DR. CANTLIE.
THE HONGKONG TELEGRAPH
WEDNESDAY, JULY 8, 1914.
PAPER BY FORMER HONGKONG SURGEON.
Some Aspects of Surgery
In the Tropica.
At a recent meeting of the Society of Tropical Medicine and Hygieno, a paper was road by Dr. Cautlio, on "Some Aspects of Surgery in the Tropics." The subject of surgory in tropical work is one that is apt to be neglected in the overwhelming interest in, and attention paid to, the more fascinating subjects.of new discoveries of many kinds in the field of boteriology, bel- minthology, protozoology, &o. We send the young medical, mau | to the tropical? field nowadays; equipped in laboratory work in a way which is a credit to the) medical schools and a great com- fort to the men who are going out; but the prospect of having to undertake major operationa straightway on taking up duties abroad, is often bus little abort of a nightmare to syoung man of say, four-and-twenty who has never bad the opportunity of doing serious operations before leaving England. How to overcome this shortcoming in training is a difficult problem to solve. A "clinical school of operative surgery," as Dr. Cantile intimates, may be theoretically an excellent idea but the practicability of ite eatablishment is another matter. Practising on the dead body, 00 doubt, helps much, and such- stereotyped operations as amputa- tions, excision of joints, ligatura of ar.ories, &c.,, may be fairly well learned thereby, but even these very operations on the living body are a very different matter. Muscios do not retract in } the dead body when cut, humor- rhage does not confuse, the skin remains flabby, and the expert
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(Special Pacific Service to the "Telegraph "-Reuter.)
PIECE GOODS TRADE.
SERIOUS STATE OF DEPRESSION.
Result of Big Increase in Lkin Taxes.
Shanghai. Received July 7, The already severe depression in the piece goods trade at Shanghai is now greatly accentuated by the decision of tho Chekiang and Kiangsa Governments to enforce a heavy inoreste in the likin taxes.
It appears that, in response to a demand from the Central Government for funds from the provinces, "the" Treasurer of Chekiang, a month ago, despite strong opposition especially from Ningpo-largely increased the likin, and also the production and consumption taxes. Kiangen has issued a mandate that, from July 1, she will follow suit.
It is understood that the Piece Goods Guild at Nantao, which is one of the points of entry from Shanghai to Kinngsa, and which has hitherto compounded for likin production, and consumption taxes by the payment of $800. per month, has been informed that, $3,000 will now have to be paid, the Government retaining the right to collect the consumption tax.
It is also reported that the Guild's counter offer of $1,500 per month to cover everything has been peremptorily refused. The payment of $800 averaged 4 to 6 candareens to the piece. Despite the fact that the mandate stated that the new taxation would be enforced from July 1, the new tarifl ie not known. Piece-goods merchants, fearing that it will be similar to the Chekiang tariff, which averages 60: to 70 candareens to the piece, refuse to do, business, and foreign firms are not holding auctions. The average weekly turnover is half a million dollars, as there are no buydra at present.
It is understood that the Chinese merchants do not object to a gradual increase in the taxes but they strongly protest against the enormous and sudden jump from the former tariff of 4 to 5 candareena par piece to 60 tỏ 70.
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present dread of the entrance of "septic" air, the operating theatrés are close and deathe from chloroform are not unheard of. Otherapthotics in the Tropicsare less convenient; the old method of administering ether with ila NORDDEUTSCHER LLOYD, indiarabber bag and other rubber appartenances are at a discount,
TO-DAY'S ADVERTISEMENTS.
BREMEN.
LINE.
HONGKONG GYMKHANA
THE
OLUB.
HE THIRD GYMKHANA MEETING of the Season will be held at Happy Valley on
in statistics are method of giving ether by the olliciency, for open wrthod is not in vogue to NOTICE TO CONSIGNEES. Saturday, the 11th July, 1914.
commencing at 3 15 p.m.
teacher on the dend body may in the Tropics. The mortality after himself be an unskilful operator ampotations was the other surgical clinically. How much more is this test applied by the writer of the the cage when less "set"
opera-paper in question, and it showed tione, such as those demanded in that in twelve widely apart abdominal or brain troubles, havo tropical countries, of 665 major to be done.
and minor amputations, including Before Going Abroad, 78 through thethigh, performed in The answer usually to all this tropical countries there were only is that every nun before going 15 deaths, whereas in twelve not on account of the gas itself, IMPERIAL GERMAN MAIL abroad to practise should have years in hospitals in Britain there but on account of the serious been a house surgeon in a hospit- were 580 anjasione performed, effects of a tropical climate co al. This may be impossible, for] including 65 mighs, with 182 the rubber materials; the recent there are more candidates the deaths. He vacúncies for these appointinents, Tubious as t and, moreover, the house sur- the home top sampotations any great extent in the Tropice,
The Charge for Admission will geons, especially in our large rough the joints were nu-owing the difficulty of getting
be $1.00 for others than Members hospitals with medical schooleyfus, whe e attached, seldom or never get ut mentioneopical hospital rapiu vaporation of the other, PRINZ EITEL FRIEDRICH,"
is operation is the pent under, due to the THE Steamship
of the Hongkong Jockey Club or Gymkhana Club, any of the operations to do that returna.
and he necessity of stopping the
Soldiers and Sailors in uniform "come to the table in the operat-
punkah or shutting
several having arrived, Consignees of half price ing theatre. This is a pity, no,
Another factor which annals windows to lessen the freedom of their Goods, with the exception Ladies of Hongkong to
cargo are hereby informed that The Committee invite the doubt, but it is inevitable, and accurate comparison is that in the current of air-Journal of of Opium, Treasure and Valu- present. the house surgeon at the end of Britain, amputations are often Tropical Medicine. the time may have been trained joalled for in cases of accidenta to becomes first-rate dresser, but which afford bus a slender chance untrained to take the respon of recovery cumpared with those sibilities of operation upon his performed for disease. In the OWB shoulders. However, astropical colonies where railway, pointed out in Dr. Cantiie's tramway, and motor accidents paper, the recorde of recoveries are few; where fautories, mining, alter operations in tropical bus-ship building and docking pitals, under Europeau, or Euro-are comparatively, infinitesimal poan trained medical men, compared with British industries, compare satisfactorily and in the accidents are therefore usual- some cases advantageously with ly more trivial than those met those results published by the with in Britain. However, the hospitals in Britain.
good results recorded in tropical this difficult to compare the two countries show that successful
1.
Good Resuits.
TO-DAY'S ADVERTISEMENT.
SWEDISH EAST ASIATIC CO., LIMITED, GOTHENBURG,
NOTICE TO CONSIGNEES. THE Steamship
"NIPPON,"
ables, are boing landed and stored Hongkong, 8th July, 1014. at their risk into the hazardous
andjor extra hazardous Godowas
of the Hongkong and Kowloon
BREMEN.
Wharf and Godown Company, FORDDECTURER Limited, Kowloon, and West Point Godowne, whence delivery may be obtained,
Optional Cargo will be forward- ed on unless intimation, is re- ceived from the Consignees before noon to-day requesting it to be landed here.
No claims will be admitted after the Goods have left the Godowns, and all goods remaining un-
be
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DEMONSTRATION DAILY.
ANDERSON MUSIC CO.,
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Hongkong & South, China LLOYD,
IMPERIAL GERMAN MAIL
LINE.
NOTICE TO CONSIGNEEA,
delivered after the 15th of July, THE Steamship
will be subject to rent.
damaged Goods are to be left in All broken, chafed, and
"MARK,"
peeing the differences in environ surgery is possible, and therefore having arrived, Consignees of ment, in the racial peculiarities, encouraging to the young surgeon cargo are hereby informed that in the matter of the option of about to take up work there. bolection of cases, and many other The racial differences
their Goods, with the exception the Godowns, where they will be having arrived, Consignees of were of Opium, Treasure and Valu- examined on the 15th of July, cargo are hereby informed that circumstances. Two ,BLUE
ofpithily summed up by Dr. Cantlie ables, are being landed and stored at 9.30 am.''
their Goods, with the exception. operations were selected, not so in his statement: In the case at their risk into the hazardous All claims must reach us before of Opium, Treaeuro and Valu
uch as a test of skill, but as a of the native the danger is on the and/or extra hazardous Godowns the 22nd of July, 1914, or they ables, are being landed and stored means of estimating the care operating table; in the case of of the Hongkong and Kowloon will not be recognized.
at their risk into the hazardous devoted to asepsis. In the matter to European it is after the Wharf and Godown Company of the radical care of herain (not operation that danger arises. Point Godowns, whence delivery Bills of Lading will be count- Limited, Kowloon, and
No Fire Insurance will be and/or e tra hazardous Godowns Limited, Kowloon, and West effected.
of the Hongkong and Kowloon Wharf and Godown Company, birangulated hornia) the returns He explained that the native
'may be obtained:
Braigned by the undersigned. from twelve tropical districts suffers from shock to a greater
Optional Cargo will be for NORDDEUTLCHER LLOYD, Point Godowns, whence delivery ranging from the West Indies to extent than the European, con- warded on unless intimation is the Far East in one year 226sequently the effect of the opera- received from the Consignees
MELCHERS & CO.. may be obtained.
Optional Cargo will be forward- cases of hernia were operated up- tion is more serious in his case; before noon to-day. requesting it Hongkong, 8t : July, 1914.
General Agents (6'9ed on unless intimation is received on with une denili; whilst in one but the European, owing perhaps to be landed here.
from the Consignees before noon
י,
The Favourite Anaesthetic.
>
downs, and all goods remaining undelivered after the 13th of July, will be subject to rent.
All broken, ohafed, and damaged Goods are to be left in
the Godowns, where they will be examined on the 13th of July, at 9.30 am. ¡ .
AL LINE.
For Boston and New York via Suez Canal. (With liberty to call at the Malabar Coast)
THE Steamship
here.
West
No claims will be admitted after the Goods have left the Godowns and all Goods remaining undeliv- ered after the 15th of July, will be subject to rent.
י.
All broken, chafed, and dam- ́age'i goods are to be left in the godowns, where they will be ex- amined on 15th inst., at 9.30 a.m
of the largest Ladon hospitale to a more plethoric constitution No claims will be admitted 441 cases were operated on with induced by several causes, suffers after the Goods have left the Go-THE AMERICAN & ORIENT-to-day requesting it to be landed
"constitutionally" later on.. As three denther,
Surgery in the Tropics. regarde amathelios it would That statistics of the kind erecem that they do not cause the apt to mislead we well know, for surgeon the anxiety they do in in the aume London hospital in Britain. the year following the cue from which the record above stated. Chloroform is the favourite was chosen in over 400 cases nonthetic in warm climates and death took place. Yet the results there seems no reason to think show that Beopsis is quite really that it will be supplanted. A accomplished in tropical hospitale sufficiency of air is the chief where the nursing in oftou necessity for the safety of entrusted to natives and steriliz chloroform-giving, and in ing is therefore more likely to be!
tropical operating theatres or dubious. All the more credit. roome there je plenty, for we find therefore, is due to the assiduous ourselves practically in the open pare taken by the surgeons sir. In Europe, owing to the
All claims must reach us before | the 20th of July, 1914, or they will not be recognized.
No Fire Insurance will be effccted.
"ROYAL PRINCE." Captain Coull, will be despatched as above on Wednesday, the 5th August,
All claims must reach us before the 22nd of July, 1914, or they will not be recognized.
Bills of Lading will be counter- signed by the undersigned.":
Bills of Lading will be counter- This Steamer has excellent aigned by the undersigned. accommodation, for a limited
A. B. THE SWEDISH TRAD-number of Saloon passengers.
ING Co., IN OZHINA, (LtL) For freight and passage apply
Agents
"ARNHOLD KARBERG & Co. Hongkong, 6th July, 1914, (609 General Agente Wiffongkong 8th. July, 1214, (605
NORDDEUTSCHER LLOYD, MELCHERS & Co., General Agents.
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