Surgeries aboard—burly, thick-necked, smooth-shaven. He looks as though he

Surgeries and amputations in World War One affected the war greatly. Many soldiers that were fight had to have their limbs taken off because of injuries mostly acquired in the trenches. These amputations saved many soldiers lives. The soldiers did have phantom pain and scar tissue but it saved their lives. “10 p.m. London. My being here is the result of a conversation this morning with the D.D.M.S. of Boulogne, who, with the understanding that certain American divisions are to come into the British area, favors unifying the neurosurgical service for the combined front. He will take the matter up with the D.G. and an answer should be forthcoming by the end of the week. The idea would be that the proposal made by General Sloggett last November to the Chief Surgeon of the A.E.F., but refused by the latter, be reopened, and that No. 13 General serve as a training ground for men capable of undertaking neurosurgical work not only for the British, but for the American Army as well.While awaiting a decision, he suggested that I familiarize myself with the disposition and condition of the cranio-cerebral cases here in Blighty. It would give me time for a twice-postponed visit to Ireland—just now in a turmoil with the arrest, by order of Lord French, of about 100 Sinn Feiners.I crossed with Meakins and Barcroft, feeling particularly safe, as Sir Eric Geddes was aboard—burly, thick-necked, smooth-shaven. He looks as though he were accustomed to having his own way and the devil take those who oppose. Doubtless the Admiralty needs a person of this particular type to-day.Tuesday, May 21st. LondonWith Sargent and Buzzard to the Tooting Hill Hospital, getting a lead on the neurological cases there. Dinner with Henry Head, to meet Riddoch, who is at the Empire Hospital, and Fearnsides, who is at the shell-shock hospital on Golder’s Green Road. Apparently the Neurological Home Service is all at cross-purposes with patients scattered at Tooting, King George’s, Queen Square, Maida Vale, the London, and 200 incurables at the Star and Garter, Richmond; also officers in small batches at the Empire, Roehampton, Brighton, and elsewhere. I am to see General Goodwin and put the project of organization and unification before him.Wednesday, May 22The morning at the Empire seeing wounded officers with Riddoch—among them Capt. Hyam of No. 46 recollection. The spinal-cord transections, some 40 of them, are doubtless getting better care than would be possible anywhere else. Then at a penny lunch counter some cold tongue and ham on a meal ticket, the waitress putting a spoonful of brown sugar in my coffee when no one was looking.This prior to a conference with Col. Delaney and General Goodwin at Adastral House, on their plans for looking after our wounded here in England. Tea with Capt. Trotter, and more ideas from him of neurological work, followed by an hour in the library of the Royal College of Medicine. Dinner with several neurologists and neurosurgeons, among whom there was little agreement about heads, spines, and peripheral nerves—except that there is an immense lot of work to be done on the incompletely treated cases which gravitate over here from France.London is muggy and depressing—the streets full of cripples—people very tired of the war. They universally voice the feeling that all would shortly have been over if America had not come when she did. Let us hope it may not have been too late. The expected third phase of the great German offensive gets put off from day to day.” It was very surprising that the surgeons would do brain surgery during world war one because it was very risky. These types of surgeries also saved lives