TO JAMES JOHNSTONE, M. D.

493

ponnds,

and reduced into

simple injection, which the smallest vessels. The arachnoid was of a deep red, as if all its CASE 11.-Stay in the hospital from 6th tissue were penetrated with blood. The July to 7th in the evening. Autopsy; arach- brain presented nothing remarkable. The intestines were injected in the same mannitis, gastro-enteritis, splenitis. Paul Tossini, aet. 30, of a good consti- ner, from the oesophagns even to the anus ; tution, was taken on the morning of the their whole thickness appeared to be im29th June with a fever, which commenced pregnated with blood; they were not either with heat, and which returned every day thicker than natural, nor contracted ; on the until the 6th July, when he arrived at the contrary, they were distended with flatus. hospital. He had had thirst, bloody stools, Spleen weighed from eight to ten pounds ; tenesmus, enlarged spleen ; and he had when it was put upon the table, it became taken cooling drinks and a purgative. He flat likea bladder half filled with water ; its is now in the following state : his appear- tissue was reduced to a pulp. somnolence rather than ance is stupid; coma; general pain of head. The patient only appears to be drowsy, for he is easily awoke, and he understands sufficiently well what is said to him ; decubitus on the back, TO JAMES JOHNSTONE, M. D. the knees are drawn up, but he cannot extend the thighs, without experiencing pain ; "Precept" and " Example." during his slumbers the right eye is partly open, the left shut; it is impossible to deDEAR JOHNSTONE,—The retirement ofDr*press the lower jaw, without producing from public life, to whom you may suffering, when the commissure of the is drawn a little more to the right than left recollect we were in the habit of addressing the tongue is dry, red, covered witha black occasional remarks on passing events, affords crust, which extends from the point to- us the melancholy pleasure of finding in you wards the middle, the breadth of which is a fit epistolary substitute for our departed not more than half an inch ; the tongue is friend. As editors, like other men, are drawn a little to the right ; at intervals, ’mortal, it is with sincere satisfaction we slight convulsive movements of the hands ; have seen the " mantle of the prophet" depain of belly upon pressure ; skin hot, dry ; scend on you, in whom we therefore hail a pulse 120. When the right arm is extended, worthy representative of the talents and atthe nexor muscles contract, and the patient tainments of that illustrious individual. We seems to suffer much pain ; but when once should here willingly expatiate on the vir. tues and premature fate of our lamented cor.. extended it continues so. In the night, bloody dejections, extremely respondent, but tbat, in obedience to the fœtid; declination of the paroxysm, which inspired mandate, which says, " let the dead returned on the 7th in the morning; at bury the dead," we are called from the conseven o’clock the patient complained of cerns of death to the more important affairs cold. I did not see him. till six o’clock in of life. Though not personally interested in the evening, when the paroxysm was be- the present address, its title may possibly ginning to decline : tle skin was hot and intimate to you the nature of its contents, moist; the lips were encrusted; the pulse without a prefatory explanation. Assisted was not to be felt; respiration hurried ; the by your knowledge of the singular occur. two forearms bent, when it was wished to rences of the medical world for some time extend them, above all the right violent back, you can scarcely fail to anticipate our pain was produced ; preservation of sensi- intention of examining some contemporary in which the concordance cf£ bility every where; sometimes the right eye publication, a little open, the left being shut. He hac ’’ precept" and " examplehas been most several convulsive movements this morning happily manifested for the last twelve and towards Ile took kino before months. That periodical, your critical sathe accession, at the moment when he al. gacity must all at once convince you, can be ready felt the cold. Increase of coma no other than tIiH Subscription Humbug," died at half past seven o’clock in the or ghost of the Medical and Physical Journal, conducted bv your esteemed friend and evening. Dissection.—General injection of the arach- ally, Dr. Roderick Macleod. The postnoid, particularly that part which covers the ponement of this comparison of practice and cerebellum, and the lateral part of the corn profession, you will immediately perceive, mencement of the spinal marrow. The inj--c. on refiection, presents many advantages to tion ofthe right side was a little more intense compensate for deficiency of novelty, and than that of the left, although it was other the inconvenience of procrastination. The wise as vivid as it is possible to imagine of feelinga which usually ac. a

grey,

pulpy

for it

was

not a

merely- shows

state.

,

lipsCopland

mid-day.

"

effervescence

494

companies disputes of a personal kind, has Doctor Roderick probably took the hint partly subsided, leaving the ingredients from the Dean, and, in his gigantic vision, of excitement at the bottom, in a state fit for time, London, Guy’s Hospital, medical stuthe objects of analysis. From the quality dents, and all, dwindled down into a sort of of the materials left in the cauldron, wemay pigmy creation, like the Lilliputians in the

now

estimate the character of the magician eyes of Gulliver. We have not the least by whom this storm of the passions has been doubt, that if the narrator’s person had been conjured into existence. Deprived by time in proportion to the microcosm, into which of the veil of darkness, in which his spells he reduced this meeting, but he would have hadshrouded him during their operation, he extinguished its inflammatory proceedings, may be followed through the depository of as Gulliver quenched the conflagration of his labours before us, as the serpent may be the royal city of infildendo. traced by its slimy impressions in its convoA passage from another ’leading article" luted progress through inud. supplies us with a specimen of the Doctor’s This preface furnishes us with a convelearning," while it confirms what we have nient standard, by which his subsequent con- been advancing with regard to his "judgduct may be understood. He there informs ment." "Wehave," he says, "in a for. us, with all the seeming of sincerity, that mer article, expressed something like an the Charity Excrescence" is to be car- opinion, that if medical education in this ried on "with the utmost degree of judg- country be not the best in the world, it is, ment, knowledge, and good feeling !" We perhaps, the best for us." Polyphemus, in shall, for the sake of arrangement, assume one of his fits of unwieldy gallantry towards these qualities as heads to which our illus- Galatea, reckoned, among other personal trations may be referred, and which we take advantages by which he hoped to subdue the at random from the first volume. Under the heart of the fair nymph, his having but one head of judgment" may, we think, be eye. The logical Cyclops of the "Mereduced, his opinions on the important ques- dical and Physical," does not, indeed,

now

"

"

tion of medical education. His zeal for pro- assure the nymph of Lincoln’s Inn Fields, moting that object, may be fairly inferred towhom he is makinglove in the precedfrom the manner in which he treats an ex- ing passage, that he is absolutely a monvpression of public feeling on the subject, in culus; but he tells her what amounts to the following passage :-" A few weeks ago, nearly the same thing, that he sees but one a number of young men, who are studying side of a question, for which she happens to medicine in London, assembled at a debat- he interested. The fair impersonation of ing society at Guy’s Hospital, and made the corporate systems must be hardhearted speeches, the burden of which was, that indeed to resist the impassioned advances medical education is very deficient in Eng- of a Sciator, who, for her sake, can discover land, and very inferior to what it is on the so much perfection in the Hospital11 NepoContinent: this farce was reported in the tism" of London, the "Dubbing" at Edinthe " Apprenticing" in Dublin, the daily newspapers." The diminished proof Aberdeen, and portions of the picture conveyed to the " Post-office mind through this narrative, are perfectly in all the other virtuous and consistent preserved in every part. Thus time itself schemes of education over which she pre. has not escaped curtailment ; it was only an sides ; while among her rivals on the Con. tinent he finds nothing but defects and de. insignincant " few days ago;" the students were but "young men," and only a " num- formity. No wonder Cupid has been paintber"of them present; they were but ed blind, when the venerable swain of the " studying medicine," and of’ course could Subscription Excrescence "can convert the know nothing of how the science should be imperfections of his mistress into a theme taught ; they assembled at a " debating so- for admiration. A classical vein runs ciety," and, like all who frequent such through all the Doctor’s editorial amours. arenas of foolery, only " made speeches ;" He not only makes love with the blind dethe import of which, like the da capo of a votion of the ancients, and arrays his favou. " burden;" and, by "an rite with all the charms of a perfect Venus, song, was but a next turns out to be a but would add to her beauty the attributes transition, easy farce, which, by way, we presume, of ago of a Minerva, by imposing on her the africtgravation, was actually reported in the est silence, which, among the Greeks and " daily newspapers !" By a similar pro- I:omans, was so expressive of wisdom. As cess of descriptive inversion, the pyramids another specimen of his " judgment," we him, in one of his leading articles, might be reduced to a play-toy, and eternity itself to a spen. Johnson (not you, dear writingthus :—" We deny that the medical Doctor,) remarks, that once the idea of big officers of our hospitals can, with any pro. and little men occurred to Swift ; the com- priety or truth, be considered as subject to position of the voyages to Brobdignag and public inspection. We deny that the treat. Lilliput was a matter of little difficulty. ment of disease is a thing that falls under

burgh,

"

find

Diplomas"

495

the cognizance of the public judgment ; orany description, who carry on their trade the purposes of profit, to deteriorate ought to be brought under their The Doctor is so jealouof the accomplish- I what they steal by bad English, or any ments of his mistress, that he is indignant other I expedient, to lessen its value. Here zeal to produce effect outruns at the idea of submitting them to the vulgar the painter’s i gaze of the public through the mirrnr of thehis prudence, and his fiction, consequently,

notice."for

£ It might, press. He would monopolize all her per- becomes inconsistent with itself. fections in silent fruition, and confille the however, be supposed, from its plausibility, inspection of her operations to the few ini- that there was some foundation, for the tiated priests of her temples. The mob of statement, in fact; it is now well known; students and practitioners, throughout the that it is as purely a work of the imagination as any one of the Waverly Novels. It British empire, was to derive a of their profession through her silence is, therefore, not a little amusing to imawith what a smile of contempt these and no voice issuing from the sanctuary was to inform the public whether her rites spoliated lecturers must have read this were duly performed. All her affairs, like poetical narration of their grievances, althe mysteries of the "Bona Dea," were to Mr. Abernethy, who, havbe conducted in darkness and taciturnity ! ing sworn to the fidelity with which his We must, however, be content for the lectures were reported, must have felt present with these examples of " know- chagrined with his friend, Doctor Macleod, ledge" and "judgment," for the purposefor putting him forward as a perjurer, or a of being detailed in our selections of the speaker of bad English, in this splendid good feeling," in proportion to the qtian- fiction. But we must proceed, without that article in the volume before us. too long on each instance of the It is so abundant, indeed, that the onlyj good feeling." lies in compressing it within aiI In another paragraph of the " leading and so conspicu-articles," we find the sufficiently short ous for its politeness and humanity, that applied to passages in THE tary lar.guage " The two, taken together, exhimight be supposed to have been the joint production of a Chesterfield and a Howard. ibit a manner and a method in lying, which and In the very page in which the profession of can only proceed from long ’.‘ good feeling" was made, we find the constant practice. The paper concludes following delicate and correct statement:— with a passage worthy of what precedes it, "But a few years ago, a set of literary and which shows that the writer has a heart plunderers broke in on the peace and quiet and an imagination filled with the foulest The of the profession. Lecturers, who had spent images and the darkest passions." their lives in collecting knowledge, arrang- beautiful illustration of " fine feeling" dising it for communication, and acquiring the played in these remarks, convinces us that, art of oral instruction, saw the produce of if the writer had only a text worthy of his their lives snatched from them, and pub- natural disposition, he would certainly be lished for the profit of other3, with the the first commentator of the age. Like a additional mortification of finding what they goodcritic, who sometimes points out beauhad taken so much pains with, disfigured ties of which the writer was unconscious, by bad English, and ridiculous or mischie- the Doctor is so thoroughly imbued with a It would be a matter of horror of impropiiety in diction and sentivous blunders." some difficulty to determine, whether the ment, that he is insensibly led to find it it does not really exist. His tact in ingenuity or the truth of this passage is most to be admired. By what Mr. Shiel the discovery of invisible immorality, is rhetorical artifice," the im- only equalled by the virtuous indignation of would call a puted offence is magnified to excite the his chastisements. That species of punishmore commiseration for the aggrieved ; ment inflicted by the production of proof, is while the circumstances of the aggrieved entirelytoo slow in its operation to satisfy are, in their turn, magnified to excite the his notions of justice; he throws Locke and greater horror at the offence. Thus, with- logic aside, and finds, in Biilingsgate, a more out any assigned pretext, the plunderers" expeditious castigation for " foul images," are represented to have committed a regu- " dark passions," and " a constant practice lar burglary, and on whom’!? Why, on the of lying." Thus, in another passage, we find quiet, peaceable, and industrious proprietors these remarks fully corroborated. Alluding of the London lecture rooms, who spent to a late duel, he says :--" It is one among their lives (poor men!) in the acquisition the daily proofs of the incalculable mischief of professional property, and the art of oral resulting from that depravity of the medical iMS!ruction !What a hard case ! One could press, which has set man in hostility to almost weep for the severity of their lot! man ; a system habitually carried on for In one point only the picture is defective ; the profit of a moral incendiary, (observe, it is not usual, we believe, with robbers ofwe say morol,l who has raiscd tl co.jfiagra-

knowledgegine,

(( ways,excepting

dwelling

tity of difficulty

following complimen-

space ;

itLANCET :

where

"

11

experience

496

tion which, it is to be feared, will only be quenched in blood." In addition to the other qualities of the Doctor’s style, we have it here assuming the prophetic form. Having rushed at once to a conclusion, and imbodied it, in the usual way, in a nickname, without the assistance of a single fact, his fancy takes fire, and he furnishes us with

while his pen

dripping

was to

sentiment, who,

this

apurious

satiate his revenge of no other crime thm

against men guilty laughing at his stupid pretensions, turned beggar when they made him a literary bankrupt, and received the sympathetic alms of Mr. Brodie for the accomplishment

of his detestable purpose. Bah ! " good There is a depth of disthe way, has never since been quenched, grace, a foulness of design, an intensity of either by blood or water. This splendid malice, in this combination of beggary and between the spite-worn pauper and creation of rhetorical pyrotechny was, doubt, brought forward for the purpose of his patron, which makes one loathe. But, reviving the recollection of a libel, for which dear Doctor, knowing the " morbid sensibi. you, dear Johnstone, had to pay the hand- lility" of your stomach, we will not fini8li some sum of six or seven hundred pounds. the sentence; for, in imagination, we Our friend, Mr. Wakley, would, no doubt, already see you, after a few ineffectual look vastly comical in a caricature, warming exertions to restrain your disgust, deiuga his hands before a comfortable blaze of these creatures in an -eructation of indig. doctors’ wigs in the middle of Bedford nant bile. Ovid, you mayrecollect, in Square, while you, dear Johnstone, and his recapitulation of the fantastic philoso. of Pythagoras, makes serpents spring your coadjutor, Roderick Macleod, i phy be seen in the distance, endeavouring to from the putrid marrow of human bones. extinguish the flames with a Jukes’ syringe, If the malignity of- man had then ben inserted into thejugular vein of some established by a few Macleods, no wonder wounded duellist. The poor father, in one the fertile fancy of the ancients would have of Goldsmith’s comedies, who discovers a found in the circumstance an appropriate plot of " blood and arson " in a love-letter to origin for the venomous tribes. This "man one of his daughters, was nothing to this of feeling " no sooner enters on the stage of discovery of blood and fire in the pages of action, after reciting his sentimental pio. THELANCET. logue, than, in a sort of harlequinade of the One other specimen must conclude our heart, he throws aside the garb of benevoselection at this sitting ; it is as follows :- lence, and appears in his natural character " Thomas Wakley stands convicted of false- of vituperation ; while all his kindness, like hood before one of the most impartial judges the waters of the Choaspes, which flowed that ever sat on the bench ; and his name is for the exclusive beverage of the kings of recorded in the two first courts in this king- Persia, is reserved for those who hold the dom as a libeller." Had the Doctor been same opinions as himself. In short, there made a crier in one of t’ie said courts, he is not an epithet remarkable for its coarse. would havebeen quite at home ; for one can ness ;anoun, which Las been excluded scarcely help thinking, while reading this from all decent composition; or any other triumphant announcement, that he is not part of speech which could be made subser. listening to that official pc-rsonage exercis- vient to his abusive purposes,—that this ing his lungs and his functions through the man of feeling" has not pressed into the judicial triumph. The Doctor, indeed, is services of detraction. It is worthy of renever satisfied to leave his readers to deduce mark too, (and it cannot escape the most conclusions from facts ; he naturally distrusts careless of his readers,) that his attacks are their confidence in his statements, and essentially different from those which disthinksthey might err, unless he concluded tinguish every other literary writer. Other his opponents " incendia- authors are satisfied with attempts to prove by proclaiming ries," " libellers," 11 liars," and " black- their own superiority over an opponent; to guards." Thus, Junius informs us, " every shotv that 11e may be in error in the line of common dauber writes rascal and villain conduct which he pursues; they confiue under his picture, because the pictures their strictures to his compositions, and themselves have neither character nor re- comment on his doctrines, without invading semblance." Did Dr. Macleod neglect thisthe sanctuary of the heart. The sentimental vulgar precautioa, it might be a matter ofDoctor reverses this system, eschews aJ! some difficulty to point out the originals of consideration of a man’s acts and arguments, his descriptions. and, bounding over tl,at line which all men We have thus, dear Jolznstone, taken al have held sacred in their contentions, grasps few specimens, at random, of the " pre.at once, with Indian ferocitv, he heart;f " cepts and " examples " ofyour esteemedhis victim, and tatoos it widi the " foulest contemporary, Dr. Macleod’s "good feeling."’ imagesand the " darkest passions." And You will allow that they are worthy of oneagainst whom, and for what crime, has all this whose heart was ga:yrened with hatred, vituperation been expendedl Against an

extinguished conflagration, which, by feeling" indeed !

nocharity

mightI

savage

497 are really hostile. On the contrary, they the social are men wba would not only not permit the. relations oflife; against one whose conduct Press to exercise a censorship over their has been subjected to an unparalleled or- conduct, or allow of any shade of reformadeal, without injury; and all because he tion in medical institutions, but who would had the originality to invent a system of crush the Press itself, and corrupt the efficient reform in medical affairs ; the per- medical corporations of these countries still severance to carry it on against every spe- more. The man who cannot see this through ciesof opposition, and will, we believe, have agents and their writings, we take to the proud satifaction of seeing its full accom- be incurably blind. Examine the individual and his complishment. These were merits and objects whom they have put forward, which, at least, in the minds of the candid, positions as examples—who is he? one who might compensate for any trivial errors com. having died a natural death from stupidity mitted in the working of a novel engine. in one publication, has been galvanised into Greatmoral and physical powers are diffi- a sort of artificial existence, by the metallic cult to manage, without the ex- battery of Mr. Brodte and his Vespertilionian The light- brothers, to gape, croak, and wriggle, like perience of previous ning which purifies our atmosphere of its a reanimated felon for a while, in another ; noxious qualities, may occasionally, in its one who having been rescued from a litecourse, smite an ox or its owner; the rary death by the sympathies of revenge, satirist, who exhibits vice in its naked has sold himself to become the executioner form, to render it the moredisgusting, may, ’, to a faction, as a convict accepts a transmuindeed, sometimes offend the delicate and tation of sentence, in consideration of perduties still more degrading than the innocent; but the philosopher, who sees in all subiunary arrangements, evil in- those for which he had been condemned. separable from good, looses sight of the ’’, This is the pure, unspotted, unshackled minor inconvenience, in contemplating the agent, who comes forward with the whine generalresult. While we disclaim the im- of honesty on his lips, but with the venom possible attribute of impeccability, we con- hate in his heart, and the wages of tend that the most unjust means have been slander in his hands, as the chivalrous taken to magnify the imputed faults of this avenger of an insulted profession, and the I of the writers in THE LAXCET ; Journal, and to affix a dangerous character to the excitement which it has in part pro- who, to the impulses of wounded pride, duced. The agitation, of whatever kind it I adds the lust of prospective lucre, and the may be, is certainly not exclusively the obligation of servitude to a faction, to work of THE LANCET ; for bad the system, stimulate him in the performance of his which it has so successfully assailed, been a mercenary duties. Look to those " leading sound one, how little wouid its attacks have articles" which were to have formed a poravailed?—just as little as a political writer, ition of the " ideal mode!" of his publicawho could have the folly to write against the tion, and what is their tendency ?—to palliate the old abuses of our institutions, and to principle of trial by jury, civil representa- foster the generation of new. Examine tion, or any other essential part of the British constitution. But when the struc- his reviews, and how has he dispensed crititure is rotten, a touch will make it totter to cal justice ?-by rendering partiality useless its and centhe foundation. This was manifestly theto his friends case with TuE LANCET, and the medicalsure harmless to his opponents by its stupid Take the scraps called "letters," corporations ; much less vigour than it has displayed, would, we believe, at the time, which have bpen published by him, and from have produced this effect. Considered, what do they therefore, in a just I:ght, the complaint of mock students, that their masters have been excitation is hut the confession of the con- too attentive in the discharge of their scious weakness of the supporters of this duties, and the masters themselves the next system—the crash of a (orrupt and time. week complimenting their obsequious paneRead his hospital reports, and worn edifice, rushing in its rottenness to the gyrists. ground. Were the men who have claposed how are matters conducted here ?-the reader of them must come to the general this Journal persons who, while they in its leading object, but doubted, laughable conclusion, that. for the last year, mistaken notions of propriety-, of the expe- and a La:f, there has not been a single opediency of the course it has Fursued for this ration badly performed, or a medicine inpurpose, they would be entitled to a degree judiciously preseribed, in the hospitals of of respect which has not been conceded to London. We defy its greatest admirer to them. You are well aware, however, that point cut one instance in which an abuse it is not so much to the means wich THE was the topic, that 1e has not taken it under Lnxesr has employed, as to the very prin- his imbecile protection, and attempted to its abettors against pxposuip. Point ciple and object of the work that these men

an individual on whom slander itself has been

unable to fix

one

moral

stigma. in

their

particularly application.

forming’ of

! calumniator

by

fulsomeness,

malignity.

contain?—complaints

but

agreed through

shield

498

passage, on the other hand, in to admit of the introduction of the finger which an opportunity presented for the withu probe-poiuted bistoury, by withdtawcalumniation of the exposers of abuse, that ing which the wound was enlarged infehe has not availed himself of it; in which riorly, and the fundus of the bladder laid This being considerably thickened, an episode against the moral character of bare. the Editor of THE LANCET and its contribu - was divided with great difficulty, and the tors could be possibly interwoven, that he wound being held open by a blunt hook, a has omitted to turn to account; and we will pair of strong forceps were introduced, and concede that we are wrong in looking on the stone was easily grasped, but was so his journal as the most singular composition immoveable, that after long and forcible ef. ever yet published, because it is the only forts, the operator was at last obliged to deone, we believe, that ever made the syste- sist for a time from further attempts. The matic calumniation of the motives of a con- finger being now introduced into the blad. temporary, the exclusive grounds and ob- der, a smaller calculus was found at its up. jects of its existence. Hence its aspect is per part, and easily extracted. The attempts as dreary as its purposes are detestable. at removing the larger stone were now re. Every page is darkened by the nightshade newed, but were as fruitless as before, al. of the heart—every column saddened by though an assistant with his finger in the the rank luxuriance of the hemlock. You, rectum, and another with the staff in the dear Johnstone, know the man, and have urethra, endeavoured to raise the stone, and been honoured with a personal insight into to assist the action of the forceps. M. Blandin, being now convinced of the his gloomy, honourable, and "charitable" of removingthe stone by the impossibility occupations. ERINENSIS. upper opening of the bladder, determined, with the unanimous advice of his col. Dublin, Jan. 1829. leagues, upon the immediate performance of the recto-vesical operation. He accordingly introduced his finger into the rectum, and, forcibly pressing the bladder, from the downwards, divided its neck, hypogastrium HOPITAL BEAUJON. the prostate gland, sphincter ani, and perine. um, in the median line. The stone, being now felt by the finger, was grasped by the forCASE OF STONE, IN WHICH THE HIGH, AND ceps, and, while an assistant depressed the AFTERWARDS THE RECTO-VESICAL OPEstone with his hand in the upper wound of RATION WAS PERFORMED. the bladder, was, at last, with great diffi. A BOY, fifteen years old, was, on the 1st of culty aud exertion, extracted. It was of au December, admitted into the hospital under oval form, two inches in its largest, and au M. Blandin. He stated, that for the last inch and a quarter in its smallest, diameter, five years he had been subject to pain in the of very firm consistence, and weighed two region of the bladder, which was consider- ounces. Although the operation, of course, ably augmented by walking, and the evacu. lasted a considerable time, the patient did ation of stools and urine, and which extend- not lose much blood. The wound of the ed from the bladder, along the urethra, to, hypogastrium was united by a bandage, the glans, where it was most violent. The sixteen ounces of blood were taken, and a penis was continually in a state of semi- small quantity of opium was given. In the erection ; the urine was discharged involun- evening, slight fever acceded, but the patarily, and the anus was prolapsed and in- tient was free from pain, except in the flamed. A sound being introduced into the wounds, and he passed a quiet night.urethra, was arrested at the neck of the On the following day, the fever was much bladder by a solid, and, as it appeared, im- increased, and he complained of vague moveable body, which was also very easily pains in the abdomen. The bleeding was felt by the finger in the rectum ; the exist- repeated, and a large emollient poultice ence of a large stone in the bladder was was applied over the hypogastrium. On the clearly ascertained, and the patient being second day, when the report was taken, much exhausted by his continued sufferings, he had violent pain in the hypogastric rethe high operation was decided upon, and gion, though not in the rest of the abdomen; performed on the 7th of December, in the his countenance was very pale, and expresfollowing manner. A mucilaginous fluid sive of anxiety ; he had vomited several having been injected into the bladder, which, times, and had still nausea, and a very small from its contraction, or the size of the stone, pulse.—Journ. Hebdom. could be made to contain but a amall quanAs soon as the result of this case (which tity, the skin was divided by a longitudi.can hardly be otherwise than fatal) is nal incision, about two inches in length, and: known, we will take care to lay it before the linea alba opened to such an extent, asI our readers. out one