittent claudication.<br />
Keith Stephenson.—Private, Daylesf ord.<br />
Buck Ebbleton.—Successor to Cowan in Private.<br />
Aberdeen.—Private, Northern W.A.<br />
Beamish.—Private, Northern W.A.<br />
Le Soeuf.—Resident, Perth Public.
Henry Rogerson.—Lunacy expert, Kew.<br />
Eddie Rogerson.—Private, Kaniva ; eagerly awaiting the next census.<br />
F. Drake.—Breaking the hearts of the nurses at Kids.<br />
D. L. Yoffa.—By rotation at the Kids ; always surrounded by a clinic.<br />
Pink Smith.—Spent a vacation in Fairfield.<br />
Wally Johnston.—Off to England. "Why am I always the bridesmaid?"<br />
Jockie Noyes.—Nursing staff bucked on his return.<br />
Ronald Wettenhall.—England.<br />
Vic. Hurley.—Lost car, but found a son.<br />
D. L. Thomas.—Shortly to publish "My Investigations in Private."<br />
Norman Matthews.—Ardrossan, North Peninsula. Bill a fine boy.<br />
Roy Bartram.—Mt. Barker, with Wunderly. Raises petunias, phlox and a<br />
family.<br />
C. Watson.—Left Bunyip. Looking round.<br />
Noel Ball.—Heath<strong>co</strong>te, talking gum-trees.<br />
Rawson.—Private, Elmore. Also <strong>co</strong>ntemplating.<br />
John Kelly.—Left for England. Also engaged.<br />
Everybody else in Collins Street, England, or W.A.<br />
WHAT WILL THEY SAY IN 1983?<br />
The early physiologists looked upon the thyroid gland as having no<br />
essential function, probably from its having no duct by which its secretion<br />
<strong>co</strong>uld be <strong>co</strong>nveyed to the general system ; and from its variable size, shape,<br />
and position, it was stated to be for the purpose of rounding out the neck,<br />
as having some <strong>co</strong>nnection with sleep, as influencing the voice, that it acted<br />
as a reservoir for the blood regulating the brain supply. The <strong>co</strong>nnection of<br />
the gland with the organs of generation had very early attracted the attention<br />
of the laity. In Southern Italy it has long been the custom for the<br />
parent to measure the circumference of the daughter's neck before and after<br />
marriage, an increase in size being <strong>co</strong>nsidered as an evidence of <strong>co</strong>nception.<br />
70
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For Science's Latest in<br />
SURGICAL GOODS<br />
Students' Half Skeletons in Cases. Skeletons<br />
—Finest Selected Articulated. Disarticulated<br />
Skulls in I, 2, 3 and 5 Sections. Pelvis Bones<br />
with Ligaments. Hands, Feet, Arm Bones, &c.<br />
Students' Dissecting Sets.<br />
OUR ONLY ADDRESS:<br />
DENYER'S<br />
264-266 SWANSTON ST. (Four Doors from Lonsdale St.)<br />
85
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HIGHEST STANDARD<br />
. . IN . .<br />
- - SURGICAL . . . .<br />
INSTRUMENT . .<br />
. MANUFACTURE<br />
AUSTRALIAN<br />
MADE—In our<br />
Workshops<br />
SURGICAL CUTLERY<br />
Forcep work of all descriptions.<br />
Individual ideas carried out in any instrument.<br />
Alterations and Repairs receive our strictest<br />
supervision.<br />
Students' Requisites, Trusses, Belts, Artificial<br />
Limbs, Rubber Gloves, Orthopaedic Appliances,<br />
Splints, etc., on hand.<br />
INSPECTION INVITED<br />
REABY, TAYLOR & CO.<br />
PTY. LTD.<br />
247-249 LONSDALE STREET, MELBOURNE<br />
Phone 6575<br />
88
RAMSAY & CO.<br />
AGENTS FOR<br />
MAYER & PHELPS, LONDON<br />
By Appointment to Melbourne,<br />
Women's, Alfred, Children's, and<br />
Principal Provincial Hospitals of<br />
Victoria.<br />
233 LONSDALE STREET<br />
(Opposite Melbourne Hospital Gate)<br />
and at<br />
LONDON and CAPETOWN.<br />
Surgical Instrument<br />
Makers.<br />
Medical Students' Requisites Supplied.<br />
Dissecting Sets (Aseptic).<br />
As supplied to Students attending<br />
the University College Hospital, London.<br />
Biological Sets.<br />
RAMSAY & CO. MAYER<br />
Osteological Sets.<br />
"The Student's Set," Case <strong>co</strong>ntaining<br />
Vertebrae, Leg and Foot, Arm<br />
and Hand, and Skull.<br />
Skulls, Articulated and Disarticulated.<br />
STETHOSCOPES, Binaural and<br />
Ordinary Plessors, in Large Variety.<br />
POCKET INSTRUMENTS, in<br />
Case, Complete or Loose.<br />
ASEPTIC SINGLE DISSECTING<br />
or DRESSING Instruments, Strong<br />
and Durable.<br />
All Repairs Executed on the<br />
Premises.<br />
pE FIN ET LS pFs0<br />
LON DON<br />
Opposite<br />
Hospital Gates 233 LONSDALE STREET Telephone<br />
Central 1663<br />
Factory—University Works, Dean St., Soho, London
Established 30 Years Telephone Central 4298<br />
After Business Hours, Windsor 1531<br />
JAMES LITTLE<br />
MEDICAL PUBLISHER<br />
IMPORTER of MEDICAL and SURGICAL<br />
WORKS<br />
Medical Agent for the Sale and Purchase of Practices.<br />
Assistants and Locum Tenentes Supplied.<br />
" CENTREWAY," COLLINS STREET, MELBOURNE<br />
(Take Elevator to 3rd Floor)<br />
Students' Text Books on Hand :<br />
CLINICAL MEDICINE. By Lewellys F. Barker, M.D., Professor of Clinical<br />
Medicine, The John's Hopkins University. Octavo, 625 pages.<br />
Illustrated 1922.<br />
A NEW PRACTICE OF MEDICINE. By A. A. Stevens, M.D., Professor<br />
of Applied Therapeutics, University of Pennsylvania. Octavo, 1106<br />
pages. Illustrated 1922.<br />
SCUDDER'S TREK ,ENT OF FRACTURES. New Ninth Edition. 800<br />
pages, with 12,, Original Illustrations, 1923. A Standard Book on<br />
the Subject.<br />
REGIONAL ANESTPESIA, ITS TECHNIC AND CLINICAL APPLICA-<br />
TION. By Gastou Labat, M.D., Special Lecturer on Regional Anesthesia.<br />
THE MAYO CLINIC. October, 1922.<br />
CRILE ON THE THYROID GLAND. The first of a series of Monographs<br />
to <strong>co</strong>me from the Crile Clinic at Cleveland, Ohio.<br />
THE SURGICAL CLINICS OF NORTH AMERICA. Every other month,<br />
February to December each year.<br />
THE MEDICAL CLINICS OF NORTH AMERICA. Every other year.<br />
Clinic year, July to June each year.<br />
Brown, Prior & Co. Pty. Ltd., 167 Queen St., Melbourne.