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CRUIKSHANKIAN ORATION.
651
DR. BARRY’S LECTURES.
CRUIKSHANKIAN ORATION.
Dr. BARRY, in his last Lecture on the of the blood through the heart, passage the delivery of the oration in commemora- made some novel and interesting remarks tion of that distinguished ornament of our connected with the pathology of this organ. He enumerated some experiments which he profession, JoHN HUNTER, the front doors of had made on the living animal, particularly the Royal College of Surgeons were thrown the horse, by which he ascertained that the open, for the admission of Members, at three appendix only, (and not the whole auricle, as hitherto supposed,) contracts, and is dio’clock. Mr. THOMAS was the orator. We lated alternately with the ventricles.. That doubt whether this gentleman succeeded in portion of either auricle, termed by Mailer sinus venostis, being in progressive dilataamusing or gratifying the small portion of the tion during inspiration, and of contraction heard he the assembly who cer. him, but during expiration. Dr. Barry further stated, of surprising them; for that when the stethoscope is applied to the tainly had the of instead of a panegyric on JOHN HuNTER, he region the heart, the first sound heard is produced by the expansion of the appendices, favoured them with a minute account of the and not by the contraction of the ventricles. life, professional studies, and post mortem This is the sound that is synchronous, or so, with the pulse. The second examination of his (the orator’s) father-in- nearly lie stated, is caused by the dilatation sound, law, the late Mr. CauixsHANK. We shall of the ventricles, and not, as hitherto supreturn to the subject of the oration next posed, by the contraction of the auricles. When the power of the ventricles is inweek, when we shall also give our creased by their parietes being in a state of readers a description of the alterations hypertrophy ; the locomotion and impulse of the heart are but the sounds inconmade in the Theatre, premising only, siderable. Whengreat, the walls of the ventricles that whatever has been done by the Coun- are thin and dilated, the sounds heard through the stethoscope are loud ; the lococil, has evidently been done under the in- motion and impulse little or none. When fluence of fear, and not from any desire of apoplexy is threatened, or takes place in affording accommodation, pr manifesting re- people whose hearts are in a state of hypertrophy, the arteries within the head are spect to the Members of the College. For- distended, and bleeding profusely will tunately for the credit of the profession, no favour their return to a smaller calibre. visitors of distinction were present at the But when apoplexy takes place, accompanied by a thin, dilated, or softened left vendelivery of the CRUIKSHANKIAN oration; tricle, the arteries, from the want of a sufwe say fortunately for the credit of the pro- ficient distending power, collapse, and the veins within the cranium become proporfession, for we blushed in common with all tionably dilated. For as the head must be who heard Mr. Thomas’s twaddle, at this filled with something, when the heart is not able to keep the arteries in a state of sufsignal display of imbecility. ficient distention, the veins must enlarge to ma!:e up the difference. Small bleedings, in such cases, will favour the contraction of the but profuse bleedings will most proThe Pupils of Bartholomew’s and Mid- heart, bably produce the rupture of a vein within dlesex Hospitals loudly complain that the the head, by favouring the still further colof the arteries, and, therefore, the diordinary operations are not announced, and lapse latation of the veins. Hence it is, observed that they are not summoned when any acci- the Lecturer, that we hear of so many cases dent requiring immediate operation is ad- of apoplexy terminating fatally immediately after large bleedings, and in which blood mitted ; thus they suffer great injustice.- has been found recently effused from a rupTo the pupils of the Middlesex we can sug- tured vein within the cranium. The experiments of Dr. Kellie, of Glasgest no remedy ; but we advise the Barillustrate this view of the fatal effects gow, thol’mites to make a formal application to of inconsiderate in all THURSDAY
being
the
day appointed
for
merit
Mr. LAWRENCE.
ferently,
bleeding,
of apoplexy.
cases
indif-
DR. BARRY’S LECTURES.
CRUIKSHANKIAN ORATION.
Dr. BARRY, in his last Lecture on the of the blood through the heart, passage the delivery of the oration in commemora- made some novel and interesting remarks tion of that distinguished ornament of our connected with the pathology of this organ. He enumerated some experiments which he profession, JoHN HUNTER, the front doors of had made on the living animal, particularly the Royal College of Surgeons were thrown the horse, by which he ascertained that the open, for the admission of Members, at three appendix only, (and not the whole auricle, as hitherto supposed,) contracts, and is dio’clock. Mr. THOMAS was the orator. We lated alternately with the ventricles.. That doubt whether this gentleman succeeded in portion of either auricle, termed by Mailer sinus venostis, being in progressive dilataamusing or gratifying the small portion of the tion during inspiration, and of contraction heard he the assembly who cer. him, but during expiration. Dr. Barry further stated, of surprising them; for that when the stethoscope is applied to the tainly had the of instead of a panegyric on JOHN HuNTER, he region the heart, the first sound heard is produced by the expansion of the appendices, favoured them with a minute account of the and not by the contraction of the ventricles. life, professional studies, and post mortem This is the sound that is synchronous, or so, with the pulse. The second examination of his (the orator’s) father-in- nearly lie stated, is caused by the dilatation sound, law, the late Mr. CauixsHANK. We shall of the ventricles, and not, as hitherto supreturn to the subject of the oration next posed, by the contraction of the auricles. When the power of the ventricles is inweek, when we shall also give our creased by their parietes being in a state of readers a description of the alterations hypertrophy ; the locomotion and impulse of the heart are but the sounds inconmade in the Theatre, premising only, siderable. Whengreat, the walls of the ventricles that whatever has been done by the Coun- are thin and dilated, the sounds heard through the stethoscope are loud ; the lococil, has evidently been done under the in- motion and impulse little or none. When fluence of fear, and not from any desire of apoplexy is threatened, or takes place in affording accommodation, pr manifesting re- people whose hearts are in a state of hypertrophy, the arteries within the head are spect to the Members of the College. For- distended, and bleeding profusely will tunately for the credit of the profession, no favour their return to a smaller calibre. visitors of distinction were present at the But when apoplexy takes place, accompanied by a thin, dilated, or softened left vendelivery of the CRUIKSHANKIAN oration; tricle, the arteries, from the want of a sufwe say fortunately for the credit of the pro- ficient distending power, collapse, and the veins within the cranium become proporfession, for we blushed in common with all tionably dilated. For as the head must be who heard Mr. Thomas’s twaddle, at this filled with something, when the heart is not able to keep the arteries in a state of sufsignal display of imbecility. ficient distention, the veins must enlarge to ma!:e up the difference. Small bleedings, in such cases, will favour the contraction of the but profuse bleedings will most proThe Pupils of Bartholomew’s and Mid- heart, bably produce the rupture of a vein within dlesex Hospitals loudly complain that the the head, by favouring the still further colof the arteries, and, therefore, the diordinary operations are not announced, and lapse latation of the veins. Hence it is, observed that they are not summoned when any acci- the Lecturer, that we hear of so many cases dent requiring immediate operation is ad- of apoplexy terminating fatally immediately after large bleedings, and in which blood mitted ; thus they suffer great injustice.- has been found recently effused from a rupTo the pupils of the Middlesex we can sug- tured vein within the cranium. The experiments of Dr. Kellie, of Glasgest no remedy ; but we advise the Barillustrate this view of the fatal effects gow, thol’mites to make a formal application to of inconsiderate in all THURSDAY
being
the
day appointed
for
merit
Mr. LAWRENCE.
ferently,
bleeding,
of apoplexy.
cases
indif-