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BRITISH MEDICAL ASSOCIATION. Exeter Hall, Nov. 16, 1841.
274
periment he had found to take place with visits to the spas to early rising, changes of greatest rapidity in closed vessels. The diet, alteration of scene, new society and juxtaposition of carbonaceous and sulphate occupation, and the removal of the mind of lime strata in the Paris basin, in like man- from the depressing agencies of domestic ner, explained the production of the sulphu- cares and anxieties? Verily, we suspect retted water alluded to by Dr. Bucknill. that these premises are just, and that their He thought that the theory which attributed reasoning is sound. The laughable fact to the low fevers of marshy countries to this which we refer is this, viz., that tons of the gas was unsatisfactory. He did not believe mineral salts which have been extracted it to be so noxious an agent as was generally from some of our English spas, were first supposed. Typhus was unknown at Har- manufactured by the wholesale chemists of and Du Chatelet London, and were then, by due conveyance rowgate, Askerne, &c. ; had remarked that the vicinity of the enor- of waggon, transmitted to those chosen mous cesspool of Paris was by no means un- springs upon whose healthful waters the GOLDEN GULLS of the Thames and other healthy. Mr. TAYLOR thought Professor Daniell’s places fondly, gaily, and unsuspectingly inferences were correct, seeing that the luxuriate.—ED. L.] greatest quantity of sulphuretted hydrogen occurred in the sea during the rainy season, when the rivers brought down immense BRITISH MEDICAL ASSOCIATION. Exeter Hall, Nov. 16, 1841. quantities of vegetable matter: that this gas existed in the water of those coasts at one Dr. WEBSTER, President, in the chair. time in greater abundance than at another, I was evident from the copper sheathing of THE minutes of the last meeting were read vessels being far more corroded at one season and confirmed. than another. The deputation appointed at the last meetDr. R. QUAIN did not believe that the ex- ing of council, reported that they had an inistence in the atmosphere of sulphuretted terview on Saturday, the 13th iost., with Sir hydrogen could be in any way conducive to James Graham, at the Home Office, when health. In support of Professor Daniell’s the following gentlemen attended : Dr. views, he referred to the analogy between Webster, President, Professor Grant, Mr. the symptoms of poisoning by this gas and Davidson, Mr. Grainger, Mr. Henry Smith, of the disease prevalent in the marshy dis- Mr. Septimus Read, and Mr. C. H. Rogers tricts of Africa. He alluded to the impuri- Harrison, Hon. Secretary. ties of the water supplied to London, and The object of the deputation was to lay the mode proposed for purifying them by before her Majesty’s Government the present Of its state of the profession and of the corporaProfessor Clark, - of Aberdeen. value in removing the animal and vegetable tions, as to medical practice, qualification, impurities there could be no doubt, or of the and government ; to explain the views of the earthy matter for domestic and manufactur- association and of medical reformers ; and ing purposes. But he believed that the con- to ascertain whether the Government insideration of how far the removal of the tended or were likely to bring forward any latter would affect the dietetic properties of measure during the next session of Parliathe water well deserved the attention of the ment. The interview lasted an hour, dursociety. For his own part he was inclined ing which these different points and several to agree with the reasoning of Professor others were fully discussed and explained to Clark, that those districts where there ex- the honourable baronet. isted but little chalk in the water were Sir James Graham stated that he took equally healthy with those where it existed great interest in everything that concerned in greater quantity, the profession, both on account of the public After some other discussion upon the sub- and the members themselves. That he had ject of contagion, in which Dr. C. Hare, been a member of Mr. Warburton’s commitMr. Peet, Mr. Walker, and other members tee, and that he considered the whole questook part, the society adjourned, a paper tion to be a very important one. He was not having been first announced for next Friday, aware that her Majesty’s Government would on the subject of transfusion, by Mr. Peet. be able to bring a Medical Bill before Par[An interesting fact connected with the liament during next session, as there would subject of the above report ought to have most likely be several important questions been stated to the society, and the mention brought forward of a general nature, and of it might have created some degree of mirth the Government could not pledge themselves even amongst the more grave portion of the to this subject, which was one of consideraassembly. All kinds of virtues are attri- ble difficulty, though the objects sought for buted to the spas,-cures of the most won- by the deputation were reasonable and dederful nature are alleged to have been sirable, if they could be carried into practieffected by the medicinal and sanatory qua- cal effect. On learning that the association had prelities of various mineral waters. Are they right who attribute the wonderful effects ofpared a Bill, which they intended to bring -
275 before Parliament, if the Government did great triangle; the trachea being somewhat not take up the question, and in favour of pushed to the left side, and the sterno-mastoid The internal jugular vein which they would be happy to have the to the right. sanction and support of Government, Sir passed over the sterno-mastoid about half an James at once expressed his willingness to inch internal to the puncture in the tumour. consider the Bill if sent to him, and he would On removing the sterno-mastoid, sterno-hyoid give his individual opinion as to the parts of and sterno-thyroid, with several glands and a it he could support. portion of the clavicle and sternum, the innoThe deputation then promised to forward minata, carotid, and subclavian arteries were the document through their secretary to the exposed. The ligature was found to have Home Office, and having expressed their been placed on the carotid, a little above its thanks for the patient and courteous atten- origin from the innominata, the ligature tion which the worthy baronet had given to being still retained by a small portion of the the subject, withdrew. external side of the artery; the proximal end A communication was read from Frederick of the artery was open, the distal end was Lawrance, secretary to the Commercial and closed by a firm coagulum. The tumour General Life Assurance Annuity, Family extended from the bodies of the vertebræ beEndowment, and Loan Association, wherein hind, pushing forwards the carotid artery is stated that the directors of the above com- and internal jugular vein, above from the pany have resolved to remunerate medical base of the skull downwards to considerably men in cases of reference. below the bifurcation of the common carotid. Mr. Wallace (member of council) brought Over the anterior surface of the tumour could under the consideration of the meeting some be traced the internal jugular vein, and the abuses relative to coroners’ courts, showing carotid artery free to about its point of divithe necessity and immense importance of sion ; the internal carotid appeared more medical men being elected to fill the office of firmly connected than the external. The coroners: the relation of one or two cases vagus here issued from behind the tumour. bearing on the subject elicited much interest The tumour with the heart and arteries were from the meeting. now removed. The cyst contained a quanThe meeting then adjourned to the first tity of grumous blood ; its interior resembled Tuesday in December. very much that of an abscess, being lined by In the former part of the evening the a layer of loose flaky substance ; external to committee on illegal practice sat and trans- this was a layer of coagulable lymph. On acted business. passing a probe down the internal carotid artery, it passed with some difficulty through a small opening in the back part of the UNIVERSITY COLLEGE HOSPITAL. artery into the cyst. On laying open the internal carotid artery, all the coats were CASE OF GEORGE ANTHONY. found to have been ulcerated through at a little above its origin from the common caro(Concluded from p. 165.) Nov. 2. The patient is doing very favour- tid. The opening was closed by a mass of ably. On the 30th of October a quantity of coagulable lymph, with its margin smooth black grumous blood escaped from the and defined. All the three coats of the artery tumour, followed by a very marked decrease were distinctly traceable up to the margin of the opening, and could be dissected and sein its size. 3. After eating, a sudden gush of arterial parated the one from the other ; so that the blood took place from the wound in the fore three coats must have given way simultapart of the neck; the ligature being still neously. firm, the haemorrhage was suppressed by , Clinical Remarks.-On making additional plugging the wound ; the bleeding, however, remarks on this case, Mr. Liston observed, recurred at different intervals, until the that from further accounts of the history of patient became exhausted, and died on the case, from the age of the patient, and 5th. from the post-mortem examination, he was Autopsy.-On making the post-mortem still more convinced that it was not a case of examination, a quantity of blood was found true aneurism, but that the coats of the artery effused beneath the skin over the tumour, and had suddenly given way by ulceration from in the substance of the sterno-cleido-mastoid external pressure: he also stated that Mr. muscle. The tissues around the wound for Manning (one of his dressers) had informed the placing the ligature on the carotid were him that two months back the boy was taken much consolidated by effused lymph. Along to the Islington Infirmary by the mother, who the anterior edge of the sterno-mastoid muscle noticed a swelling in the same situation in Were situated three or four lymphatic glands, the neck ; it was perfectly movable, hard, enlarged to about the size of a small walnut and circumscribed, but painful to pressure, each, the lowest extending to within a quar- and being considered merely an enlarged ter of an inch of the superior extremity of the cervical gland, it was ordered to be fomented. incision; these with several smaller glands He further stated,that the collection in entirely filled up the superior part of the question must have commenced very deep in
the
periment he had found to take place with visits to the spas to early rising, changes of greatest rapidity in closed vessels. The diet, alteration of scene, new society and juxtaposition of carbonaceous and sulphate occupation, and the removal of the mind of lime strata in the Paris basin, in like man- from the depressing agencies of domestic ner, explained the production of the sulphu- cares and anxieties? Verily, we suspect retted water alluded to by Dr. Bucknill. that these premises are just, and that their He thought that the theory which attributed reasoning is sound. The laughable fact to the low fevers of marshy countries to this which we refer is this, viz., that tons of the gas was unsatisfactory. He did not believe mineral salts which have been extracted it to be so noxious an agent as was generally from some of our English spas, were first supposed. Typhus was unknown at Har- manufactured by the wholesale chemists of and Du Chatelet London, and were then, by due conveyance rowgate, Askerne, &c. ; had remarked that the vicinity of the enor- of waggon, transmitted to those chosen mous cesspool of Paris was by no means un- springs upon whose healthful waters the GOLDEN GULLS of the Thames and other healthy. Mr. TAYLOR thought Professor Daniell’s places fondly, gaily, and unsuspectingly inferences were correct, seeing that the luxuriate.—ED. L.] greatest quantity of sulphuretted hydrogen occurred in the sea during the rainy season, when the rivers brought down immense BRITISH MEDICAL ASSOCIATION. Exeter Hall, Nov. 16, 1841. quantities of vegetable matter: that this gas existed in the water of those coasts at one Dr. WEBSTER, President, in the chair. time in greater abundance than at another, I was evident from the copper sheathing of THE minutes of the last meeting were read vessels being far more corroded at one season and confirmed. than another. The deputation appointed at the last meetDr. R. QUAIN did not believe that the ex- ing of council, reported that they had an inistence in the atmosphere of sulphuretted terview on Saturday, the 13th iost., with Sir hydrogen could be in any way conducive to James Graham, at the Home Office, when health. In support of Professor Daniell’s the following gentlemen attended : Dr. views, he referred to the analogy between Webster, President, Professor Grant, Mr. the symptoms of poisoning by this gas and Davidson, Mr. Grainger, Mr. Henry Smith, of the disease prevalent in the marshy dis- Mr. Septimus Read, and Mr. C. H. Rogers tricts of Africa. He alluded to the impuri- Harrison, Hon. Secretary. ties of the water supplied to London, and The object of the deputation was to lay the mode proposed for purifying them by before her Majesty’s Government the present Of its state of the profession and of the corporaProfessor Clark, - of Aberdeen. value in removing the animal and vegetable tions, as to medical practice, qualification, impurities there could be no doubt, or of the and government ; to explain the views of the earthy matter for domestic and manufactur- association and of medical reformers ; and ing purposes. But he believed that the con- to ascertain whether the Government insideration of how far the removal of the tended or were likely to bring forward any latter would affect the dietetic properties of measure during the next session of Parliathe water well deserved the attention of the ment. The interview lasted an hour, dursociety. For his own part he was inclined ing which these different points and several to agree with the reasoning of Professor others were fully discussed and explained to Clark, that those districts where there ex- the honourable baronet. isted but little chalk in the water were Sir James Graham stated that he took equally healthy with those where it existed great interest in everything that concerned in greater quantity, the profession, both on account of the public After some other discussion upon the sub- and the members themselves. That he had ject of contagion, in which Dr. C. Hare, been a member of Mr. Warburton’s commitMr. Peet, Mr. Walker, and other members tee, and that he considered the whole questook part, the society adjourned, a paper tion to be a very important one. He was not having been first announced for next Friday, aware that her Majesty’s Government would on the subject of transfusion, by Mr. Peet. be able to bring a Medical Bill before Par[An interesting fact connected with the liament during next session, as there would subject of the above report ought to have most likely be several important questions been stated to the society, and the mention brought forward of a general nature, and of it might have created some degree of mirth the Government could not pledge themselves even amongst the more grave portion of the to this subject, which was one of consideraassembly. All kinds of virtues are attri- ble difficulty, though the objects sought for buted to the spas,-cures of the most won- by the deputation were reasonable and dederful nature are alleged to have been sirable, if they could be carried into practieffected by the medicinal and sanatory qua- cal effect. On learning that the association had prelities of various mineral waters. Are they right who attribute the wonderful effects ofpared a Bill, which they intended to bring -
275 before Parliament, if the Government did great triangle; the trachea being somewhat not take up the question, and in favour of pushed to the left side, and the sterno-mastoid The internal jugular vein which they would be happy to have the to the right. sanction and support of Government, Sir passed over the sterno-mastoid about half an James at once expressed his willingness to inch internal to the puncture in the tumour. consider the Bill if sent to him, and he would On removing the sterno-mastoid, sterno-hyoid give his individual opinion as to the parts of and sterno-thyroid, with several glands and a it he could support. portion of the clavicle and sternum, the innoThe deputation then promised to forward minata, carotid, and subclavian arteries were the document through their secretary to the exposed. The ligature was found to have Home Office, and having expressed their been placed on the carotid, a little above its thanks for the patient and courteous atten- origin from the innominata, the ligature tion which the worthy baronet had given to being still retained by a small portion of the the subject, withdrew. external side of the artery; the proximal end A communication was read from Frederick of the artery was open, the distal end was Lawrance, secretary to the Commercial and closed by a firm coagulum. The tumour General Life Assurance Annuity, Family extended from the bodies of the vertebræ beEndowment, and Loan Association, wherein hind, pushing forwards the carotid artery is stated that the directors of the above com- and internal jugular vein, above from the pany have resolved to remunerate medical base of the skull downwards to considerably men in cases of reference. below the bifurcation of the common carotid. Mr. Wallace (member of council) brought Over the anterior surface of the tumour could under the consideration of the meeting some be traced the internal jugular vein, and the abuses relative to coroners’ courts, showing carotid artery free to about its point of divithe necessity and immense importance of sion ; the internal carotid appeared more medical men being elected to fill the office of firmly connected than the external. The coroners: the relation of one or two cases vagus here issued from behind the tumour. bearing on the subject elicited much interest The tumour with the heart and arteries were from the meeting. now removed. The cyst contained a quanThe meeting then adjourned to the first tity of grumous blood ; its interior resembled Tuesday in December. very much that of an abscess, being lined by In the former part of the evening the a layer of loose flaky substance ; external to committee on illegal practice sat and trans- this was a layer of coagulable lymph. On acted business. passing a probe down the internal carotid artery, it passed with some difficulty through a small opening in the back part of the UNIVERSITY COLLEGE HOSPITAL. artery into the cyst. On laying open the internal carotid artery, all the coats were CASE OF GEORGE ANTHONY. found to have been ulcerated through at a little above its origin from the common caro(Concluded from p. 165.) Nov. 2. The patient is doing very favour- tid. The opening was closed by a mass of ably. On the 30th of October a quantity of coagulable lymph, with its margin smooth black grumous blood escaped from the and defined. All the three coats of the artery tumour, followed by a very marked decrease were distinctly traceable up to the margin of the opening, and could be dissected and sein its size. 3. After eating, a sudden gush of arterial parated the one from the other ; so that the blood took place from the wound in the fore three coats must have given way simultapart of the neck; the ligature being still neously. firm, the haemorrhage was suppressed by , Clinical Remarks.-On making additional plugging the wound ; the bleeding, however, remarks on this case, Mr. Liston observed, recurred at different intervals, until the that from further accounts of the history of patient became exhausted, and died on the case, from the age of the patient, and 5th. from the post-mortem examination, he was Autopsy.-On making the post-mortem still more convinced that it was not a case of examination, a quantity of blood was found true aneurism, but that the coats of the artery effused beneath the skin over the tumour, and had suddenly given way by ulceration from in the substance of the sterno-cleido-mastoid external pressure: he also stated that Mr. muscle. The tissues around the wound for Manning (one of his dressers) had informed the placing the ligature on the carotid were him that two months back the boy was taken much consolidated by effused lymph. Along to the Islington Infirmary by the mother, who the anterior edge of the sterno-mastoid muscle noticed a swelling in the same situation in Were situated three or four lymphatic glands, the neck ; it was perfectly movable, hard, enlarged to about the size of a small walnut and circumscribed, but painful to pressure, each, the lowest extending to within a quar- and being considered merely an enlarged ter of an inch of the superior extremity of the cervical gland, it was ordered to be fomented. incision; these with several smaller glands He further stated,that the collection in entirely filled up the superior part of the question must have commenced very deep in
the