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DIABETES INSIPIDUS TREATED BY ELECTRICITY.
749 and pleurisy and no great amount of fever at any time during his boundary stay in the hospital. The patient was treated principally of the space much nearer the anterior than the posterior wall ; while in hospital, and subsequently, by my partner, Dr. they were also probably carried still more forward by the W. M. Hendrickson, to whose careful attention he owes, in I have reported this a great measure, his speedy recovery. position of the arm at the time. The marvellously rapid recovery of the patient, and the case more on account of its extraordinary character than comparatively mild character of the symptoms after the first for any particular surgical interest it contains. forty-eight hours, afford another instance of the comparative Montana. impunity with which a young and healthy man may receive injuries of even so delicate and complex an organ as the DIABETES INSIPIDUS TREATED BY lung. In conclusion, I beg to return my very best thanks to ELECTRICITY. Dr. Myles, who was in immediate attendance OD the case ;
bayonet probably passed along the floor of the vessels with the nerves extend along the
the
axilla,
outer
Dr. Holmes, the resident surgeon, and the whole of the medical staff of Barrington’s Hospital, for their great conrteay in permitting me to take the above notes, which I hope will not be without interest for military readers, as bayonet wounds are so rare in modern warfare.
BY C. P. B.
CLUBBE, L.R.C.P. LOND.,
LATE HOUSE-SURGEON TO THE KIDDERMINSTER INFIRMARY.
C. H-, aged thirty-five, housewife. This woman presented herself as an out-patient at the Kidderminster InLimerick. firmary in October, 1878, suffering from diuresis. She was at that time passing from eighteen to twenty pints of urine WOUND OF LEFT LUNG; AN EXTRAIt was light-coloured, of very low specific per diem. ORDINARY CASE. gravity, and contained no sugar. The drugs that are recommended for this disease-namely, iron, nux vomica, BY L. E. HOLMES, M. D. valerian, and bromide of potassium, were all tried in turn, but without any marked effect. The woman at this time was PATRICK M-, a miner, aged thirty-one, was brought losing flesh. She was then ordered electiicity (faradaism) to to the Working Men’s Hospital, Butte City, Montana Terri- be applied over the region of her kidneys every day for about minutes at a time. In the table below there is given tory, on June 18th, 1881, on account of a wound made by the twenty the dailv average for each week of the amount of urine in passage of a drill through his left lung. The history of the ounces during the time this treatment was continued :accident is as follows. While standing with twoother miners Daily Daily at the bottom of a 225 feet in on the
depth, mining shaft, average. average. i "Gray Rock" mining claim, a drill three feet one inch in i 1st week...... 237 oz. llth week...... 151 oz. length, one inch and a quarter in diameter at the bit, and 2nd " 217 12th ,, ... ... 154 3rd 163 13th ,, ... ... 154 weighing eight pounds and a half, fell from the top of the 4th 154 14th " ... ... 123 shaft. The men below heard it striking the timbers from 5th " 138 15th " ... ... 103 side to side as it came down, and two of them jumped aside 113 6th 16th ...... 130 to the corner,4 of the shaft, while the patient stood still with 7th 140 17th ...... 129 his shoulders slightly dropped forwards. The bit of the drill 157 18th ...... 123 8th struck him between the superior angle of the left scapula 9th 168 19th ,, ... ... 108 and the spine, about two inches from the latter, passing 10th 160 20th 117 downwards and forwards near the left border of the heart, and emerging at a point on a line with the left nipple and This shows that there was a great improvement up to the six inches from the centre of the sternum, fracturing the seventh week, after this the daily average is seen to vary sixth rib, making a wound eight inches and a half in length. but slightly. At the end of the twentieth week all treatThe drill passed nearly through, the head seeming to the ment was left off. During this time she had improved in man to remain in the region of the left armpit; the point her general health. She was seen six months afterwards, emerging struck the ground, bringing the man to the ground and was found much in the same state as when she left off upon his face. The patient ciUed upon one of the men using the battery. She was no worse, but was still passing standing near him to assist in drawing out the head of the from six to seven pints of urine daily. This case shows that drill, and both pulling together succeeded in doing so. The this treatment (probably the most rational of all) for this head was much battered, and must have torn the lung and disease may be tried with advantage. flesh considerably in passing through. On entering the hospital the patient was bleeding freely, and in a fainting condition. Air at each expiration passed with a gush of b’ood from both ends of the wound. Hæmostatics, consisting of gallic acid and ergot, with stimulants, were freelv administered, and the openings temporarily OF sealed. The bleeding ceased readily, but the patient HOSPITAL PRACTICE, recovered slowly from the shock. On the 4th of July, sixteen days after the injury, he BRITISH AND FOREIGN. walked out from the hospital to see the patriotic demonstrations of the citizen. He remained in hospital eight, weeks, Nulla autem est alia pro eerto noseendivia, nisi quamplurimas et morborum ......
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......
,
......
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......
,
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,
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,
......
,
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A Mirror
when he considered himself sufficiently recovered to go to his et dissectionum historias, tum aliorum tum proprias collectas habere, et private boarding house to remain. The wound, or wounds, inter se comparare.—MORGAGNI De Sed. et Caus. Morb., lib. iv. Proœmium. for it had two open ends, began to discharge matter on the fourth or fifth day, which was very offensive, and became FARRINGDON GENERAL DISPENSARY. very abundant. For three or four days, once a dav, injecIN THE BRAIN ; DEATH ; NECROPSY ; REMARKS. CYST tions of carbolic acid (ten drops to the ounce) were made (Under the care of Mr. F. W. GOODSALL.) through the track of the wound with a common Davidson’s to the were syringe. These, fueling disagreeable E. D-, aged fourteen years, a ballet girl, had suffered patient, discontinued, and simple dressings used once or twice daily. for two or three months from headache, most severe during The offensive character of the pus soon changed, though the menstruation ; in other respects she enjoyed good health. abundance continued for several weeks. The lung has shrunken to about two-thirds its natural On September 20th, at 9.30 A.M., she had a sudden attack size. The respiration at the time of leaving the hospital of vomiting, which recurred at intervals during the day, but was 28, and the pulse 90. Thp wounds have now (August was not sufficiently severe to make her keep her bed. At 31st) ceased to discharge, and have closed, except the 5 P.M. she became insensible. At 7 P.M., when first seen, lower one, which, with no perceptihle opening, merely moistens the dressing during the night. Since leaving the the patient was apparently in a natural sleep, but all efforts hospital the patient has gained much flesh, and says he to make her conscious failed. During the night she refeels nearly as strong as ever. There was never any marked vived, and took some milk, but did not speak, and between
bayonet probably passed along the floor of the vessels with the nerves extend along the
the
axilla,
outer
Dr. Holmes, the resident surgeon, and the whole of the medical staff of Barrington’s Hospital, for their great conrteay in permitting me to take the above notes, which I hope will not be without interest for military readers, as bayonet wounds are so rare in modern warfare.
BY C. P. B.
CLUBBE, L.R.C.P. LOND.,
LATE HOUSE-SURGEON TO THE KIDDERMINSTER INFIRMARY.
C. H-, aged thirty-five, housewife. This woman presented herself as an out-patient at the Kidderminster InLimerick. firmary in October, 1878, suffering from diuresis. She was at that time passing from eighteen to twenty pints of urine WOUND OF LEFT LUNG; AN EXTRAIt was light-coloured, of very low specific per diem. ORDINARY CASE. gravity, and contained no sugar. The drugs that are recommended for this disease-namely, iron, nux vomica, BY L. E. HOLMES, M. D. valerian, and bromide of potassium, were all tried in turn, but without any marked effect. The woman at this time was PATRICK M-, a miner, aged thirty-one, was brought losing flesh. She was then ordered electiicity (faradaism) to to the Working Men’s Hospital, Butte City, Montana Terri- be applied over the region of her kidneys every day for about minutes at a time. In the table below there is given tory, on June 18th, 1881, on account of a wound made by the twenty the dailv average for each week of the amount of urine in passage of a drill through his left lung. The history of the ounces during the time this treatment was continued :accident is as follows. While standing with twoother miners Daily Daily at the bottom of a 225 feet in on the
depth, mining shaft, average. average. i "Gray Rock" mining claim, a drill three feet one inch in i 1st week...... 237 oz. llth week...... 151 oz. length, one inch and a quarter in diameter at the bit, and 2nd " 217 12th ,, ... ... 154 3rd 163 13th ,, ... ... 154 weighing eight pounds and a half, fell from the top of the 4th 154 14th " ... ... 123 shaft. The men below heard it striking the timbers from 5th " 138 15th " ... ... 103 side to side as it came down, and two of them jumped aside 113 6th 16th ...... 130 to the corner,4 of the shaft, while the patient stood still with 7th 140 17th ...... 129 his shoulders slightly dropped forwards. The bit of the drill 157 18th ...... 123 8th struck him between the superior angle of the left scapula 9th 168 19th ,, ... ... 108 and the spine, about two inches from the latter, passing 10th 160 20th 117 downwards and forwards near the left border of the heart, and emerging at a point on a line with the left nipple and This shows that there was a great improvement up to the six inches from the centre of the sternum, fracturing the seventh week, after this the daily average is seen to vary sixth rib, making a wound eight inches and a half in length. but slightly. At the end of the twentieth week all treatThe drill passed nearly through, the head seeming to the ment was left off. During this time she had improved in man to remain in the region of the left armpit; the point her general health. She was seen six months afterwards, emerging struck the ground, bringing the man to the ground and was found much in the same state as when she left off upon his face. The patient ciUed upon one of the men using the battery. She was no worse, but was still passing standing near him to assist in drawing out the head of the from six to seven pints of urine daily. This case shows that drill, and both pulling together succeeded in doing so. The this treatment (probably the most rational of all) for this head was much battered, and must have torn the lung and disease may be tried with advantage. flesh considerably in passing through. On entering the hospital the patient was bleeding freely, and in a fainting condition. Air at each expiration passed with a gush of b’ood from both ends of the wound. Hæmostatics, consisting of gallic acid and ergot, with stimulants, were freelv administered, and the openings temporarily OF sealed. The bleeding ceased readily, but the patient HOSPITAL PRACTICE, recovered slowly from the shock. On the 4th of July, sixteen days after the injury, he BRITISH AND FOREIGN. walked out from the hospital to see the patriotic demonstrations of the citizen. He remained in hospital eight, weeks, Nulla autem est alia pro eerto noseendivia, nisi quamplurimas et morborum ......
"
......
,
......
,
......
,
......
,
......
,
......
,
......
,
......
......
A Mirror
when he considered himself sufficiently recovered to go to his et dissectionum historias, tum aliorum tum proprias collectas habere, et private boarding house to remain. The wound, or wounds, inter se comparare.—MORGAGNI De Sed. et Caus. Morb., lib. iv. Proœmium. for it had two open ends, began to discharge matter on the fourth or fifth day, which was very offensive, and became FARRINGDON GENERAL DISPENSARY. very abundant. For three or four days, once a dav, injecIN THE BRAIN ; DEATH ; NECROPSY ; REMARKS. CYST tions of carbolic acid (ten drops to the ounce) were made (Under the care of Mr. F. W. GOODSALL.) through the track of the wound with a common Davidson’s to the were syringe. These, fueling disagreeable E. D-, aged fourteen years, a ballet girl, had suffered patient, discontinued, and simple dressings used once or twice daily. for two or three months from headache, most severe during The offensive character of the pus soon changed, though the menstruation ; in other respects she enjoyed good health. abundance continued for several weeks. The lung has shrunken to about two-thirds its natural On September 20th, at 9.30 A.M., she had a sudden attack size. The respiration at the time of leaving the hospital of vomiting, which recurred at intervals during the day, but was 28, and the pulse 90. Thp wounds have now (August was not sufficiently severe to make her keep her bed. At 31st) ceased to discharge, and have closed, except the 5 P.M. she became insensible. At 7 P.M., when first seen, lower one, which, with no perceptihle opening, merely moistens the dressing during the night. Since leaving the the patient was apparently in a natural sleep, but all efforts hospital the patient has gained much flesh, and says he to make her conscious failed. During the night she refeels nearly as strong as ever. There was never any marked vived, and took some milk, but did not speak, and between