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EXTRACTION OF A NASAL POLYPUS.
556 which he thus describes:" There results from elongation l ment," articulated filament, and intimate adhesion of the cells,
you any satisfaction, or not to have been anticipated, the sooner you were possessed of them the better; for I considered it would have been both imprudent and indecorous in me to have brought the matter any further into notice than I haveI mentioned, which was, indeed, all but unavoidable. In conclusion, I have, Sir, but to apologize for the liberty I have taken with your name and opinions; and venturing to hope that my humble efforts may not be altogether unacceptable, beg to place them, with much respect and esteem, entirely at your service.-Iam. Sir, your verv obedient servant. HARRIS CARR BRAKYN, T.C.D.
an
whose segments have a cylindrical form. The filaments extend themselves either into very delicate fibrillæ or they expand themselves into larger elongated cells, which finally swell up to the form of vesicular spheres, in which great numbers of little globules (sporidia) are formed; in this stage, therefore, they completely resemble a mucor." There are, however, forms differing entirely from those described by Kutzing, which I have been able to produce by varying the fluids ill which the germs are placed; but this only proves what has before been stated, that the species or genus of a fungus depends not on the seed from which it springs, but upon the matrix by which it is nourished.*
EXTRACTION OF A NASAL POLYPUS. BY HENRY H. MUGGRIDGE, ESQ., Surgeon, Reading.
Dr. Quain and Dr. Herapath decide at once that the objects figured by me are nothing but torulæ: it may be so, but on examining, as they suggested to me, THE LANCET of December IF you think the following worth insertion in your valuable 23rd, 1848,I must confess that a comparison of the figured publication, perhaps you will afford it space:-I was requested objects shows that they areas distinct as they can be. For, to see a female, S. R., aged twenty-two years, who had a nasal 1st. The cells, as figured by Dr. Garrod, are distinctly polypus, which was daily increasing in size, although it had ovoid, and exhibit the characters assigned by Muller to the been operated on twice, at intervals of eight months, at a torulas.t The first time my patient was admitted an 2nd. The mode of development accords also with that depublic hospital. in-patient for a month, as she informed me, to prepare her for scribed as attaching to the torulæ—v!z., vesicles which bud manual interference; and from her statement it appears, that at and produce new vesicles like their parents, " so that within a each operation it came away in little bits-piecemeal. It is few hours the single vesicles have developed themselves into now eight months since she was last operated on: the polypus rows of four, five, or six," and perhaps at length extends began to get very troublesome, and large, filling up the left themselves into the form of branching filaments, still, hownostril, and producing headach, difficulty of breathing, and, ever, bearing the character of cells attached end to end.y as she described it, a great snnffling during sleep, thereby preNow if Dr. Quain will again take the trouble to refer to venting any one sleeping in the same room. On introducing figure 2 of the wood-cuts in THE LANCET, Oct. 20th, he will the probe, I found it extended to the upper part of the su- perhaps be able to observe the method in which the cells I perior turbinated bone. I extracted it with the common dis- have described bud and form themselves into filaments, as I secting forceps. I got a pretty firm hold by introducing them believe them, in my imperfect judgment, to be distinct from as high as possible, and, by a gentle twist and a sudden jerk, the ordinary torula. If, ultimately, what I have described (as recommended by the late Sir Astley Cooper,) it came I should turn out to be nothing but a torula," I certainly have away entire. It was of hour-glass shape; the lowest portion much satisfaction in knowing that what I have seen is faithwhich could be seen is about four inches in circumference, at- fully represented; and as it has not yet been my good fortune tached by a peduncle to the upper, which is larger, and of a to have seen its fraternity figured in the form of a portrait, more irregular form; on each portion of it were small red there is just a possibility some good may result from a true vessels. My opinion is, that the lower portion only, below the picture of "a very familiar object." peduncle, had been extracted before, which caused it to form Further, it may be remarked, " that very familiar object," while the adhered to its attachment. a botrytis, is the again, upper portion cause of the potato disease, of which Dr. UreThere was very little haemorrhage. Before leaving my patient, This vegetable distemper, like that of the cholera,. says-" I stuffed the nostril with lint dipped in liquor aluminis·,-in while general in its diffusion, is determined to particularthe evening I again saw her, and found the lint had come out: localities and plants by certain predisposing causes/’§ Mr. much she was relieved, no headach, and she could breathe Herapath at once puts the extinguisher on my flickering freely and easily through the nostril, which, on being looked rushlight by saying that he has found in rain-water the same into, appeared as free from disease as the other. objects as those described by me. I can only say, that the 1849. "
Reading, October,
rain-water at Bristol differs from the rain-water at Wandsworth in some very remarkable features, which Mr. Herapath. may possibly consider worthy further attention; at any rate, I do, and shall certainly avail myself of his suggestion. I did not intend to animadvert on the strictures which I was fully aware would be made on my observations; all that has been said was anticipated. My remarks, however, must be understood in the light of a friendly reply to friendly comments. Truth is my only object in this as in all other inquiries, and to obtain this no man can make too great a sacrifice. I herewith, then, leave the matter for further research and sober reflection. To leave this digression, and pass to my subject. That the minute germs or sporules of the lower forms of cryptogamic" plants can retain their vitality, and ultimately be in the fluids of the more highly organized existences, is now beyond dispute. There are, however, one or two facts to’ which I would allude, as illustrative in a marked degree of this circumstance. Robin informs us, that ill. Rayer discovered a fungoid growth on the yelk of eggs bought in the
THE VITALITY OF THE CHOLERAIC FUNGI DEMONSTRATED. BY JOHN GROVE, ESQ., M.R.C.S., Wandsworth. THE controversialist is not
necessarily a searcher after Truth.
Indeed, controversy requires many essentials in the individuals engaged in it, which I believe are very rarely found among argumentators. Victory is so sweet, that few can resist an occasional expression of triumph, when an apparent advantage is gained. I believe the object of all enquirers on the subject of cholera is to record facts which they have observed, or reflections which they have made; andI cannot help thinking that it would
developed.
be better
were we to withhold any decisions until further observations are made. After reading the observations made by the correspondents of THE LANCET of last week, I determined to make a variety of experiments on the torula. The result of these may be * Experiments of Fries, Nees von Esenbeck, Henslow, Dutrochet, and summed up in a few words,-that the vesicles which constitute others, prove this. torula are of under the ordinary capable assuming, varying t Dr. Walshe says, "The torula of the human subject is in all respects conditions, forms of vegetable growth, which, so far as I am exactly llke the torula cerevisiæ, and signifies the presence of fermentating matters. aware, have not hitherto been described. t Speaking of torulse, Robin says, "Elles se multiplicnt par des bourThe only notices I can find in reference to this property of qui poussent par un ou plusieurs cotes de chaques cellule; ils atteignthe yeast vesicle, are in Dr. Pereira’s "Materia Medica,"second geons nent bientôt le volume du corpusenle primitif. Ceux-ci donuent d’autres edition, p. 904, where he says:-" In the deposit from the bourgeons, d’ou resulte bientôt un chapelet de cellules ordinairenient un atlongees, mais ree forrnunt junxuis de tiges cylindriques. Ces chapelets porter refrigerator of Hanbury’s brewery I have observed the peu formes de trois a cinq cellutes. On ne connait que ce mode de propaforms depicted in fig. 155, c, d, e, andf. These constitute the sont gation de ce vegetal, Rc."-Ues Vegetaux qui Croissent sur l’Homme et sur plant called by Desmazieres the mycoderma cerevislae. Tur- les Animaux Vivants, par M. Ch. ROBIN. The muscardine, a disease so fatal to siikworms, is al=o dependent on pin regards these as being produced by the granules of the yeast vesicle placed under favourable circumstances." And a botrytis, the b. bassiana, of which M uller says-The dust.like powder of in the Pharmaceutical Journal, vol. vii., article Yeast, also by the fungus so destructive to silkworms is composed of cel:s endowed with of reproducing plants of the same species ; hence we may easily Dr. Pereira. He quotes Kutzing, who considers thatYeast is the power that a single grain or cell of this powder introduced into a brood an alga in its lowest, and a fungus in its higher, grade of develop- of silkworms may cause their entire destruction." .
conceive,
you any satisfaction, or not to have been anticipated, the sooner you were possessed of them the better; for I considered it would have been both imprudent and indecorous in me to have brought the matter any further into notice than I haveI mentioned, which was, indeed, all but unavoidable. In conclusion, I have, Sir, but to apologize for the liberty I have taken with your name and opinions; and venturing to hope that my humble efforts may not be altogether unacceptable, beg to place them, with much respect and esteem, entirely at your service.-Iam. Sir, your verv obedient servant. HARRIS CARR BRAKYN, T.C.D.
an
whose segments have a cylindrical form. The filaments extend themselves either into very delicate fibrillæ or they expand themselves into larger elongated cells, which finally swell up to the form of vesicular spheres, in which great numbers of little globules (sporidia) are formed; in this stage, therefore, they completely resemble a mucor." There are, however, forms differing entirely from those described by Kutzing, which I have been able to produce by varying the fluids ill which the germs are placed; but this only proves what has before been stated, that the species or genus of a fungus depends not on the seed from which it springs, but upon the matrix by which it is nourished.*
EXTRACTION OF A NASAL POLYPUS. BY HENRY H. MUGGRIDGE, ESQ., Surgeon, Reading.
Dr. Quain and Dr. Herapath decide at once that the objects figured by me are nothing but torulæ: it may be so, but on examining, as they suggested to me, THE LANCET of December IF you think the following worth insertion in your valuable 23rd, 1848,I must confess that a comparison of the figured publication, perhaps you will afford it space:-I was requested objects shows that they areas distinct as they can be. For, to see a female, S. R., aged twenty-two years, who had a nasal 1st. The cells, as figured by Dr. Garrod, are distinctly polypus, which was daily increasing in size, although it had ovoid, and exhibit the characters assigned by Muller to the been operated on twice, at intervals of eight months, at a torulas.t The first time my patient was admitted an 2nd. The mode of development accords also with that depublic hospital. in-patient for a month, as she informed me, to prepare her for scribed as attaching to the torulæ—v!z., vesicles which bud manual interference; and from her statement it appears, that at and produce new vesicles like their parents, " so that within a each operation it came away in little bits-piecemeal. It is few hours the single vesicles have developed themselves into now eight months since she was last operated on: the polypus rows of four, five, or six," and perhaps at length extends began to get very troublesome, and large, filling up the left themselves into the form of branching filaments, still, hownostril, and producing headach, difficulty of breathing, and, ever, bearing the character of cells attached end to end.y as she described it, a great snnffling during sleep, thereby preNow if Dr. Quain will again take the trouble to refer to venting any one sleeping in the same room. On introducing figure 2 of the wood-cuts in THE LANCET, Oct. 20th, he will the probe, I found it extended to the upper part of the su- perhaps be able to observe the method in which the cells I perior turbinated bone. I extracted it with the common dis- have described bud and form themselves into filaments, as I secting forceps. I got a pretty firm hold by introducing them believe them, in my imperfect judgment, to be distinct from as high as possible, and, by a gentle twist and a sudden jerk, the ordinary torula. If, ultimately, what I have described (as recommended by the late Sir Astley Cooper,) it came I should turn out to be nothing but a torula," I certainly have away entire. It was of hour-glass shape; the lowest portion much satisfaction in knowing that what I have seen is faithwhich could be seen is about four inches in circumference, at- fully represented; and as it has not yet been my good fortune tached by a peduncle to the upper, which is larger, and of a to have seen its fraternity figured in the form of a portrait, more irregular form; on each portion of it were small red there is just a possibility some good may result from a true vessels. My opinion is, that the lower portion only, below the picture of "a very familiar object." peduncle, had been extracted before, which caused it to form Further, it may be remarked, " that very familiar object," while the adhered to its attachment. a botrytis, is the again, upper portion cause of the potato disease, of which Dr. UreThere was very little haemorrhage. Before leaving my patient, This vegetable distemper, like that of the cholera,. says-" I stuffed the nostril with lint dipped in liquor aluminis·,-in while general in its diffusion, is determined to particularthe evening I again saw her, and found the lint had come out: localities and plants by certain predisposing causes/’§ Mr. much she was relieved, no headach, and she could breathe Herapath at once puts the extinguisher on my flickering freely and easily through the nostril, which, on being looked rushlight by saying that he has found in rain-water the same into, appeared as free from disease as the other. objects as those described by me. I can only say, that the 1849. "
Reading, October,
rain-water at Bristol differs from the rain-water at Wandsworth in some very remarkable features, which Mr. Herapath. may possibly consider worthy further attention; at any rate, I do, and shall certainly avail myself of his suggestion. I did not intend to animadvert on the strictures which I was fully aware would be made on my observations; all that has been said was anticipated. My remarks, however, must be understood in the light of a friendly reply to friendly comments. Truth is my only object in this as in all other inquiries, and to obtain this no man can make too great a sacrifice. I herewith, then, leave the matter for further research and sober reflection. To leave this digression, and pass to my subject. That the minute germs or sporules of the lower forms of cryptogamic" plants can retain their vitality, and ultimately be in the fluids of the more highly organized existences, is now beyond dispute. There are, however, one or two facts to’ which I would allude, as illustrative in a marked degree of this circumstance. Robin informs us, that ill. Rayer discovered a fungoid growth on the yelk of eggs bought in the
THE VITALITY OF THE CHOLERAIC FUNGI DEMONSTRATED. BY JOHN GROVE, ESQ., M.R.C.S., Wandsworth. THE controversialist is not
necessarily a searcher after Truth.
Indeed, controversy requires many essentials in the individuals engaged in it, which I believe are very rarely found among argumentators. Victory is so sweet, that few can resist an occasional expression of triumph, when an apparent advantage is gained. I believe the object of all enquirers on the subject of cholera is to record facts which they have observed, or reflections which they have made; andI cannot help thinking that it would
developed.
be better
were we to withhold any decisions until further observations are made. After reading the observations made by the correspondents of THE LANCET of last week, I determined to make a variety of experiments on the torula. The result of these may be * Experiments of Fries, Nees von Esenbeck, Henslow, Dutrochet, and summed up in a few words,-that the vesicles which constitute others, prove this. torula are of under the ordinary capable assuming, varying t Dr. Walshe says, "The torula of the human subject is in all respects conditions, forms of vegetable growth, which, so far as I am exactly llke the torula cerevisiæ, and signifies the presence of fermentating matters. aware, have not hitherto been described. t Speaking of torulse, Robin says, "Elles se multiplicnt par des bourThe only notices I can find in reference to this property of qui poussent par un ou plusieurs cotes de chaques cellule; ils atteignthe yeast vesicle, are in Dr. Pereira’s "Materia Medica,"second geons nent bientôt le volume du corpusenle primitif. Ceux-ci donuent d’autres edition, p. 904, where he says:-" In the deposit from the bourgeons, d’ou resulte bientôt un chapelet de cellules ordinairenient un atlongees, mais ree forrnunt junxuis de tiges cylindriques. Ces chapelets porter refrigerator of Hanbury’s brewery I have observed the peu formes de trois a cinq cellutes. On ne connait que ce mode de propaforms depicted in fig. 155, c, d, e, andf. These constitute the sont gation de ce vegetal, Rc."-Ues Vegetaux qui Croissent sur l’Homme et sur plant called by Desmazieres the mycoderma cerevislae. Tur- les Animaux Vivants, par M. Ch. ROBIN. The muscardine, a disease so fatal to siikworms, is al=o dependent on pin regards these as being produced by the granules of the yeast vesicle placed under favourable circumstances." And a botrytis, the b. bassiana, of which M uller says-The dust.like powder of in the Pharmaceutical Journal, vol. vii., article Yeast, also by the fungus so destructive to silkworms is composed of cel:s endowed with of reproducing plants of the same species ; hence we may easily Dr. Pereira. He quotes Kutzing, who considers thatYeast is the power that a single grain or cell of this powder introduced into a brood an alga in its lowest, and a fungus in its higher, grade of develop- of silkworms may cause their entire destruction." .
conceive,