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TRANSVERSE PRESENTATION OF THE FŒTUS.
193
(4.)—TABLE of Mortality abtained by a different arrangement nf tht Materinls on which Tuble I is founded; the first half year of Membership being excluded, and the Membership abore fice years from admission being separated from that under fice years, of those entering at the same quinquennial intercal of age.
in how great a degree the Mortality the time of Membership ; the Mortality
(5.)-TABLE showing increases
with,
ship being nearly 50 per cent. greater that
TRANSVERSE PRESENTATION THE FŒTUS.
that
of Members is dependent on, and of the last six years of Member-
of the first fire
years.
OF presentation of the foetus, which appeared in last week’s number of THE LANCRT, blames me, in the ftrst place, for not having REPLY OF MR. DAVIS. introduced my hand into the uterus for the purpose of searcbingout and bringing down To the Editor of THE LANCET. the other foot of the fretus, one of them SIR :—When a man writes an article and being felt, upon the first examination, preappends his name to it, no matter how senting through the membranes. What! severe or how galling to one’s feelings that Sir, would he have me, in the first stage of article may be, it looks bold, straightfor- the labour, and when the oe uteri was ward, and noble, and is, under some cir- scarcely dilated to the size of a crown-piece, cumstances, calculated to do good ; but introduce my hand, and forribty dilate it, when a mau writes an article reflecting upon by that means putting the patient to a tast the professional character of another, and deal of unnecessary pain, and, probably, by imputing to him ignorance of his calling, an untimely interference, producing irreand then takes refuge from responsibility parable iajury.’ I am not one of those perander the cover of an anonymous title, be sons who, like " PRACTICUS," are in the proves himself to be mean, cowardly, and constant habit of introducing their hand malicious. Your anonymous correspondent, into the vagina during the process of labour, in his remarks upon my case of transverse by which inflammation and mortification of
194
those parts are frequently induced. Could apparatus gave way, consequently a large J, from the circumstance of having felt the quantity of chlorine escaped into the apartfoot, have divined that the funis, the head, ment. I was soon made aware of the cirand the arm,would have descended with it? cumstances by the following disagreeable Was it not more natural to suppose, from symptoms, which ensued from itsinhalathat circumstance, that the other foot lay in tion :Its first effect was a violent convulsive a favourable position, and that the case would have turned out to be a simple foot- cough, apparently arising from spasm of the glottis, which continued for nearly threeling case ? And, under these would it not have been both useless and quarters of an hour, without intermission. injurious to have interfered? It is very A small quantity of thin mucus was fre. easy for a man, after having read the details quently expectorated during the paroxysm, of a case, to criticise it, and to point out the but this did not afford the slightest relief. indications to be fulfilled ; but lot that man The cough was attended by a most distressbe placed in my situation, and perhaps he ing sensation of tightness under the sternum, would not have conducted the case to so which I noticed to be more violent on full favourable an end. Secondly, he blames expiration than on inspiration. There was, me for confessing my ignorance of the pre- also, a copious flow of mucus from the nose, sentation, and for using an unprofessional owing to the irritation produced by the gas term. I beg to say that I never have been, on the mucous membrane. After the above and never shall be, ashamed, when I am symptoms had somewhat abated, a peculiar ignorant of a subject, to confess it; and that metallic astringent taste was experienced in I shall be most happy to receive information the back of the mouth, accompanied by thereon from any quarter, even from the burning heat. The two last symptoms were intemperate pen of "PRACTICUS"; and, speedily got rid of by drinking and washing the mouth frequently with cold water. with regard to the unprofessional term, has nothing at all to do with the subject. symptoms lasted altogether for Thirdly, he blames me for not consulting about fourhours; but slight vertigo, with one or two medical friends. This leads me sensation of weight over the eyes, and to think that he is one of that class of gen- nausea, continued until the following day; try who are angry that the general prac- so that eifects produced by inhalation of titioner should take it unon himself to do chlorine, even in moderate- quantities, are anything out of the common way without very slowly abated. Taken collectively, asking their advice ; however, upon this thev are sutlicientlv characteristic of the ground,—upon the ground of not asking effects of chlorine upon the system; but advice,-he has no cause of complaint, be- many of them, singly, are common to those cause I have distinctly stated in my letter of certain other gases, and some metallic that I saw Dr. Conquest previous to compounds. I remain, Sir, your very obe. operation: besides, the case had been seen dient servant, B. A.B. A. in an early stage by my talented friend, Dr.
circumstances,
it
These
the
Duncan, of Tunbridge Wells, who happened
.
Amptliill, April 20,1839.
to be in town at that time.
Apologising for the length of this article, and hoping you will do me the favour to insert it in this week’s number of THE LANCET, I have the honour to be, Sir, your obedient servant. R. DAVIS, Surgeon. 1, City-road,
Finsbury-square,
April 22, 1839. "PRACTICUS"mnst not pfeserve his our pages, if he
tnonymous character in would
reply.
POISONOUS INHALATION OF CHLORINE. To the Editor of THE LANCET. SIR:—The followingremarks on the effects produced on the system by the accidental inhalation of chlorine gas, may not be unworthy of insertion in your Journal. When preparing this gas for the purposes of experiment, the luting connectiog the
TREATMENT OF CLUB.FOOT. To the Editor of THE LANCET. SIR :-May I request your permission to the few following observations and corrections respecting a paper which I presented to the London Medical Society, on club-foot, which was noticed in your last Number :First,—I did not confine myself to a declaration of the insufficiency of Stromeyer’s instruments in the more difficult cases, but I likewise showed to the London Medical Society instruments of my own, which, I trust, will answer better the end in view, and which I at the time applied upon an individual affected with club-foot; neither did I confine myself to stating that the cases of congenital varus cured by Stromeyer and others were only cases of a slighter nature, but I had likewise the honour to exhibit several of my patients cured of coogenital yarue of a very severe nature, and
make
(4.)—TABLE of Mortality abtained by a different arrangement nf tht Materinls on which Tuble I is founded; the first half year of Membership being excluded, and the Membership abore fice years from admission being separated from that under fice years, of those entering at the same quinquennial intercal of age.
in how great a degree the Mortality the time of Membership ; the Mortality
(5.)-TABLE showing increases
with,
ship being nearly 50 per cent. greater that
TRANSVERSE PRESENTATION THE FŒTUS.
that
of Members is dependent on, and of the last six years of Member-
of the first fire
years.
OF presentation of the foetus, which appeared in last week’s number of THE LANCRT, blames me, in the ftrst place, for not having REPLY OF MR. DAVIS. introduced my hand into the uterus for the purpose of searcbingout and bringing down To the Editor of THE LANCET. the other foot of the fretus, one of them SIR :—When a man writes an article and being felt, upon the first examination, preappends his name to it, no matter how senting through the membranes. What! severe or how galling to one’s feelings that Sir, would he have me, in the first stage of article may be, it looks bold, straightfor- the labour, and when the oe uteri was ward, and noble, and is, under some cir- scarcely dilated to the size of a crown-piece, cumstances, calculated to do good ; but introduce my hand, and forribty dilate it, when a mau writes an article reflecting upon by that means putting the patient to a tast the professional character of another, and deal of unnecessary pain, and, probably, by imputing to him ignorance of his calling, an untimely interference, producing irreand then takes refuge from responsibility parable iajury.’ I am not one of those perander the cover of an anonymous title, be sons who, like " PRACTICUS," are in the proves himself to be mean, cowardly, and constant habit of introducing their hand malicious. Your anonymous correspondent, into the vagina during the process of labour, in his remarks upon my case of transverse by which inflammation and mortification of
194
those parts are frequently induced. Could apparatus gave way, consequently a large J, from the circumstance of having felt the quantity of chlorine escaped into the apartfoot, have divined that the funis, the head, ment. I was soon made aware of the cirand the arm,would have descended with it? cumstances by the following disagreeable Was it not more natural to suppose, from symptoms, which ensued from itsinhalathat circumstance, that the other foot lay in tion :Its first effect was a violent convulsive a favourable position, and that the case would have turned out to be a simple foot- cough, apparently arising from spasm of the glottis, which continued for nearly threeling case ? And, under these would it not have been both useless and quarters of an hour, without intermission. injurious to have interfered? It is very A small quantity of thin mucus was fre. easy for a man, after having read the details quently expectorated during the paroxysm, of a case, to criticise it, and to point out the but this did not afford the slightest relief. indications to be fulfilled ; but lot that man The cough was attended by a most distressbe placed in my situation, and perhaps he ing sensation of tightness under the sternum, would not have conducted the case to so which I noticed to be more violent on full favourable an end. Secondly, he blames expiration than on inspiration. There was, me for confessing my ignorance of the pre- also, a copious flow of mucus from the nose, sentation, and for using an unprofessional owing to the irritation produced by the gas term. I beg to say that I never have been, on the mucous membrane. After the above and never shall be, ashamed, when I am symptoms had somewhat abated, a peculiar ignorant of a subject, to confess it; and that metallic astringent taste was experienced in I shall be most happy to receive information the back of the mouth, accompanied by thereon from any quarter, even from the burning heat. The two last symptoms were intemperate pen of "PRACTICUS"; and, speedily got rid of by drinking and washing the mouth frequently with cold water. with regard to the unprofessional term, has nothing at all to do with the subject. symptoms lasted altogether for Thirdly, he blames me for not consulting about fourhours; but slight vertigo, with one or two medical friends. This leads me sensation of weight over the eyes, and to think that he is one of that class of gen- nausea, continued until the following day; try who are angry that the general prac- so that eifects produced by inhalation of titioner should take it unon himself to do chlorine, even in moderate- quantities, are anything out of the common way without very slowly abated. Taken collectively, asking their advice ; however, upon this thev are sutlicientlv characteristic of the ground,—upon the ground of not asking effects of chlorine upon the system; but advice,-he has no cause of complaint, be- many of them, singly, are common to those cause I have distinctly stated in my letter of certain other gases, and some metallic that I saw Dr. Conquest previous to compounds. I remain, Sir, your very obe. operation: besides, the case had been seen dient servant, B. A.B. A. in an early stage by my talented friend, Dr.
circumstances,
it
These
the
Duncan, of Tunbridge Wells, who happened
.
Amptliill, April 20,1839.
to be in town at that time.
Apologising for the length of this article, and hoping you will do me the favour to insert it in this week’s number of THE LANCET, I have the honour to be, Sir, your obedient servant. R. DAVIS, Surgeon. 1, City-road,
Finsbury-square,
April 22, 1839. "PRACTICUS"mnst not pfeserve his our pages, if he
tnonymous character in would
reply.
POISONOUS INHALATION OF CHLORINE. To the Editor of THE LANCET. SIR:—The followingremarks on the effects produced on the system by the accidental inhalation of chlorine gas, may not be unworthy of insertion in your Journal. When preparing this gas for the purposes of experiment, the luting connectiog the
TREATMENT OF CLUB.FOOT. To the Editor of THE LANCET. SIR :-May I request your permission to the few following observations and corrections respecting a paper which I presented to the London Medical Society, on club-foot, which was noticed in your last Number :First,—I did not confine myself to a declaration of the insufficiency of Stromeyer’s instruments in the more difficult cases, but I likewise showed to the London Medical Society instruments of my own, which, I trust, will answer better the end in view, and which I at the time applied upon an individual affected with club-foot; neither did I confine myself to stating that the cases of congenital varus cured by Stromeyer and others were only cases of a slighter nature, but I had likewise the honour to exhibit several of my patients cured of coogenital yarue of a very severe nature, and
make