A case of acute disseminated lupus erythematosus occurring in middle age is descriptionbed. Cutaneous lesions were absent until after the commencement of treatment. The more common visceral lesions were absent. Diagnosis was established by observation of L.E. cells in the bone marrow and peripheral blood. A very dramatic response to ACTH occurred. Complete remission has been maintained for 8 months following cessation of treatment.
(I) The status of the G.P. has not gone down, but rather medical specialities have advanced beyond the reach and scope ofthe G.P. A short survey of more recent developments is elaborated as proof. (2) Immediate planning for post-graduate courses should be embarked upon by universities and the larger hospitals. (3) An attempt is made to analyse the present relationship between G.P. and specialist, and the right and claim they have to their ï¿½patients. It is claimed that the specialist register cannot be blamed for the ill-feeling that exists in some spheres. (4) Reasons for defending the specialist register are given. (5) The life of the average specialist is depicted and justification is sought for his having to charge bigger fees. The specialist's life is not the Utopia and easy living that some people seem to think. (6) Candidature for the Medical Council is discussed and the duties of this Council are touched upon.