July 10th.-Much better. No return of the paroxysm. Got his clothes and is sitting up. Ordered quin sulph. gr. iij night and morning. July 11th.-Examined blood with the miscroscope and found white corpuscles increased in number. Ordered quin sulph. gr. ij every four

hours.

July 14th.--There has been no paroxysm since, his tongue is clean. Bowels regular. Spleen still enlarged. No symptoms of quinidism. He is somewhat weakened but pulse quite well.-Discharged.

CASE 4.-Sciatica, treated by Muriate of Ammonia. Reported by MR. JAMES T. S. WEBB.

Marianne Fitzgerald, widow, aged 61 years, mother of seven children, was admitted into the Montreal General Hospital, July 6th, 1870.

She says she never enjoyed very good health, always considered herself weak and feeble, and has for many years been liable to bilious attacks every few months.

About seven years ago she had a very severe and prolonged attack of facial neuralgia. She noticed that the pain was always most severe in the morning and became less so towards evening; she took at that time large doses of quinine immediately before the morning paroxism came on but without much relief. Ever since that time she has been visited annually with a similar attack, and always at about the beginning of summer. Five years ago was ill with a swollen knee for which she was cupped and blistered.

She had a fall on the 23d of December last, and fractured her right femur, for which she was admitted into the Montreal General Hospital.

At the time of her present admission to hospital she presented a pale and sickly appearance, and her countenance was expressive of great anxiety and suffering. She complains of most excruciating pains along the course of the sciatic nerve, and can sleep neither day nor night. She is troubled with a peculiar sensation in the head which she describes as if two substances were rubbed together followed soon by a loud noise as if a pistol were fired off close to her ear. She is also suffering a great deal from giddiness and confusion of ideas and weak memory.

July 7th.-Dr. McCallum ordered her to take five minims of Fowler's solution three times daily, which she continued taking for seven days.

July 9th.-Pulse 98, very weak. Did not get any sleep last night; pain in the leg very bad; complains of great dizziness, flashes of light, &c.

July 10th.-Remains about the same as yesterday.

July 11th.-Pulse 100, very weak. Feels a little better to-day; did not sleep last night on account of the pain in the leg.

July 12th.-Slept well last night; pain in the leg less; feels better to-day; still complains of giddiness; appetite somewhat better.

July 14th.-Worse to-day; pain very bad; could not sleep last night on account of the severity of the pain.

Arsenic stopped.

Dr. McCallum ordered her to take fifteen grains of the muriate of ammonia every four hours.

Doing well, pain all gone; says pain entirely left her after taking the second dose of the medicine.

July 16th.-No pain; slept well last night; giddiness all gone; head feels well.

July 18th.-No return of pain; sleeps well every night; pulse improving.

July 26th.-No return of pain; sleeps well; is now going about hospital, quite cheerful; expression of countenance quite altered; says she feels better than for many years.

CORRESPONDENCE.

MEDICAL MATTERS IN HAMILTON, ONTARIO.
(From a Correspondent.)

MEDICAL AND SURGICAL SOCIETY.

The May meeting was held on the fourth of that month.

Dr. Macdonald introduced the subject of Puerpural Fever and Puerpural Peritonitis, by reading reports of several cases that had come under his notice in this city during the spring months.

The cases, with their history, were very instructive and led to an interesting discussion in which all present joined; but as it elicited nothing novel it is omitted. It is to be hoped that Dr. Macdonald's notes may appear in your journal, as they would no doubt, be very acceptable to your now numerous readers in Ontario, if the Dr. could only be induced to publish them.

The July meeting was held on the 6th July, 1870.

The president, Dr. Rosebrugh, in the chair.

Dr. Geo. MacKelcan read the notes of a case of Acute Tetanus, treated by hypodermic injection of morphia with recovery.

Dr. Malloch, made some remarks on a typical case of Acute Tetanus. Dr. MacKelcan, sen., who saw the case, described it as one of well marked Tetanus.

Dr. Isaac Ryall was pleased to hear of a case of Acute Tetanus, being cured.

Dr. Rosebrugh and others said that as the case was a successful one it should be published. (See original communications.)

Dr. Malloch, related a case of embolism of the external iliac artery, producing mortification of the whole limb and death in a short time.

THE HAMILTON CITY HOSPITAL.

This useful institution, although its name might lead one to think that it was intended for Hamiltonians merely, really admits cases from all the surrounding country, and even from the United States. In the summer the number of patients is not so great as in the colder months, but the number under treatment at present is about forty, besides three or four puerpural cases. Although there is no regular "clinical instruction" at this Hospital, it affords to a few students opportunities of study second to none in Ontario, and even in obstetrics there would be no difficulty in getting their certificates of "having attended at least six cases of midwifery," a difficulty which seemed insurmountable even at Toronto, when it was discussed at the Canada Medical Association, and at the Medical Council here. We throw out this hint for the benefit of students who may think of spending a year with one or other of the medical men here, or who may intend joining our summer school of medicine."

In our Hospital all the new remedies are introduced as soon as they can be procured. The bromides were extensively used and with marked benefit in delirium tremens, and epilepsy; but their place seems now to be taken by chloral (hydrate), and the benefit is very marked.

There are also surgical operations of considerable interest and importance performed at this institution. Thus to go no further back than last month, Dr. Mackintosh, one of the medical men in attendance, performed successfully median lithotomy, and tenotomy, and forcible extension of a knee joint, which had been bent at right angles for about eight years, both patients being now almost well.

Besides these cases in the Hospital there have been several very interesting cases in the city. of functional nervous diseases cured by the use of chloral (hydrate) of some of which you will likely have more extended reports shortly.

Since writing the above, I have just heard of a case of hysterical paralysis of both legs having been cured very rapidly at the Hospital here by Dr. Mullin, assisted by Drs. A. R. Malloch and O'Reilly. The case had been mistaken by some medical men for disease of the spine, and the patient, a girl about 18 years of age, had not got out of

bed for eighteen months without assistance. It was at last decided by these gentlemen and others to try the effects of the cold douche, She was accordingly got out of bed and ordered to walk, and on refusing to do so was souced with a bucketful of iced water, a second and a third bucketful were necessary to complete the cure, and then the patient was able to walk across the ward several times, unassisted. She was made to dry herself well and put on her clothing, and on being visited in the afternoon by Dr. O'Reilly, and ordered to get out of bed, she did so pretty smartly.

A Bungled Case of Lithotomy.-Rumors have been rife here for some weeks back of a lithotomy case sadly mismanaged in a town not thirty miles from Hamilton. It would appear that a gentlemen from a distance had placed himself under the care of a surgeon in the town referred to, who, with other two practitioners of the same town, determined to perform median lithotomy. The patient having been chloroformed and every thing in readiness, the operating surgeon introduced the knife, but after many ineffectual attempts and poking about in the wound for nearly three hours, they had to leave the case as it was. One can scarely realize the patient's disappointment when he awoke and found that he had not been relieved. Two or three weeks after Dr. Beaumont was summoned from Toronto to complete the operation and succeeded in relieving the patient of four calculi of considerable size. Had these men ever performed the operation even on the dead subject?

ANALYSIS OF THE ONTARIO MEDICAL REGISTER.

It was stated at the Medical Council here, that there were about 1500 practitioners in Ontario. The register shows only 1177, so that there are thus over 400 men practising medicine in Ontario in defiance of all law, not much less than one-third of the whole. With these facts before us one is tempted to ask, "has our medical legislation been really of any use." And this question is still more forcible when we find a clause in the bill entitling to registration any person who was actually in practice prior to 1st January, 1850, and who shall have attended one course of lectures. It seems, however, that this premium to ignorance was only taken advantage of by four worthies, who, no doubt, are a great accession to the regular practitioners of Ontario. Wonder some midwives did not take advantage of the clause as they are certainly persons. Of the 1177 registered practitioners of medicine 93 are eclectics and only 55 homoeopaths, 5 of the latter being non-residents, 3 being in the United States and 2 in Montreal.

There is also one non-resident " regular."

B

The homœopaths are therefore to the regulars in the proportion of 1 to 20.6 and the eclectics of 1 to 11.5.

Take the population of Ontario as 1,393,089 this gives—

All resident, Registered practitioners 1 to 1,189.6 of population.

It is, then, on account of these 143 men that all the legislative fuss has been made, and in order to give them legal rights and privileges that over 1000 regular practitioners have been insulted. But look at the injustice in another light. The homoeopaths and eclectics form more than one-third of the whole council-whereas if they had their just proportion to that of the regular practitioners they should have only oneseventh. That is to say they have ten representatives at present, whereas their just proportion is only four-or two to each side.

How such manifest injustice to the regulars could have been allowed, without some of the leading medical men in Toronto, rousing the whole profession of Ontario to a sense of their wrongs is really marvellous. Of what use are our medical schools if they cannot protect the interests of their graduates?

It is to be hoped that some remedy will soon be found for this anomalous and unjust state of matters, and that when the opportunity offers, the regulars of Ontario will support it en masse.

Surgery.

Δ

SEVERE CASE OF TETANUS CURED BY THE EXSECTION OF A NERVE.

BY GEORGE E. FOSTER, M.D.

Springfield Mass.

M. L., aged twenty-four; married, by birth an American, and by occupation a seamstress, bought a pair of shoes July 20th, 1869, and put them on; while walking, she felt a sharp substance pricking the skin of the an erior and inferior aspect of the right heel. She continued to