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RECOVERY FROM APOPLEXY WITH TOTAL LOSS OF INTELLIGENCE AND SENSATION.
21 to the in his life
by a fit of apoplexy, which caused him to stagger and fall as if intoxicated. The college has been censured of late for ! Before this he had always enjoyed good conferring its diploma on extra-licentiates. health. He was now copiously bled ; but This must appear odd to those who are on the following day he presented the conacquainted with the law. The fact is, that dition about to be described. He lay on his the college could not, if it wished, refuse back, apparently incapable of understanding granting it ; at any rate it could not refuse any questions put to him, for to these he readmitting candidates to an examination for turned no answer, though he kept muttering it, without rendering itself liable to a manda- from time to time as if talking to himself. It Hemiplegia of the right side was present, mus from the Court of Queen’s Bench. is the only legal licence it can grant to with abolition (except as to the face) of both country physicians ; because, as I said be- motion and sensation. Occasionally, infore, the London licence does not authorise deed, some vestige of motor power was any one to practise beyond seven miles of visible in the extremities of the right side ; the city. The college has been bound by but this was evidently independent of the the same law for above three hundred years. will. These limbs were insensible to pinchWhy it should be censured for granting the ing, and the only mechanical irritation which one diploma more than the other, perhaps seemed in the least degree to excite percepthose who cavil at it will be able to explain : tion in the patient has a brisk tickling of the both are conferred by the authority of the sole of the right foot. There was no parasame Act of Parliament. Whether the lysis of motion in the face, but sensation was metropolitan licentiate trespasses the oftener absent there on both sides. Hearing was on the ground of the rural physician, or abolished, and sight nearly so; the pupils vice versa, I do not know; but it appears to of the eyes were incapable of contraction. me that the college does all it can in the Taste and smell were greatly enfeebled, if case, namely, it require,; the saine qualifica- not wholly suspended. The urine was extion for both licences. Whether that signed creted involuntarily, but no stools had been by the Elects, or that signed by the Censors, passed since the patient’s entrance into the be the more honourable, if there be any dif- hospital. Respiration was easy, but feeblr ference between them in that respect, every in the right than in the left lung; pulse one is at liberty to form his own opinion; slower than natural, and there were ancaand whether the examination for the one, sional intermissions of the heart’s action. that for the other, be the more eflicient, must Ordered, six leeches over each mastoid piobe left to be determined by those who have cess, and two ounces of castor oil. witnessed both. On the 19th inst., two days afterwards, The qualification demanded by the college there was little change in the patient’s con= for its diploma, according to the regulations dition, except that he persisted in a state of of 1838, is one of the highest, taken altoge- torpor. from which it was difficult to rouse ther, required by any college or university him, even for a few seconds. Ordered cupin Great Britain. I understand, also, that ping along the vertebral column. the examinations are such as to afford a very 20 to 23. A little improvement; less obfair test of the candidate’s ability and learn- tuseness of sensation, but the dejections are ing. The candidate must be twenty-six still involuntary. Bleeding to eight ounces years of age at least; he must have devoted on the 23rd. he years at least to the study of medicine, 25. Decided amendment;hearing and inthree of which must be spent at a hospital telligence partly recovered. The patient containing not less than one hundred beds ; answers questions after repeating them over and he must produce certificates of attend- to himself several times. Sensation and in every branch of motion restored in a small degree. Ordered ance on lectures, &c., medicine, and in many of the collateral an ounce of castor oil. sciences. The amendment continued, and by the SCRUTATOR. 28th the patient had begun to execute seve March 10, 1843. ral voluntary movements, and to pronounce several words, which he repeated frequently. He expressed a desire to eat, and was alRECOVERY FROM APOPLEXY lowed some solid food. WITH The cure from this time progressed withTOTAL LOSS OF INTELLIGENCE out hindrance. By the 6th of December AND SENSATION. motion had become re-established on the side can become acceptable adapted to the present age.
before they
public
or
previously paralysed —Intelligence was, seventy-three years of age, and of however, slow in returning; the patient a naturally strong constitution, entered in seemed to have lost the memory for words, November of last year under the care of M. and could not, unassisted, call objects by Cruveilhier, at the Hôpital La Charité in their names, though on the first syllable Paris. On the day previous to his admit- being pronounced by another person he A MAN,
tance he had been attacked for the first time would finish the word.
On the 1?tli he
22
could, though still feebly, grasp objects with The account is sent to show that, by his right hand. Sensation, hearing, sight, lowering the salaries of the different disand smell, were in a great part recovered, tricts, the board of guardians are desirous and speech had become tolerably perfect. that very little, if any, benefit shall be deConvalescence was proceeding at the time rived from the new regulations of the poorof the report.- Gaz. des Hop., Jan. 17. law commissioners dated the 12th of March, 1842, which are now to come into operation in this union. Fifteen shillings are to be GUILDFORD UNION. allowed for midwifery cases, in addition to those specified in the tenth article of the To the Editor of THE LANCET. It was generally believed that the SIR,—The table below shows the number oforder. new regulations were intended as a reward in area and with acres, population, parishes, the number of cases that received medical for the trouble necessary in all surgical opeand surgical assistance, including midwifery, rations and accidents. Can you, Sir, explain in each district, as published by the board to your numerous readers the reason of such of the Guildford Union, from Dec. 25, 1841, delusion? I remain, Sir, your obedient to Dec. 24, 1842, with the amount of salary servant, A CONSTANT READER. to each district for the last and present March 12, 1843. year.
by a fit of apoplexy, which caused him to stagger and fall as if intoxicated. The college has been censured of late for ! Before this he had always enjoyed good conferring its diploma on extra-licentiates. health. He was now copiously bled ; but This must appear odd to those who are on the following day he presented the conacquainted with the law. The fact is, that dition about to be described. He lay on his the college could not, if it wished, refuse back, apparently incapable of understanding granting it ; at any rate it could not refuse any questions put to him, for to these he readmitting candidates to an examination for turned no answer, though he kept muttering it, without rendering itself liable to a manda- from time to time as if talking to himself. It Hemiplegia of the right side was present, mus from the Court of Queen’s Bench. is the only legal licence it can grant to with abolition (except as to the face) of both country physicians ; because, as I said be- motion and sensation. Occasionally, infore, the London licence does not authorise deed, some vestige of motor power was any one to practise beyond seven miles of visible in the extremities of the right side ; the city. The college has been bound by but this was evidently independent of the the same law for above three hundred years. will. These limbs were insensible to pinchWhy it should be censured for granting the ing, and the only mechanical irritation which one diploma more than the other, perhaps seemed in the least degree to excite percepthose who cavil at it will be able to explain : tion in the patient has a brisk tickling of the both are conferred by the authority of the sole of the right foot. There was no parasame Act of Parliament. Whether the lysis of motion in the face, but sensation was metropolitan licentiate trespasses the oftener absent there on both sides. Hearing was on the ground of the rural physician, or abolished, and sight nearly so; the pupils vice versa, I do not know; but it appears to of the eyes were incapable of contraction. me that the college does all it can in the Taste and smell were greatly enfeebled, if case, namely, it require,; the saine qualifica- not wholly suspended. The urine was extion for both licences. Whether that signed creted involuntarily, but no stools had been by the Elects, or that signed by the Censors, passed since the patient’s entrance into the be the more honourable, if there be any dif- hospital. Respiration was easy, but feeblr ference between them in that respect, every in the right than in the left lung; pulse one is at liberty to form his own opinion; slower than natural, and there were ancaand whether the examination for the one, sional intermissions of the heart’s action. that for the other, be the more eflicient, must Ordered, six leeches over each mastoid piobe left to be determined by those who have cess, and two ounces of castor oil. witnessed both. On the 19th inst., two days afterwards, The qualification demanded by the college there was little change in the patient’s con= for its diploma, according to the regulations dition, except that he persisted in a state of of 1838, is one of the highest, taken altoge- torpor. from which it was difficult to rouse ther, required by any college or university him, even for a few seconds. Ordered cupin Great Britain. I understand, also, that ping along the vertebral column. the examinations are such as to afford a very 20 to 23. A little improvement; less obfair test of the candidate’s ability and learn- tuseness of sensation, but the dejections are ing. The candidate must be twenty-six still involuntary. Bleeding to eight ounces years of age at least; he must have devoted on the 23rd. he years at least to the study of medicine, 25. Decided amendment;hearing and inthree of which must be spent at a hospital telligence partly recovered. The patient containing not less than one hundred beds ; answers questions after repeating them over and he must produce certificates of attend- to himself several times. Sensation and in every branch of motion restored in a small degree. Ordered ance on lectures, &c., medicine, and in many of the collateral an ounce of castor oil. sciences. The amendment continued, and by the SCRUTATOR. 28th the patient had begun to execute seve March 10, 1843. ral voluntary movements, and to pronounce several words, which he repeated frequently. He expressed a desire to eat, and was alRECOVERY FROM APOPLEXY lowed some solid food. WITH The cure from this time progressed withTOTAL LOSS OF INTELLIGENCE out hindrance. By the 6th of December AND SENSATION. motion had become re-established on the side can become acceptable adapted to the present age.
before they
public
or
previously paralysed —Intelligence was, seventy-three years of age, and of however, slow in returning; the patient a naturally strong constitution, entered in seemed to have lost the memory for words, November of last year under the care of M. and could not, unassisted, call objects by Cruveilhier, at the Hôpital La Charité in their names, though on the first syllable Paris. On the day previous to his admit- being pronounced by another person he A MAN,
tance he had been attacked for the first time would finish the word.
On the 1?tli he
22
could, though still feebly, grasp objects with The account is sent to show that, by his right hand. Sensation, hearing, sight, lowering the salaries of the different disand smell, were in a great part recovered, tricts, the board of guardians are desirous and speech had become tolerably perfect. that very little, if any, benefit shall be deConvalescence was proceeding at the time rived from the new regulations of the poorof the report.- Gaz. des Hop., Jan. 17. law commissioners dated the 12th of March, 1842, which are now to come into operation in this union. Fifteen shillings are to be GUILDFORD UNION. allowed for midwifery cases, in addition to those specified in the tenth article of the To the Editor of THE LANCET. It was generally believed that the SIR,—The table below shows the number oforder. new regulations were intended as a reward in area and with acres, population, parishes, the number of cases that received medical for the trouble necessary in all surgical opeand surgical assistance, including midwifery, rations and accidents. Can you, Sir, explain in each district, as published by the board to your numerous readers the reason of such of the Guildford Union, from Dec. 25, 1841, delusion? I remain, Sir, your obedient to Dec. 24, 1842, with the amount of salary servant, A CONSTANT READER. to each district for the last and present March 12, 1843. year.