Page:McCosh, John - Advice to Officers in India (1856).djvu/262

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242
ADVICE TO OFFICERS

more severe it may be necessary to repair to the Cape of Good Hope or Australia for a couple of years; while in the worst cases nothing less than a return to Europe for three years will restore the patient to health.

When the Surgeon thinks it advisable to recommend change of climate to a patient, he must make out a statement of the case according to rules laid down in the medical code; and forward this to his commanding officer, with a letter calling for a medical committee to report upon the case; and should the committee concur in the opinion of the regimental-officer, the patient forwards the statement through the commanding officer to the Commander-in-Chief, and the recommendation of the committee is invariably complied with. As many days or even weeks, are at times necessary to obtain the sanction of the Commander-in-Chief; the commanding officer has the power to allow the invalid to leave at once, in anticipation of general orders, upon the immediate departure of the sick officer being declared necessary.

At small stations, when a committee cannot be assembled, the personal certificate of the surgeon is sufficient.

It may often happen that the Surgeon himself falls sick at an outpost, far removed from any medical assistance, and change of climate may be urgently necessary. In such cases the surgeon