Naval and Military Medical Services
BMJ (Clinical Research Edition)
an institution for lunatics. But for detention of a lunatic, even for fourteen days or less, in a workhouse, it is nece3sary (always slubject to the exceptions referred to above) "that the accommodation in the workhouse is sufficient for his proper care auid treatment," wlhich -appears not to be fact in the instance referred to us by " Medicus." IRISIh DISPENSARY MEDICAL OFFI('ERS AND (ElRTIFICATES IN LUtNACYN. W.-A registered practitioner who is appoinited to act as loctum ten-ens for a
... en-ens for a dispensary doctor is entitled to Eign a certificate in lunacy if called upon. We regard the action of the magistrates in committing upon his certificate as quite legal, and the guiardians were right in paying the fee. "FRIENDLY VISITS." ,S. G.-Our correspolndent's best course will be (1) to pay tlle money anid have done with correspondeinec and litigationi; (2) niot to have anything moreto dowith a person whoi he thinksguilty of "slharp practice;:" and ' (3) when he next asks attenidancee fromii a miiedical mani not related to him to have a clear ulnderstanidinig as to what paymenit is expected for sucl atteiidance. FEES TO MEDICAL WITNESSES. POLICE SURGEON.-The Public Prosecutor has correctly stated the effect of the rules under which fees are payable to medical witnesses in criminal cases. The paymelnt is per diem anid not per case. The rules are most unsatisfactory, but there seems to be no immiiiiediate prospect of getting them ainended. TESTIMOONIALS TO TRADESMEN. WONDERIN;G writes: Wlhat should be the attitude of the profession towards local shopkeepers in small towns who request testimonials for their goods from the local medical men, to be published and scattered .broadcast over the neighbourhood-by placard, by distribution from hand, etc., etc., with the name and qualifications of the local practitioner in heavy leaded type, and about the most prominent thing in the advertisement next to the issuer's own name. *** The professional rule in relation to the question submitted will be found in the Ethical Code, chap. ii, sect. 1, rule 4. As to " the attitude of the profession towards the shopkeepers," it had, in our opinion, better b)e determined by a consensus of time affected practitioners. CLUB FEES. A. M. C. writes: I amii practising in a rural district where the agricultural element prevails, and the rate of wages is 15s. a week. The club fees are 3s. per annium per member. I have beeni asked to accept the wives of the members at the same rate (confinements not included). Would this be a fair remuneration, and if niot, at what rate should the wives be charged? *** We cannot recommend any practitioner to accept miiale or female inembers at the rate of 3s. per annum. A club that pays no more than this can hardly be worth having, and we should advise our correspondent to take neither male nor femiiale imembers at such a rate. With regard to the amount that male or femiale members of a club or benefit ,society ought to pay respectively, we are of opinion that the rate for female members should be somewhat higher than for males; for even if confinements are specially excluded, miscarriages are not, as a rule; and among the working classes experience shows that there is a considerable amount of sickness affecting the female portion that may be more or less traced to their child-bearing functions. There is, also, more need of a medical examination of women previous to their admission to a club than in the case of men.