937
scription charges. But, under pressure, Mrs Thatcher appeared to retreat. After denying that she would introduce new charges, she went on: "I doubt very much whether any responsible Government could say that over a period of five years, regardless of what happens to the value of money, they would not put up prescription charges. I doubt whether they could. Sometimes vou have to do it". Pressed to be more specific, she added "it is not my intention to raise these charges". Mrs Thatcher may have shot one of Labour’s foxes. But it sounded like a half-promise unwittingly given.
Obituary
nature: he was always ready with a reassuring word for both patient and colleague alike and his friendship, once given, was never in doubt. A family man who loved the ordinary things of life, he will be deeply missed by his wife and daughter.
I.W.D. The vitality and repute of a scientific journal spring largely from the help of friends-who advise the editor what to publish and what to say. In the affairs of The Lancet over many years Martin Israels was among its foremost friends. His opinion was almost always sought on any submitted paper in his area; and his advice benefited not only the journal but also countless people who may never have known the man behind the editor’s suggestions about their articles. Over an era of enormous activity in experimental and therapeutic work in blood diseases, he supplied a stream of thoughtful comments which were embodied in Lancet editorials. In short, he was invaluable. I.M.
MARTIN CYRIL GORDON ISRAELS
DOUGLAS GEORGE ADAMSON
M.Sc., M.D.Manc., F.R.C.P.
Professor Martin Israels, emeritus professor of clinical hxmatology in the University of Manchester, died on April 14 at the age of 72. He spent nearly all his working life in Manchester Royal where he was universally respected and loved. He was educated at Manchester Grammar School and Manchester University. From 1933 tc 1936 he held a Lady Tata research scholarship and in 1933 he was appointed assistant director of the Laboratory for Clinical Investigations. In 1940 he was awarded the Foulerton research fellowship of the Royal Society. He served in the 1939-45 war as a medical specialist in the R.A.F. Medical Branch, and reached the rank oi wing commander in charge of a medical division in an R.A.F, general hospital. In 1946 he returned to Manchester Royal Infirmary as lecturer in hxmatology. In 1948 he was appointed consultant physician to the United Manchester Hospitals and in 1962 he became director of the department of clinical
Infirmary
hxmatology. His achievements in hsematology were recognised by the University when he was appointed as their first professor in clinical hxmatology in 1970. He combined a deep and wide ranging knowledge of both laboratory and clinical aspects of his subject and he was a pioneer in the study of bone-marrow changes in blood diseases and the application of tissue-culture techniques to bone-marrow cells. Having been president of both the section of pathology and the section of medicine of the Manchester Medical Society, he was eventually made president of the Society itself. He was a marvellous teacher and it was no doubt partly because of this quality that he was asked to be the dean of postgraduate studies at Manchester University during the critical years of 1964-69. During this period he travelled widely between postgraduate centres and helped to establish an invaluable programme of postgraduate medical education. He was the author of many scientific papers and was responsible for several well-known textbooks in ha:mato-
logy. In addition to his impressive medical knowledge, he had a vide interest in the arts and literature; he also shared with his tife, Ivy, a love of gardening to which, as in everything else, he brought his careful and scientific approach. Martin will be remembered for his kindly personality and his unruffled
M.D., F.R.C.P. Dr Douglas Adamson, consultant physician, Tayside Area Health Board (Scotland) and honorary senior lecturer in medicine at the University of Dundee, died on April 9 at the age of 64. educated at Morgan Academy, Dundee, and the of University St. Andrews, graduating in 1938 with distinction in medicine. Following house appointments and a period in general practice, he served in the R.A.M.C. throughout the second world war. He became the youngest serving lieut. colonel in the forces at the time he was appointed assistant director of malariology of the 14th Army. On demobilisation he became clinical assistant and subsequently lecturer at the Univerof 0l. St. Andrews Andrews at at Dundee sitv Ui Dundee Royal Infirmary, initially with Prof. Adam Patrick, and later with Prof. Sir Ian G. W. Hill. In 1953 he was appointed consultant physician at Dundee Royal Infirmary and honorary senior lecturer in medicine at the University of St. Andrews and he continued to hold these appointments in the new Ninewells Teaching Hospital and the Medical School of the University of Dundee. Although he had a special interest in endocrinology, he remained committed to general medicine, He
was
-------
------
and it was as a general physician that he made his major contribution to the community. His understanding of the application of academic medicine to the realities of medical practice epitomised the way in which the Universities and National Health Service should collaborate in treating patients. Douglas Adamson was an unusual combination of traditionalist and innovator. He wished to preserve what was good in the general medical practice of the past while appreciating the benefits of specialisation. In this connection he fostered an endocrine service in his hospital encompassing many disciplines. His qualities of leadership were clearly demonstrated in his chairmanship of the medical division of his hospital and much of the successful collaboration of the physicians of Ninewells Hospital is due to his example. His commitment to medicine was only paralleled by his fascination with nature in its widest context. He was an ornithologist with a national reputation and he brought to this activity the same qualities of interest, enthusiasm, and dedication, tempered by scientific discipline, which made him such an outstanding doctor. He leaves a wife, two sons and a daughter. J.C. and K.G.L.
938 BERNARD BENEDICT ZEITLYN M.D.Lond., F.R.C.Psych.
Notes and News
Dr Bernard Zeitlyn, consultant psychotherapist at Addenbrooke’s and Fulbourn Hospitals, Cambridge, died on March 18 at the age of 5 7.
FOCUSSING ON THE UNDER-FIVES
He qualified at the Middlesex Hospital, London, in 1944 and after house appointments, a period of national service in the R.A.M.C., and a post as casualty medical officer at the Middlesex, he began his career in psychiatry. His posts in various psychiatric hospitals included senior registrar at the Maudsley and assistant psychiatrist at the Cassel. In 1957 he was appointed consultant psychiatrist in Cambridge, where, in addition to the work of a general psychiatrist, he practised as a psychotherapist both in the N.H.S. and privately. In 1975 he succeeded the late Malcolm Heron as consultant psychotherapist in Cambridge. From then on he developed and led a specialised psychotherapeutic team which at the time of his death was proving to be highly successful in the provision of psychotherapeutic services for Cambridge patients and of sophisticated instruction in psychotherapy for local psychiatric trainees and others. He was particularly interested in developing the psychotherapeutic skills not only of doctors but of social workers, clinical psychologists, nurses, and clergymen, and for many years he held a variety of regular reading and study seminars in his home. These seminars were not only stimulating and instructive but were also infused with his warm humanity and enlivened by his humour. Bernard was highly intelligent, warm hearted, and humble, always ready to encourage and to reassure so that no one who went to him with a problem came away empty handed. He had a wide circle of friends including many with whom he shared his passionate love of music, art and the theatre. His early death has deprived many people of a much loved and highly respected colleague, friend, and doctor. He leaves a wife, Alice, a daughter, and two sons. B. W. D.
Mr ARCHIE MURRELL ACHESON MOORE, F.R.C.S., consultant surgeon to the London Hospital, died on
formerly April 16.
Diary of the Week APRIL
Monday,
29
TO MAY
5
30th
ROYAL SOCIETY OF ARTS, 8 John Adam Street, London BX’C2 6 P.M. 1’rof N. M. Bleehen’ The Road to Cunng Cancer.
Tuesday,
1st
BIRMINGHAM MEDICAL INSTITUTE, 36 Harborne Road, Birmingham B15 3AF 8 P.M. Psychiatry. Dr H Richardson. Problems m Diagnosis.
Wednesday,
2nd
ROYAL COLLEGE OF SURGEONS OF HNGLAND 5 P.M.(Tower Block Lecture ’I’heatre, Guy’s Hospital.) Prof. D. Daiches: Keats and Time. John Keats Memorial lecture.)
INSTITUTE OF ACCIDENT SuRGERt 6 P.M. ,New Lecture Theatre, Birmingham B15 2TJ.) Dr C. B. BX’ynn Parry: The Management of Penpheral Nerve Injuries in the Upper Limb. a Studv in Team BB’ork. Ruscoe Clarke Memorial lecture.) MANCHESTER MpDICAL SoCir-rY 5 P.M. (Theatre 2, Stopford Building. Prof A. R Hunter: Intensive What, by Whom, and at What Cost?
Thursday,3rd S1 ANTHONY’S HOSPITAL, London Road, North 1.30 P M . Dr J.Kohn Surgical Infections.
Cheam, Surrey
Care, of
IMMUNISATION, health surveillance, and preventable accidents were the main subjects for discussion at a conference on the special needs of preschool children, held in London on April 11 and sponsored jointly by the North East Thames Regional Health Authority and its community health councils. Concern was evident about inadequate information on lmmunisation available to parents and health workers, and ways were discussed for improving communication between professional workers and families with young children. Many c.H.c.s experienced difficulty in obtaining statistics about the number of children who had been immunised in their own districts: usually only national figures on immunisation were available. Parents needed clearer advice and guidance about the pros and cons of immunisation and about the frequent changes in lmmunisation programmes. Parents from ethnic minorities were particularly ill-informed on the subject. Some c.H.c.s now produced their own information leaflets and held public meetings on immunisation at local mother and baby clinics. Arrangements for the exchange of information about children’s health between general practitioners and family health clinics needed revision, particularly in large urban areas where families changed addresses frequently. Prof. EVA ALBERMAN (professor of clinical epidemiology, London and St Bartholomew’s Hospitals) suggested that administration procedures for health surveillance could be improved by computerising child-health records, despite the controversy about confidentiality. The issue of computerisation was a matter of choice for the consumer as well as for the medical profession, she added, and parents should be asked whether they would allow their child’s medical records to be computerised. She recommended a network of links between D.H.S.S. records and organisations indirectly involved with children’s welfare: social security offices, prisoners’ aid societies, associations for single-parent families, and ethnic groups. Dr JEAN RICHARDS, a senior clinical medical officer, said that Britain had the worst record for child pedestrian accidents in western Europe: each year about 700 children under the age of 5 died from accidents, 20‘%, of them in pedestrian road accidents. These disasters were often the result of parental negligence and ignorance about the child’s capacity to act responsibly. The present generation of mothers probably had little or no experience of children before the birth of their first child; so the professional health worker had to assume responsibility for educating the mother about her child’s health and development. To do this effectively the relationship between the professionals and the public would have to improve. One c.H.c. member felt that the language used by professional health workers was often incomprehensible to parents and that more care should be taken with the wording of information leaflets on preventive health care. Another speaker suggested that a reduction in the number of accidents could be achieved by giving the mother more money to improve safety precautions in the home: commonsense often cost money and a significant proportion of accidents and injuries (both accidental and nonaccidental) involved children from poor homes. Parents should be able to claim State benefit for buying or installing safety precautions in the home. But although this might be one way of solving the immediate problem, there is a danger that the provision of more State benefits might increase the mother’s dependence on bureaucracy and thereby further isolate her from seeking help from friends and neighbours within the community. c.H.c.s and planners of regional policy might do well to encourage these alternative sources of help before leaping into the cashbenefit current.
scription charges. But, under pressure, Mrs Thatcher appeared to retreat. After denying that she would introduce new charges, she went on: "I doubt very much whether any responsible Government could say that over a period of five years, regardless of what happens to the value of money, they would not put up prescription charges. I doubt whether they could. Sometimes vou have to do it". Pressed to be more specific, she added "it is not my intention to raise these charges". Mrs Thatcher may have shot one of Labour’s foxes. But it sounded like a half-promise unwittingly given.
Obituary
nature: he was always ready with a reassuring word for both patient and colleague alike and his friendship, once given, was never in doubt. A family man who loved the ordinary things of life, he will be deeply missed by his wife and daughter.
I.W.D. The vitality and repute of a scientific journal spring largely from the help of friends-who advise the editor what to publish and what to say. In the affairs of The Lancet over many years Martin Israels was among its foremost friends. His opinion was almost always sought on any submitted paper in his area; and his advice benefited not only the journal but also countless people who may never have known the man behind the editor’s suggestions about their articles. Over an era of enormous activity in experimental and therapeutic work in blood diseases, he supplied a stream of thoughtful comments which were embodied in Lancet editorials. In short, he was invaluable. I.M.
MARTIN CYRIL GORDON ISRAELS
DOUGLAS GEORGE ADAMSON
M.Sc., M.D.Manc., F.R.C.P.
Professor Martin Israels, emeritus professor of clinical hxmatology in the University of Manchester, died on April 14 at the age of 72. He spent nearly all his working life in Manchester Royal where he was universally respected and loved. He was educated at Manchester Grammar School and Manchester University. From 1933 tc 1936 he held a Lady Tata research scholarship and in 1933 he was appointed assistant director of the Laboratory for Clinical Investigations. In 1940 he was awarded the Foulerton research fellowship of the Royal Society. He served in the 1939-45 war as a medical specialist in the R.A.F. Medical Branch, and reached the rank oi wing commander in charge of a medical division in an R.A.F, general hospital. In 1946 he returned to Manchester Royal Infirmary as lecturer in hxmatology. In 1948 he was appointed consultant physician to the United Manchester Hospitals and in 1962 he became director of the department of clinical
Infirmary
hxmatology. His achievements in hsematology were recognised by the University when he was appointed as their first professor in clinical hxmatology in 1970. He combined a deep and wide ranging knowledge of both laboratory and clinical aspects of his subject and he was a pioneer in the study of bone-marrow changes in blood diseases and the application of tissue-culture techniques to bone-marrow cells. Having been president of both the section of pathology and the section of medicine of the Manchester Medical Society, he was eventually made president of the Society itself. He was a marvellous teacher and it was no doubt partly because of this quality that he was asked to be the dean of postgraduate studies at Manchester University during the critical years of 1964-69. During this period he travelled widely between postgraduate centres and helped to establish an invaluable programme of postgraduate medical education. He was the author of many scientific papers and was responsible for several well-known textbooks in ha:mato-
logy. In addition to his impressive medical knowledge, he had a vide interest in the arts and literature; he also shared with his tife, Ivy, a love of gardening to which, as in everything else, he brought his careful and scientific approach. Martin will be remembered for his kindly personality and his unruffled
M.D., F.R.C.P. Dr Douglas Adamson, consultant physician, Tayside Area Health Board (Scotland) and honorary senior lecturer in medicine at the University of Dundee, died on April 9 at the age of 64. educated at Morgan Academy, Dundee, and the of University St. Andrews, graduating in 1938 with distinction in medicine. Following house appointments and a period in general practice, he served in the R.A.M.C. throughout the second world war. He became the youngest serving lieut. colonel in the forces at the time he was appointed assistant director of malariology of the 14th Army. On demobilisation he became clinical assistant and subsequently lecturer at the Univerof 0l. St. Andrews Andrews at at Dundee sitv Ui Dundee Royal Infirmary, initially with Prof. Adam Patrick, and later with Prof. Sir Ian G. W. Hill. In 1953 he was appointed consultant physician at Dundee Royal Infirmary and honorary senior lecturer in medicine at the University of St. Andrews and he continued to hold these appointments in the new Ninewells Teaching Hospital and the Medical School of the University of Dundee. Although he had a special interest in endocrinology, he remained committed to general medicine, He
was
-------
------
and it was as a general physician that he made his major contribution to the community. His understanding of the application of academic medicine to the realities of medical practice epitomised the way in which the Universities and National Health Service should collaborate in treating patients. Douglas Adamson was an unusual combination of traditionalist and innovator. He wished to preserve what was good in the general medical practice of the past while appreciating the benefits of specialisation. In this connection he fostered an endocrine service in his hospital encompassing many disciplines. His qualities of leadership were clearly demonstrated in his chairmanship of the medical division of his hospital and much of the successful collaboration of the physicians of Ninewells Hospital is due to his example. His commitment to medicine was only paralleled by his fascination with nature in its widest context. He was an ornithologist with a national reputation and he brought to this activity the same qualities of interest, enthusiasm, and dedication, tempered by scientific discipline, which made him such an outstanding doctor. He leaves a wife, two sons and a daughter. J.C. and K.G.L.
938 BERNARD BENEDICT ZEITLYN M.D.Lond., F.R.C.Psych.
Notes and News
Dr Bernard Zeitlyn, consultant psychotherapist at Addenbrooke’s and Fulbourn Hospitals, Cambridge, died on March 18 at the age of 5 7.
FOCUSSING ON THE UNDER-FIVES
He qualified at the Middlesex Hospital, London, in 1944 and after house appointments, a period of national service in the R.A.M.C., and a post as casualty medical officer at the Middlesex, he began his career in psychiatry. His posts in various psychiatric hospitals included senior registrar at the Maudsley and assistant psychiatrist at the Cassel. In 1957 he was appointed consultant psychiatrist in Cambridge, where, in addition to the work of a general psychiatrist, he practised as a psychotherapist both in the N.H.S. and privately. In 1975 he succeeded the late Malcolm Heron as consultant psychotherapist in Cambridge. From then on he developed and led a specialised psychotherapeutic team which at the time of his death was proving to be highly successful in the provision of psychotherapeutic services for Cambridge patients and of sophisticated instruction in psychotherapy for local psychiatric trainees and others. He was particularly interested in developing the psychotherapeutic skills not only of doctors but of social workers, clinical psychologists, nurses, and clergymen, and for many years he held a variety of regular reading and study seminars in his home. These seminars were not only stimulating and instructive but were also infused with his warm humanity and enlivened by his humour. Bernard was highly intelligent, warm hearted, and humble, always ready to encourage and to reassure so that no one who went to him with a problem came away empty handed. He had a wide circle of friends including many with whom he shared his passionate love of music, art and the theatre. His early death has deprived many people of a much loved and highly respected colleague, friend, and doctor. He leaves a wife, Alice, a daughter, and two sons. B. W. D.
Mr ARCHIE MURRELL ACHESON MOORE, F.R.C.S., consultant surgeon to the London Hospital, died on
formerly April 16.
Diary of the Week APRIL
Monday,
29
TO MAY
5
30th
ROYAL SOCIETY OF ARTS, 8 John Adam Street, London BX’C2 6 P.M. 1’rof N. M. Bleehen’ The Road to Cunng Cancer.
Tuesday,
1st
BIRMINGHAM MEDICAL INSTITUTE, 36 Harborne Road, Birmingham B15 3AF 8 P.M. Psychiatry. Dr H Richardson. Problems m Diagnosis.
Wednesday,
2nd
ROYAL COLLEGE OF SURGEONS OF HNGLAND 5 P.M.(Tower Block Lecture ’I’heatre, Guy’s Hospital.) Prof. D. Daiches: Keats and Time. John Keats Memorial lecture.)
INSTITUTE OF ACCIDENT SuRGERt 6 P.M. ,New Lecture Theatre, Birmingham B15 2TJ.) Dr C. B. BX’ynn Parry: The Management of Penpheral Nerve Injuries in the Upper Limb. a Studv in Team BB’ork. Ruscoe Clarke Memorial lecture.) MANCHESTER MpDICAL SoCir-rY 5 P.M. (Theatre 2, Stopford Building. Prof A. R Hunter: Intensive What, by Whom, and at What Cost?
Thursday,3rd S1 ANTHONY’S HOSPITAL, London Road, North 1.30 P M . Dr J.Kohn Surgical Infections.
Cheam, Surrey
Care, of
IMMUNISATION, health surveillance, and preventable accidents were the main subjects for discussion at a conference on the special needs of preschool children, held in London on April 11 and sponsored jointly by the North East Thames Regional Health Authority and its community health councils. Concern was evident about inadequate information on lmmunisation available to parents and health workers, and ways were discussed for improving communication between professional workers and families with young children. Many c.H.c.s experienced difficulty in obtaining statistics about the number of children who had been immunised in their own districts: usually only national figures on immunisation were available. Parents needed clearer advice and guidance about the pros and cons of immunisation and about the frequent changes in lmmunisation programmes. Parents from ethnic minorities were particularly ill-informed on the subject. Some c.H.c.s now produced their own information leaflets and held public meetings on immunisation at local mother and baby clinics. Arrangements for the exchange of information about children’s health between general practitioners and family health clinics needed revision, particularly in large urban areas where families changed addresses frequently. Prof. EVA ALBERMAN (professor of clinical epidemiology, London and St Bartholomew’s Hospitals) suggested that administration procedures for health surveillance could be improved by computerising child-health records, despite the controversy about confidentiality. The issue of computerisation was a matter of choice for the consumer as well as for the medical profession, she added, and parents should be asked whether they would allow their child’s medical records to be computerised. She recommended a network of links between D.H.S.S. records and organisations indirectly involved with children’s welfare: social security offices, prisoners’ aid societies, associations for single-parent families, and ethnic groups. Dr JEAN RICHARDS, a senior clinical medical officer, said that Britain had the worst record for child pedestrian accidents in western Europe: each year about 700 children under the age of 5 died from accidents, 20‘%, of them in pedestrian road accidents. These disasters were often the result of parental negligence and ignorance about the child’s capacity to act responsibly. The present generation of mothers probably had little or no experience of children before the birth of their first child; so the professional health worker had to assume responsibility for educating the mother about her child’s health and development. To do this effectively the relationship between the professionals and the public would have to improve. One c.H.c. member felt that the language used by professional health workers was often incomprehensible to parents and that more care should be taken with the wording of information leaflets on preventive health care. Another speaker suggested that a reduction in the number of accidents could be achieved by giving the mother more money to improve safety precautions in the home: commonsense often cost money and a significant proportion of accidents and injuries (both accidental and nonaccidental) involved children from poor homes. Parents should be able to claim State benefit for buying or installing safety precautions in the home. But although this might be one way of solving the immediate problem, there is a danger that the provision of more State benefits might increase the mother’s dependence on bureaucracy and thereby further isolate her from seeking help from friends and neighbours within the community. c.H.c.s and planners of regional policy might do well to encourage these alternative sources of help before leaping into the cashbenefit current.
