November, 1917. THE SPECULUM. 233 PilONE 957'.
Rimless Fits-U Sps.
Krytop Lenses.
Established 5o Years.
Pince-Nez. Bi-focal Sps CrooKe's Tinted Lenses.
REPAIRS PROMPTLY EXECUTED.
234 THE SPECULUM. November, 1917.
ST. VINCENT'S NOTES.
The great event has happened.—No! guess again. Lectures have not been abolished, nor is the amber beverage to be purveyed free of cost, neither have we succeeded in holding four of a kind. A more dreadful fate has overwhelmed us.
The annual invasion has taken place. Longfellow had such an event in his mind when he wrote "Evangeline," his original draft (a too close association with the Editor almost made us write draught) being—
These are the budding fourth year meds. The once smiling nurses and sisters,
Struck dumb with awe, and with bated breath, exophthalmic with wonder,
Stand like Druids of old, with glances sad and prophetic. . . And shades of Lister! how that late and lamented gentle-
man's
Bones have been displaced in their resting place.
Of course, we were never budding fourth year men.
However, we have found the silver lining to the cloud, metaphorically speaking, our metaphor being drawn from our new resident. As a matter of fact, it is about the only thing which can be drawn from him.
A bird to a sparrow once chirped out, "My hat !"
Sing Hubey, dear Hubey, sweet Hubey!
And the sparrow said, Birdie, what makes you so fat?
Singing Hubey, fair Hubey, sweet Hubey.
Is it lunch at the Franc., or the hospital fare, Or tell me, entre nous, do you go on the tear?
But the bird preened his feathers, and said with a stare, I'm Hubey, dear, Hubey, sweet Hubey!
Now the bird was the hardest of all birds to vex, Singing Hubey, dear Hubey, sweet Hubey!
And he was a real demon with the gentle, fair sex, O FIubey ! kind Hubey, sweet Hubey.
He moved in Sassiety, and learnt all their wiles,
And could hold charming converse on the latest of styles;
For he kept well in touch with the fashion book files, Singing Hubey, dear Hubey, sweet Hubey.
November, 1917. THE SPECULUM. 235
But the bird on a list once saw posted a name, Was it Hubey, smart Hubey, sweet Hubey?
And he thought, now at last I am certain of fame, Singing Hubey, dear Hubey, sweet Hubey ! But no students with halos to crown the bird vied,
And from Honoraries even was homage denied;
So he let droop his wings, and then sadly he died, Alas! Hubey, poor Hubey, sweet Hubey!
_ The thanks of the final year men are due to Dr. Murray Morton and Dr. Devine on the surgical side for their valu- able and helpful clinics. Soon they hope to be able to say:
Exams., where is thy sting!"
It is rumoured that several engagements will shortly be announced between the new arrivals to our midst and—need
we ask? The older members of our fraternity are re- Ported to have mortgaged their hopes of heaven, and put the proceeds on the Cup winner, so as to be able to buy a '°11s-Ford, and so reverse the defeat which has been inflicted upon them. We also have hopes that Plowy will lessen some- what their prestige. Here's hoping!
b As for ourselves, we are just beginning to differentiate _eitween a reduplicated second sound, and a split infinitive
‘vthout acquiring a headache. Our grass poet has laboured :.(1, brought forth some verses which can only be forgiven when we remember that he is on the verge of collapse from fear of his oral with Plowy:—
There was a young surgeon named Hugh, Who told a certain select few
If they wished to avoid violence, They would have to keep silence When operations he wanted to do.
There was also a surgeon named Murray, Who never did things in a hurry;
Yet he always was fleet, And his work sure was neat, And his patients had never to worry.
There was a physician named Alec—
Don't tell me the name can be Gallic—
He was a live wire, And he never did tire—
The only rhyme left's Mordialloc.
236 THE SPECULUM. November, 1917.
MEDICAL COMMENTARY.
By Dr. R. P. McMeekin.
Patient, male, aet. 6o, came to hospital, complaining of pain in the mid epigastrium of 18 months' duration. The pain was not specially related to the taking of food, but the patient noticed that often it was worse about 4 a.m. and that it was sometimes relieved by taking food. It was never severe or colic ; but always a dragging dull pain. The patient had a good appetite, did not vomit, and had never been jaundiced. He thought he had lost some weight, but not very much.
On examination of the abdomen a tumor was quite defi - nitely visible in the right hypochondriac region, moving with respiration. On palpation, the tumor was tense, regular in outline, and elliptical in shape, about the size of a large orange, and stretching to the level of the umbilicus, and to the right of it. It moved definitely with respiration. The liver edge could not be felt, but lateral to the tumor the liver dulness reached to the costal margin. The tumor itself was dull on percussion. On the patient turning on to his left side, the tumor moved just past the mid. line. Careful inspection failed to reveal any visible gastric peristalsis.
Comment on what further methods of investigations you would suggest, and also on the diagnosis and treatment of the case.
SURGICAL COMMENTARY.
Patient. aet. 45. male, admitted to hospital, complaining of severe abdominal pain. On being questioned, he gave the history that the pain had commenced suddenly, 12 hours pre-
viously, first in the mid epigastrium, lato becoming crampY , and settling round the umbilicus. At the time of admission, pain was generalised. He had vomited twice. His bowels had not acted since the time of onset.
Past history was negative, excepting for occasional indi - gestion, the pain coming on in the epigastrium some hours after food, and being relieved by food. He had had no shivers or cough with the present illness.
On examination. the patient was pale, and somewhat cyanosed. with anxious expression, respirations frequent and grunting, skin acting freely ; temperature 99.6, pulse too.
N ovember, 1917. THE SPECULUM.
(Zed