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cal Journal."] Four Cases of Oophorectomy, with Remarks. By Joseph Taber Johnson, M. D. [Reprinted commerce casino poker tips from Vol. X, "Gynreoologi- cal Transactions."] Seventy-second Annual Report of the Trustees of the Massa- chusetts General Hospital and McLean A.sylum. 1885. Corr£S|j0n;bfnxe. LETTER FROM LONDON. The Medical Act. — Home-Rule for the Medical Profession.— Ad- vances in Cerebral Surgery. —Consultants and General Prac- titioners. — Sketch of Dr. Samuel WiUs. London, Jul;/ 10, ISSG. We doctors have got home-rule at last, a trivial measure of it, no doubt, but still the principle has been conceded, and in time we may hope that it will be less grudgingly applied. When I last wrote no one expected that the Medical Bill, which had then just passed through the House of Lords, would ever buy video poker slot machine be- come law, but in the last days of the session it was hurried through the House of Commons, and received the royal assent before the dissolution. It is aliuost the only piece of solid work for which the short-lived and ill-st.irred Parliament of 1885 can claim credit. The necessities of the case demanded, by general confession, a nmch more radical reform ; but the universities and corporations are very powerful in Parliament, and have always been able to defeat any measure which touched their privileges or their prerogatives. The new act leaves them practically unmolested, and it is thus to its harnilessness, or, from our point of view, to its inadequacy, that it owes its suc- cess. The act directs that no practitioner shall henceforward be allowed to practice his profession unless he has passed a trustworthy download game poker offline untuk pc examination in medicine, surgery, and midwifery. This is a distinct improvement on the old system, under which a student could qualify in surgery alone, or poker freezeout in medicine alone, and at once proceed to practice all the difterent branches of the medical art. Still, the corporations are left with full power to undersell each other in the diploma traffic, the only guarantee that they will keep up their examinations to an adequate standard being provided by occasional visits from inspectors sent down by the General Medical Council. The council is, as you know, our supreme authority under the Privy Council in matters medical. Hitherto it has consisted of a president, six members elected by the crown, and seventeen members elected by the universities and corporations. Henceforward it will con- sist of poker game set in aluminium case thirty members, of whom twenty will he chosen by poker online no download mac the universities and corporations, five will be appointed by the crown, and five elected by the registered medical practitioners of the United Kingdom — viz., three by the practitioners of England, and one each by those of Scotland and Ireland. The blot on this new constitution is that the licensing bodies will have a majority of two to one over the independent members; and, though it may hollywood casino seattle poker be readily confessed that many of the repre- sentatives of the corporations are men of the highest ability and probity, still they are sent to the council to represent and sup- port the interests of their several corporations, and, in matters wherein the interests of the profession or of scientific progress are at variance with the interests of the corporations, we could hardly expect their judgment to be unbiased. In short, until the Medical Council contains a sufficient number of independent representatives to outvote the combined representatives of the corporations, the question of medical reform in this country can not be considered as in any way satisfactorily settled. The new act must be regarded rather as a cautious installment of reform and an earnest of future change than as a definitive settlement of the question. An interesting case in which las vegas casino poker chips for sale the newest knowledge of brain- function was successfully applied to the relief of an individual case is exciting much attention here. game poker texas online A man was recently ad- mitted into the National Hospital for Epilepsy and Paralysis, suffering from so-called "Jacksonian" epilepsy of over two years' standing. The tits began in the thumb, and Dr. Hus;h- lings Jackson, arguing from some recent investigations on the cortical area for the upper limb, recommended the application of the trephine over the lower part of the area which is now be- lieved to contain the special thumb center. The operation was successfully carried out under antiseptic precautions by Mr. Victor Horsley, and a tumor was discovered in the suspected spot and removed, together with the remainder of the thumb- center. The wound healed without a drawback : the patient has had no fits since, and is recovering power in the paralyzed limb. In another case, in which severe e]iilepsy was evidently caused July 21. I886.J Cutx' t; htiPoNJJliSCE. 103 by an old injury to the brain, the same surgeon recently excised a luass of cicatricial brain tissue around the upper end of the fissure of Rolando ; the patient has so far made an excellent re- covery and has had no recurrence of convulsions. These cases will form the subject of discussion at the forthconiiug meeting free download game poker offline pc of the British Medical Association at Brighton. A movement has recently been set on foot by some London general practitioners with the object of defining more accurate- party poker freerolls passwords ly the relations which in their opinion ought to exist between consulting and general practitioners. Many of the latter com- plain that, when they send patients for advice to consulting phy- sicians or surgeons, tiie latter not uufrequeutly "annex" the said patients, either in their current or in subsequent illnesses. They also couiplain that consulting physicians and surgeons by seeing private patients enter into undue rivalry with general practitioners. The former they aver have higher rank and con- sideration than the latter, and are especially favored in being alone eligible to hospital appointments. It is therefore unfair, they contend, that the)' should step in and take the bread out of the mouths of the less favored geiieral practitioner. An as- sociation is being formed, trie members of which more or less play free online poker rooms solemnly bind themselves to call into consultation only such consulting practitioners as are known to confine themselves to pure consulting practice. The association jjrofesses itself anxious to assimilate the procedure in medical consultations to the pro- cedure of the legal profession, in which no client is allowed in a civil case to have direct access to tbe barristers whose advice is sought. The association contends that the advice of the con- sultant, like that of the barrister, ought to be given, not to the patient, but to his ordinary medical attendant. On this movement I may remark th.it, though one can not help when will online poker start in new jersey deploring the abuses it is intended to remove, it is ob- free poker games online for fun no download viously a movement in a backward direction. All recent change has been in the direction of freedom from paper re- straints. The once strict and courtly etiquette of the English school of physicians has dissolved never to recrystallize; and there can be little doubt that the profession of law, which has ever shown itself more conservative than that of medicine, will ere long follow in its footsteps and shake oflT the fetters that bind it. Many, if not most, of our younger barristers are in online poker real money reviews favor of the privilege, which I believe is enjoyed by your "bar," of direct access to their clients: and, if the old restric- tions are beginning to be looked on as etfete by the lawyers, it is hopeless to try and introduce them among doctors. The fact is that patients will not be bound by our etiquette if they see that it works to our advantage rather than theirs ; at the same time it must be confessed that the abuses which are complained of, and the existence of which is admitted, would never have arisen if the consulting practitioners had adhered to the spirit of the old- fashioned etiquette, which was excellent, however absurd casino poker chips value its letter may have been. poker games nyc It is easy enough for the consultant to transfer a patient's confidence from his ordinary attendant to himself, if he allows himself to speak slightingly of the former's opinion and treatment. If the good old rule, never to assert or imply an> thing derogatory to another practitioner's opinion (which, after all, may turn out to be the phil hellmuth play poker like the pros audiobook correct one) had been uniformly play poker online for real money iphone adhered to by our consultants, we should never have heard anything of the present movement, for which I am afraid I must prophesy an early grave. That there are in London many consulting practitioners who

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