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Boston
Medical Library



8 The Fenway



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THE




3oufli Hfricap Medical Record

A Monthly Journal devoted to the Interests
of the Medical Profession in South Africa.



Editor :

W. DARLEY-MARTLEY, m.d., m.r.c.p.







VOL. II.
JANUARY - DECEMBER, 1904.



W. DARLEY-HARTLEY, Lloyds' Chambers, Long Street.




Digitized by VjOOQ IC



JUNIO IP^




-H-



Cape Cown :

TOWNRHKND. TaYLOR AND SNARHALI..
1905.



^S"iJ^"



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Google



INDEX.





PAGE


. . 10




.. 32 1




60




70




90




. 110




. 180




. 160




. 170 1




. 190




. 210




. 230 1



Leading Art'cles —

Sixth South African Medical Congress

The M O H. and other Medical Officials

Hospitals and the Profession

The Sanitaiy Whipping Boy

District Surgeoncy Matters

South African Medical Education

Boards of Health

The Advertising Question

The Meyer Appeal Case and its Bearings

Inter-Colonial Reciprocity

Tempora Mutantur Nos et Mutamur in Eis

In I empus Praesens . .



Original Papers —

The Need of a Medical School for South Africa. E.

Barnard Fuller, M B , F.R.C.S., Ed . . 13

Notes on Surgery in Natal A. MoKenzie, M D. . . 21

Clinical and Pathological Notes on Two Epidemics of

Enteric Fever. W. Darley- Hartley, M.D., M.R C.P 26
Epidemic Piieumonia, with Special Reference to its

Infectious Nature in Native Compounds. F. W.

Waldrou. M.D., London .. .. , ..29

Difficulties of Health Officers in the Sanitation of Small

Towns. P. C. Walker, . . . . 41

Some Public Health Notes and Reminiscences. Hon. o.

Turner, MB., D.P.H. . . . . . . 43

Medical Lite in the North-west Corner. F. C. Sinclair,

MD. .. .. .. .. ..46

Miners' Phthisis. C. E. Sansom, M.D., D.P.H. . . 48

The Circulatory Apparatus in General Paralysis. T.

Duncan Greenlees, M D., F R.S., Ed. . . . . 49

Intoxication by Eucain B. in a Case of Perineorraphy.

S. Zavadier, M.D. . . . . . . .61

Notes on Leprosy in the Native Territories. J. W. Weir

M.D. .. .. .. .. 64

Case of Complete Double Uterus and Vagina. E. Barnard

Fuller, M.B., F.R.C.S., Ed. .. .. ..66

A Case of Fracture of Patella. W. O. Tottenham

Posnett, F.R.C.S . . . . 67

Traumatism of the Cornea and its Treatment. A.

Baumann, M.D. . . . . . . . . 81

The Therapeutics of the Varieties of Monsonia. J.

Miberley, L.C.R.P. .. .. ..84

The Open Air Treatment of Tuberculosis m Na«al. F.

Austin Robinson . . . . . . . . 101

(. ase of Recovery after Operatioh for Perforation in

Enteric Fever C. Thornton, M.D , M.R.C.P., and

A. W. Sanders, M.D., F.R CS. . . . . 104

An Obscure Case of Internal Hsemorrhage. F. M. Morris,

M.B., Lond. .. .. ..106

Nephrectomy for Hydronephrosis. S. G. Campbell, M.D. 107
Medical Ethics. D. Campbell Watt, M.D. . . . . 121

Asthenopia. A. G Brinton, F.R.C.8., Ed. . . . . 126

Case of Acute Intussusception in a Child Five Months

Old. A. W. Sanders, M.D., F.R.C.S . . . . 126



PAG

Original Papers — continued.

The Question of the Presence in South Africci of Malta or

Undulant Fever. P. D. Strachan, M.A., .M.B., Ch.H. 141
Varicose Veins. Sir Kendal Franks, C.B., M.B ,

P.RC.SL .. ..144

Notes on Kaffir Medical Practice. J. W. Weir, M.D. . . 147
Extraction of Six- Year-* Id Molars in Children, E.

Digby. L.DS. ... .. .. 148

Dysentery. Lieut.-Col. Birt., R.A M.C. .. ..161

A Plea for Selection in the Administration of Ansasthetics.

H Temple MurseH. M.B., F.it.CS., Ed. . 164

Some Af^cts of Hydatid Disease Involving the Lung.

J. Muir, M D. . . . . . . 165

Hystero-Myectomy for Adherent Fibroma. G. A. Casalis,

M.B.. CM. .. ..184

' Notes on a Case of Lympathic Leucaemia. J. Robertson

McGregor. M.B .. .. ..203

Retention ol Foreign Body in Vagina for 30 years. A.

D. Owen. M.R.C.S. . . . . . . 206

The Training of Nurses in South Africa. A Hospital

Matron .. .. .. ..205

Chloride of Ethyl as a General Anaesthetic. G. W.

Bampfjlde Daniell, M.R.C S , L R.C P. . . 221

Two Cases of Pyo-Salpinx. Abdominal Section.

Recovery. E. Barnard Fuller, M.B., F.R.C.S. Ed. 226

Medical Societies —

O.G.H. (Eastern) Branch, B.M.A., 36, 69, 115, 166, 188,'

208, 236
Natal Branch, B.M.A. . . 69, 237

C.G.H. (Western) Branch, B.M.A., 97, 108. 123, 164. 167,

188. 208, 233
Pretoria Medical Society . . . . 114, 140, 168

Griqualand West Branch, B.M.A. .. 166, 189

ILedical Councils —

Natal . . . . 16, 38, 49, 68, 96, 128, 216, 229

Cape Colo'.y 34, 64, 68, 93, 107, 132, 158, 168, 194, 209, 228
Orange River Colony .. .. .. ..216



Health Reports —

Southern Uhodesia
Natal

Cape Colony
Cape Town

Side Paths of Medical Practice —



18, 238
.. 138
.. 206
.. 218



The ^ledical Profession in Relation to the Laws of the

Cape Colony. S. H. Rowson, LL.B. .. 181,201

Medical Bookkeeping. C. L. Darley- Hartley .. 224



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IV



Correspondence —

" In re Elliott " .. .. ..18,

Uncertified Deaths
Sidonal and Scurvy
Strydenburg Information
The M.O.H. and Medical Officials
The Mossel Bay District Surgeoncy
A Diagnostic Query
Mild Undiagnosed Enteric
Monsonia in Intestinal Heemorrhage
A Vaccination Query .. ••

The Travelling Fees* of District Surgeons
District Surgeons and ** Paupers "
Hospital ^f anagement . . . .

A Disclaimer . . ' . .

Deiital Advertising

A Oomparison of Salaries

Ethyl Chloride Anaesthesia

An Ethical Query

Medical Representation on Railway Boards

Medical Advertising . .

The Treatment of Dysentery by Salines

Malta Fever in South Africa

British Medical Benevolent Fund

Tbe Prescribing of Stimulants for Indians in Natal

The Transvaal M.O.H. and the District Surgeons.

One Aspect of the Reciprocity Regulation

Dr. Oasalis's Hysteromyectomy Case

The Miss Pellatt Fund

An Explanation

Acclimatization to Typhoid Fever

Dr. McGregor's Case of Leuosemia

Notes on New Preparations —

Wellcome Aseptic Hypodermic Syringe

Methyloids (Stearns) . .

Oolsaloids (Steams) . .

Oppenheimer's Hypodermic Case

AUenbury's Throat Pastilles

Bynin Amara

Knorr's Preserved Foods

Beta-Naphthol Tabloids

Setterie*s Cones

Rogers* Sprays

Natural Body Brace ..

Vapo-Cresolene

Alphozone . .

Fellowes* Syrup

Virol

Tritipalm ..

Milk and Cereal Food



PAOE



40, 69, 179

. 19

40

59

77. 199

. 79

79

80

80

118

118

118

140

160

178

179

180

198

198

198

199

199

300

219

219

219

219

220

239

239

240



20
20
59
80
120
120
120
120
140
180
180
180
200
200
220
2i0
240



Reviews —

Squint in Children. E A. Browne and E. Stevenson .. 20

Manual of Medicine. Allchin .. .. 20

Gynaecological Nursing. Netta Stewart . . 40

Dictionary of Hygiene. Kingzett and Homf ray . . 60

Aids to Surgery. Gunning . . . . 60

The Nutrition 'f the Infant. Vincent .. ..60

Diseases of Gall Bladder and Bile Ducts. Mayo Rob-
son and Dobson . . . . . . 80

Insanity in Every-day Practice. E. G. Younger . . 119

Midwifery for Midwives. W. D. Wiggins . . . . 11^

Bacteriology of Every- day Practice. J. Symes . . 119

Medical Annual .. .. .. 119

Adenoids Wyat Wingrave . . . . 180

Cleft Palate and Hare Lip. Edmund Owen . . 180

Report on Plague in Natal. Ernest Hill . . . . 20O

Clinical Psychiatry. Kraepelin .. .. .. 220

Miscellaneous —

S A. Medical Congress, 1903. Proceedings . . . . 1

O.RC .Medical Ordinance .. ... 86

Contract Practice in tbe O.R.C.. .. ..8^

Missing Natal Practitioners .. .. ..74

A Magisterial View of Medical Practice .. ..76

District Surgeons* Grievances. Deputation to Colonial

Secretary .. .. .. ..86

S.A. Medical Congress, 1905. Arrangements 96, 129

Pettavel v. Griffiths . . . . . . . . 96

Notes on the History of the Port Elizabeth Hospital 12^

The Meyer Appeal Judgment . . . . . . 167

An Important Legal Decision . . . . . . 237

Medical Exhibits at the Cape Town l^xhibition . . 238



50
76
115
115
169
215
288



Obituary Notices—

J. W. Castles, L R.C.P. & S. (I) . .

F. P. Marais, MB., CM. (Bd.) . .

W. A. Skinner, M.B. . .

A. Abercrombie. M D., F.R.C 8. (Ed.)

T. Alexander, L.R.C.P. & 8. (1) . .

J. M. Hofhnan. M.B-, CM (Ed.), M.L.A. ..

E. A. Rowan, L.R,CP. & S. (Ed.)

Appointments 15, 31, 57. 74, 89, 117, 138, 149, 169, 197. 215, 229

In Lighter Vein . . . . . . . . 79

Johannesburg Jottings 17, 35, 58, 75, 95. 114, 137, 157,

175, 198, 214, 233
Notes from Natal .. .. .. 16,37,53

Pass'm 12, 38, 52, 72, 92, 112, 136, 152^ 173, 192, 212, 232

Passing Events 15, 37. 57, 78, 100, 116, 189, 159, 176, 197,

218, 239
Registrations 9, 31, 49, 74, 89, 118. 138, 149, 169, 198, 215, 229



•X^XfC^'



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ON MEO/



JUNio r'



Soutb HfricanHl^cal 1Recor6



A Monthly Journal devoted to the interests of the Medical Profession in South Africa

.^A



Vol. II.-No. 1.



CAPE TOWN, JANUARY 15, 1904



Pbicb 1/6



SOUTH AFRICAN ME5DICAL CONGRESS .. .. 1

REGISTRATIONS .. .. .. ..9

LEADING ARTICLE—

The Sixth S.A. Msdical Conqbcss .. ..10

PASSIM .. .. .. .. .. 12

THE NEED OF A MEDICAL SCHOOL FOR SOUTH AFRICA.

.. 18

.. 14

.. 16

.. 16

.. 16

.. 17

.. 18



By E. B. Fuller, M.B., F.R.C.S., (Ed.) ..
APPOINTMENTS
PASSING EVENTS
NOTES FROM NATAL ..
NATAL MEDICAL COUNCIL
JOHANNESBURG JOTTINGS
HEALTH REPORT- SOUTHERN RHODESIA
CORRESPONDENCE—

" In re Elliott " . .

Uncertified Deaths ••

REVIEWS
NOTES ON NEW PREPARATIONS



18
19
20
20



5l0titb Jlfrkan ffrtbital (!D0n0ri88.



The sixth South African Medical Congress opened at
Cape Town on the 28th of December, after an inter-
mission of four years, due to the war. The attendance,
both of local practitioners and those from outside, was
good, although the latter was mostly from the Western
Districts of the Cape Colony, a fact not to be wondered
at, considering the magnificent distances of this sub-
continent, and the special difficulty which men wiih the
very best of intentions find in leaving their practices so
soon after the general upheaval caused bv the war.
There were, however, three representatives from Natal,
one from the Transvaal, three from the Eastern Province
of the Cape Colony, and one from Eimberley. Neither
the O.B.O. nor Bhodesia were represented.

Obmbral Business.

Prior to the formal opening of the Congress, a day was
devoted to business of a general nature, Dr. Stevenson,
the President, taking the chair, and welcoming the
members in a few well chosen words.

B



Dr. Darlev-Hartley then read a paper on the formation
of a Medidu Guild, pointing out in general terms the
absolute necessity of combination amongst medical men,
not only for the securing of just remuneration and rightful
privileges, but for expressing the views of the profession
as a b^ly, and preserving it from that loss of ethical tone
which invariably followed overcompetition and the res
angtista domi. He reminded his hearers that all the
world was combining nowadays, and that if they neglected
to follow suit they would certainly be crushed between
upper, nether and circumferential mill stones. He read
the draft Constitution, which has alreadv appeared in
these columns, and emphasised tbe fact tnat it had no
authoritative character, but had only been prepared as
exhibiting the general idea of a Guild in a clearer way
than could be done in a mere paper. He and those who
had worked with him in preparing this draft wished it to
be dearly understood that, if it were thought practicable,
tbey were most anxious that the scheme, merely drafted
with a view to the Cape Colony, should be applied *to the
whole of South Africa at once, as they knew it would
have to be so applied eventually to be anything of a
success. He then moved a resolution formally approving
the idea, and empowering a Guild Council to be elected
by Congress, to take the requisite steps for forming tbe
Guild for the Cape Colony on the lines indicated in the
draft Constitution.

Dr. G. G Eyre briefly seconded.

Dr. C. F. K. Murray was thoroughly in favour of the

Sroposal, but thought that it would require very careful
igestion before fixing on its details, and that it should be
applied to the whole of South Africa.

Dr. Currie (Maritzburg) said he had no hesitation in
speaking for tbe colony of Natal to the effect that his
confreres thoroughly recognised the need of combination,
although they might not agree on reflection with all the
details. The profession as a whole had never been ftble
to combine for business purposes, and they must do so
Medical matters in Natal were fairly well organised, with
one branch of the B.M.A. for the whole colony and three
local societies, but these did not altogether cover the
ground of a Guild. If some corresponding members of
the Committee were appointed for Natal, he felt certain,
although he could not, of course, speak with authority,
that, alter all the details had been threshed out, almost
every member of the profession in his colony would join
in the formation of a Natal centre.

Dr. Napier said that the scheme had not been con-
sidered sufficiently carefully yet, although it had
appeared in the Mbdioal Bboobd. He entirely approved
of the broad idea, but it involved a mass of detail, and it
was not a thing to rush into. To be any good, it must
include all the Colonies, and if it did, a large number of
practitioners would join. He moved as aii amendment

jzed by *



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JUiNiu aOtJTH AFRICAN



MEDICAL RECORD



'* Th^ tbe proposal is cDiJiiiiidiyd hy "Congress advisable,
and that therefore it appoints a oommittee to coosider
the whole subject.**

Dr. Balfe (Durban) seconded the amendment.

Dr. C. F. i^. Murray supported the amendment. He
considered the scheme an excellent one for the profession,
and he should like to see all the Colonies come in, but he
thought its details should be carefully approached
through the medium of the various Medical Societies.

Dr. Mackenzie (Durban) was entirely in accord with
the idea, but he thought that even if a year*s delay was
involved, it was necessary to start on a sound foundation,
involving all the Colonies, and Dr. Napier's suggestion to
appoint a committee which could confer with all the
Medical Societies in 8outh Africa was a good one.

Dr. Darley- Hartley said that, with the consent of his
seconder, he was quite prepared to substitute "South
Africa •* for ** Cape Colony," but he thought it rather a
pify to delay a year. The only difference between his
proposal and the amendment was that he proposed to
give a Council power to act for one year, and the
amendment, only contemplated a Committee to
consider. He reminded them that if his resolution
were carried, it was expressly stipulated in the
suggested Constitution that the whole scheme would
come into the melting pot again at the next Congress.
Dr. Napier's amendment seemed to him hardly definite
enough.

Dr. Napier then re-drafted his amendment to read as
follows : — That this Congress, while endorsing the
principle of the formation of a guild, is of opinion that a
oommittee should be formed to consider the whole
question, and draw up a scheme of a similar nature ;
and that the committee be instructed to communicate
with the medical societies of the different colonies with
the object of making the scheme applicable to the whole
of South Africa, the committee to report to the next
Congress.*'

The amendment was carried, and the following
committee appointed.

Drs. Darley- Hartley, Stevenson, Murray, Eyre, Wood
and J. Hewatt. (Cape Peninsula) : Drs. Strapp and
Currie (Maritzburg) : Dr. Temple Mursell (Johannes-
burs) : Dr. Dalgleish TBloemfontein) : Dr. Strong
(BiUawayo) : Dr. Oreatnead (Grahamstown) : Dr.
Watkins (Kimberley).

A Medical School fob South Afbica.

Dr. E. B. Fuller then read a paper on the above
subject, which is given in extenso elsewhere.

Dr. C. F. E. Murray, said that he had always been in
sympathy with the idea of a South African Medical School,
and that h6 thought that, inasmuch the great difficulty,
that of an insufficient population, had now disappeared
with the growth of such places as Cape Town and
Johannesburg, the time was ripe or nearly ripe. Sir
Michael Foster half a dozen years ago had expressed to
him hisL surprise that they bad no medical school, and
had told him that there were even then no difficulties in
the way of a preliminary course that would be recognised
by Cambridge. He thought that now they were quite
ready for a complete course. Now that post-graduate
schools had opened all over Europe, there woiud be no
difficulty in any South African graduate supplementing




lOI^^S jXabv



his study by a course in thfr^-^SLt-^oeot^s of medical
teaching.

Dr. Darley-Hartley said he was only partially in favour
of the formation of .a South African Medical School. He
had come to the conclusion that it would be an admirable
thing for teachers, but he was not inclined to think that
it would be a good thing for the students. It would
certainly develop a sound class of specialistsi; but for
the first twenty years it would be inefficient. If he
personally had a son to send to medicine he would be
sorry for that son if he was sent to such a medical
school as proposed. Instancing the South African
School of Mining, Dr. Darley-HarUey contended that the
difficulties which that school had to encounter were
enormous, and the study there was not equivalent to
that obtained at Home. He confessed that he agreed
with Mr. Bhodes that it was best for a young man to get
his early education in South Africa, but that it was also
best for him to go Home to complete it among the
venerable surroundings of England, Scotland, and
Ireland. Dr. Hartley affirmed that the Home univer-
sities broadened a young man's experience, and taught
him to be and act like a gentleman. Begarding the
Australian medical schools, the speaker said there was a
great deal of diversity of opinion about them. A great
many Australian practitioners were of opinion that they
were really not of so much value as people make out.
Dr. Hartley concluded by saying that although he did not
want to throw cold water upon the scheme, he would
certainly advocate caution.

Dr. Casalis considered that the time was not yet ripe
for establishing a medical school in South Africa.

Dr. McKenzie (Durban) said that while he was
thoroughly in sympathy with the object of Dr. Fuller,
he thought that such a school would not be in an efficient
state for years to come, he was, however, of opinion that
preliminary study should be completed in South Africa,
and that this study should be placed to the student's
credit at Home.

Dr. Currie (Natal) supported Dr. Fuller's proposal.
They all know what influence a university had upon the
country in general. The question of a medical school
was bound up with a university. (Hear, hear.) It was
time that the Cape University woke up to its position
and became a teaching university like the ijondon
University. He considered that the time was now ripe
for establishing a medical school in South Africa. Dr.
Currie took exception to the remarks that had fallen
from Dr. Darlev-Hartley that a man ought to go Europe
to learn how to become a gentleman. A man's character
was not formed at a university, but as a child in his own
home. He considered that the boys brought up in the
South African College were quite as fit to ta^ke their
place among gentlemen as any.

Dr. Griffiths (Cape Town) sugported Dr. Fuller. It
had been contended that they had not enough men in'
South Africa capable of teaching. If that were so, the
sooner South Africa cleared them out the better. Dr.
Griffiths quoted several names ot South African
practitioners who would adorn professional chairs.

Dr. Bichardson speaking as a newcomer, said it would
be difficult to estabhsh a medical school, but easy to start
a post graduate school.

Dr. Dixon agreed with Dr. Bichardson.



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January



SOUTH AFRICAN MEDICAL RECORD



r Dr. Napier (Transvaal) was inclined to think that
South Africa was not ready for a medical school. He
considered that a student ought to go Home- to widen his
mental horizon. He did not believe that the profession
was at all benefited by having medical schools in
Australia. The doctors in Australia were very poor
specimens, and that was largely due to the fact that they
had medical schools of their own.

The Congress then adjourned for lunch.

The afternoon proceedings were presided over by
Dr. C. F. E, Murray, President of the Gape Medical
Council.

A telegram was read from Dr. Oreathead, Graham's
Town, regretting that urgent afifairs prevented him from
attending Congress.

Resuming the discussion on Dr. Fuller's paper,

Dr. Beck expressed regret that he had not heard the
paper read, or the discussion which had occurred,
during the morning. He declared himself in thorough
sympathy with any movement which would tend to make
South Africa a more self-reliant country. No provision
was too liberal to make if it contributed to advance a pro-
fession like that of medicine, which he was glad to think
was taking its position more and more in the van of true
progress. They ought to consider not how such a move-
ment would act on their own material prosperity, but
how it would affect the development and welfare of South
Africa, and, through South A&ica, other portions of the
world. Dr. Beck recounted the steps which he had taken
some years ago in trying to get teaching iq medical