Sixty‐two patients with gastric ulcers have been treated by vagotomy, pyloroplasty, and excision of the ulcers from 1963 to 1971. There has been only 1 recurrence. It is suggested that excision of the ulcer is an important step in conservative surgery for gastric ulcer.

Two cases of non-parasitic chyluria are presented each presenting with retention of urine. Abnormal communications in both cases have been demonstrated lymphangiographically. The thoracic ducts were patent and there was no evidence of filariasis. Surgical removal of the anomalous dilated lymphatics was carried out, the patients being symptom-free at 7 and 10 years. The two cases seem to have lymphatic malformations which may be the basis of the disorder.

No abstract

British industries attracts labour to do work its own native people are not prepared to do." So long as an immigrant is filling an establishment in some half-crippled geriatric or mental hospital it is possible to pretend that he is here to further his medical education, however unsuitable he may be for the job and however unlikely it is that he will get any education. When he becomes a principal in general practice the fiction has to be abandoned. People do not go into general practice to get educated but to scratch a living. The Essex medical list for 1965 contained the names of 131 doctors, principals giving unrestricted service, who had joined the list since 1961. Of these 101 (77.6%) were graduates of English or Scottish universities, 4 (3.1%) graduates of Irish universities, and 1 (0.8 %) was a graduate of an Asian university. The 1968 list showed 137 newcomers, of whom 75 (55.7%) were English or Scottish graduates, 14 (10%) were Irish graduates, and 18 (16.8%) had Indian or Middle-Eastern qualifications. Further to decipher the writing on the wall, 87 (66.9%) of the 1961-5 recruits had been qualified less than 10 years, while in 1965-8 the number was only 56 (40.9%).-I am, etc., DAVID CARGILL.