No attempt was made to remove any fragments with lithotrite except for the small amount that remained on the spoon blades. The strength of the calculation, moreover, made the case still more interesting by the additional difficulty thus represented. Professor HALFORD supposed that the albumen found in the urine was dependent on the pus present caused by the irritation of the stone.
This case differs from any of the above, both in the substance affected and in the method adopted for its removal. I forgot to mention above that using the uterine sound helped me determine pin depth and position. When submitting the proposal, the president expressed doubt about the possibility that the foreign object was even in the bronchus.
It is on the prevention of this secondary absorption of the throat and festering ulceration in the throat, that I base the success of the local system of treatment here set forth. In severe cases, one of the above forms should be used at least every half hour. I heard William Brown was taken home, and was very ill from the effects of the lightning.
The trousers were torn from the hip to the stocking on the left side, the stocking and the boot were both torn from the inside by the force of the lightning. Yesterday the shape of the tree on the deceased's chest was as clear as if it had been photographed. This was the greatest piece of radiance and the most complete cast ever seen in the experience of the oldest members present.
I have handled forty-six cases so far and I am still of the same opinion. Wynn Williams, as recorded in last year's volume of 'The Obstetrical Transactions'; and Mr.
HOSPITAL REPORTS
At this stage, I have found the action of the astringent to be remarkably beneficial when applied every four hours. In fifteen cases I have had paralysis of the throat muscles, after the other symptoms have disappeared. Operation.—The umbilical cord was grasped between finger and thumb by Mr. Robertson, the testicle by the operator; these were pulled out and the blades of the forceps were applied to the inside of the testicle, one blade in front, the other behind.
A bistoury was now made to transfix the tissues above, to the inside of the cord, between it and the forceps, and with a stroke the testicle was detached from its connections. The operation was performed on March 7 in the carpo-metacarpal joint because the metacarpal bone was involved. When they got rid of these, it was found by means of the probe that the metacarpal bones were exposed, and the instrument could be introduced into the wrist: it therefore became necessary to amputate.
Amputating about the junction of the middle and lower thirds of the arm, I make on the dorsal aspect of the forearm a semicircular incision, the concavity of which looks downward;. Made-to-measure flaps are a mistake unless you can simultaneously measure the contractile force of the operated muscles, something impossible. A semicircular incision somewhat approaching a U was made on the back of the arm, from the outside of the radius to the inside of the ulna; these were the entry points and.
By doubling the flap over the ends of the bone, it reached nearly an inch beyond the first incision; this was done simply to show the amount of shortening that would be observed the next day.
A MUSEUM OF MORBID ANATOMY
The bones were sawed off, the tendons were pulled apart and cut, and pressure was applied to the ulnar and radial arteries, which were intact, until they reached the bottom of the flap. Cold wet gauze was applied to the raw surface and the patient was put to bed. Therefore, it will be a serious mistake if the formation and management of the proposed museum is entrusted to casual supervision.
But unless a person is made responsible both for collection and supervision, and unless his responsibility is secured by the payment of a reasonable salary, the museum will not become a permanent part of the Hospital. It is easy, indeed, to note what has been done by the industry and enthusiasm of private collectors, in the formation of museums. But concentrated private energy is one thing, and the scattered and unpleasant energy of irresponsible officials is another.
John Hunter did what probably all the civil service of the College of Surgeons could never have accomplished, and his example gave rise to that organized management which has produced a collection that is one of the marvels of the scientific world. A committee starts oh ovo, and says: "let's turn it into a museum." We are not saying that the committee will settle for Wing giving its approval and that without further effort on their part they will see the museum grow • but it is by no means intended to bear in mind that the fate of many such projects have collapsed almost before they existed, and the simple explanation was over-reliance on the general co-operation of those who are permanently, but not responsible, interested in such projects. As of the cost of the students attending hospital practice, how come this method could not have been adopted sooner.
All in all, there seem to be difficulties in the establishment of the intended museum; but if the difficulties are possible to remove, and the museum can really be established on a permanent basis, the whole profession will have reason to rejoice, and the Melbourne Hospital will have removed from itself a very obvious cause of reproach.
REVIEW
In the arrangement of the book, an alphabetical method has been used, and it is a disadvantage to the extent that it somewhat confusingly mixes the reports from places and on special subjects. As a matter of course, the general report covering the United Kingdom of Great Britain and Ireland occupies a large part of the work. The retardation of regressive metamorphosis by means of Alcohol is to be attributed to the weakening of the action of the heart as well as direct influence on the blood.
Mazza ("Ann. Univers.," p has found the cyanide preferable to hydrocyanic acid, on account of the great volatility of the acid, and its consequent variability in strength. In the early stages of the disease he has often seen complete cure, and when more advanced a relief of the symptoms apparently. Several notices have appeared in the German journals of the method of treating this affection by washing out the enlarged organ by means of the stomach pump.
Good results may always be expected in cases due to atony or paralysis of the stomach after exhausting diseases, or moderate contraction of the pylorus from hypertrophy, or cicatrization of an ulcer. In cases of cancer or excessive narrowing of the orifice, although a cure is not expected, a considerable alleviation of the severity of the symptoms may be obtained. Evacuation of the stomach is best done in the morning, as anything that remains afterwards is useless or harmful, and by cleansing, the stomach is prepared for the day's work.
In the same journal, Professor Langenbeck states that for six or eight months. completely abandoned the use of the constant water bath in cases of severe injuries, as he found the good effects of carbolic acid poultices, with less inconvenience.
CORRESPONDENCE
The cases in which the treatment is most appropriate are those due to atony of the muscle layer of the intestines, on which the Calabar extract acts strongly, as shown by animal experiments. I believe that during epidemics of diphtheria, the mucous membrane of the throat can be protected by means of guaiacum against the irritating effect of ozone, which is always present in the atmosphere in excess of normal at that time. Dear Sir, In the August issue of the Journal I am slightly misrepresented in my comments on Chloral made by the Melbourne chemists.
I would now add, that as only two or three of the Melbourne physicians had the foresight to obtain a supply of that drug, I think they were entitled to claim enlarged compensation.
LOCAL TOPICS
P. LANE
A public meeting was recently called in Sydney of the subscribers to the Prince Alfred Hospital, for the purpose of authorizing the committee to arrange. The alleged defamation was contained in a circular recently issued to subscribers to the Alfred Hospital, accusing Mr. A midwife's careless use of ergot was claimed to be the cause of the rupture.
Shortly before the arrival at Port Phillip Heads of the ship Agamemnon, from London, the ship's surgeon, Mr. Thomas Steven, the ship's sailmaker, said that about 10 o'clock in the morning of the 17th century. Plummer had a post-mortem examination and found the cause of death to be a rupture of an aortic aneurysm.
One of the daily newspapers recently, when announcing the operations to be performed at the hospital, said that a "lithotomy operation" would be performed. Lorinser of Vienna experimented with the leaves of the blue gum (Eucalyptus Globulus) and declared them a valuable medicine. Knaggs then proposed that the following gentlemen should be a sub-committee to prepare a scheme for carrying out the objects of the resolution, namely: — Dr.
In the course of an inquest into a case of infanticide at Chiltern, the other day, a medical witness named Brown was questioned by the coroner as to the possible effect on the circulation of the foramen ovale remaining permanently open.
