- Email: [email protected]
TREATMENT BY SUSPENSION.
1408 Reeve avers is entirely against the Commission’s finding that primary heart failure does not occur in chloroform narcosis, and cases are cited in which it is stated the heart stopped before respiration ceased. He concludes by saying : " I protest, in the interest of patients, against the doctrine that chloroform can be administered with absolute safety"; and Dr. Reeve insists that such a conclusion can only be arrived at by "ignoring a vast amount of evidence, both experimental and clinicalevidence which outweighs all theories and all doctrines, no matter whose names may be appended to them." We, consistently with our motto, "A2cdi alteram partcm," can at present only weigh evidence, and are most willing to receive testimony both for and against the views which have been advanced by Snow and Clover on the one hand and Syme and Lister on the other. ___
TREATMENT BY SUSPENSION. LITTLE seems now to be written or said regarding this method of treatment in this country. On the Continent,
however, it is still used, but apparently its sphere is being
gradually narrowed.
In the Deutsche Med.
Woclzensclarift,
1890, No. 37, Rosenbaum gives the results observed in a : series of cases seen at Mendel’s clinic in Berlin. Of
sixty
open secret that that report will set forth the impurity of the drinking-water as the main source of the disease-as, indeed, must be manifest to all who know the channel through which the water-supply of Pisa comes. The aqueduct which brings it into the city is as old as the days of the Medici, and most probably has not for centuries undergone the slightest inspection or repair. Not till she receives a new aqueduct, bringing her water-supply from a pure source, will Pisa place herself above the risk of a recurrence of such terrible typhoid outbreaks as that which, all told, has just numbered 3000 cases. Munich was similarly scourged ; but her new aqueduct has given her almost entire exemption from the disease. Naples, the typhoid preserve of Italy,’ has lately banished the disease from her wells by replacing her old, defective water-supply by pure water from the Serino. Brescia and Milan, both of them notorious for the increase of typhoid within the last few years, are contemplating the con. struction of aqueducts to bring untainted water from the Alps. Pisa, according to her best sanitary authorities, must do likewise, if she would continue to boast herself the educational centre and art resort she has hitherto been. No doubt the expense of the undertaking will be heavy, and, like other Italian cities, she is, in the present financial state of the kingdom, ill able to encounter fresh burdens. But the health of her inhabitants is paramount, and her fame as a medical school imposes on her a responsibility not shared by such non-academic centres as Brescia or Milan. The Government, as in the instance of Naples, may have to intervene with its aid, and the citizens must be prepared for fresh sacrifices. But, now that she is cognisant of the danger, she must lose no time and spare no effort to prevent a recurrence of what, in so famous a medical school, is
which had a full course of treatment, there were : twenty-five which improved. The improvement was most marked as regarded ability to stand and walk ; the pains were lessened in frequency, but not abolished ; incontinence of urine was temporarily improved in some cases, but it is not claimed to have been cured in any. As to improvement in the acuteness of vision in cases’ where the sight was affected, nothing very definite seems to have been experienced. It is to be noted tlat the cases in whichlittle short of a scandal." improvement is said to have taken place are all cases of locomotor ataxy. The author is not enthusiastic as to the ANTHRAX AT THE EAST END. efficacy of suspension, but thinks it might be tried, and is On the 18th inst. an inquest was held at the London of opinion that in estimating its value from the therapeutic on a young female hair-sorter who had been of allowance be made for view must the conHospital point very admitted into that institution on the 14th. She then siderable mental effect produced on the patient. had a red spot on her neck with much surrounding swelling, and at midnight on the 15th she inflammatory TYPHOID EPIDEMIC AT PISA. became collapsed, vomited, dying of cardiac failure in AN Italian correspondent writes :-" Italy owes so much a few hours. A characteristic ulcer was found in the small of her revenue to the sojourn in her cities of visitors from intestine, so that the case comes under the head of abroad that her reluctance to deter these welcome guests "intestinal authrax"and malignant pustule. The hair by publishing the truth as to the prevalence of disease merchant, in whose employ the patient had been for within her borders is intelligible if inexcusable. The the past two years, said that his firm collected clean recent outbreak of typhoid at Pisa illustrates this habit of cowhair all over the country, that he had never known of hers. Since the close of August there has been a gradual connexion with the hair sorting, nor was he aware any illness in increase of typhoid cases in that famous university town of the possibility of disease being communicated through and art resort, first in units, then in tens, till quite recently contact with the hair. The case is clearly one of anthrax, the figures reached, out of a population of 60,000, the and it is unfortunate that the source of the infection has formidable proportion of 200 per day. On the lOth inst. not been traced. We trust, however, that inquiries will be the numbers had fallen to twenty per day, and there is no made as to the existence of the disease amongst any of the doubt that the epidemic is disappearing; but it is only now cattle from which the hair was obtained, unless, as is likely, that we are permitted to know the full extent of the the sources of are not kept sufficiently distinct to supply visitation, while for the last two months the tourist wave permit of any conclusion on this head. has been passing slowly through the city in utter ignorance of the danger it was incurring. And that danger was, INSANITARY STATE OF MELBOURNE HOSPITAL. indeed, a terrible one, to avert which the city authorities DURING the past six months there has been considerable opened lazarettos, reinforced the resident medical staff by even students from the into outside, pressed agitation in Melbourne respecting the alleged insanitary contingents the service, procured chemical experts to analyse the state of the hospital in that city. Mr. T. N. Fitzgerald drinking-water, practised every precaution known to was the first to draw attention to the subject, and at the the sanitary engineer, and opened, to defray the sitting of the Charities Commission in July some striking expenses incurred, a subscription which King Humbert evidence was given which showed the extremely deplorable headed with 10,000 lire. The Government inspector, state existing in that institution. Mr. Girdlestone, for inSignor Canalis, assisted by competent coadjutors from stance, said that the whole construction of the building was the city, the commune, and the university, has been dili- faulty, and that it was impossible to keep it in a sanitary gently investigating the cause of the outbreak, and his state ; the house-surgeon’s rooms were not fit to live in; the report is awaited with much interest. Meanwhile, it is an nurses’ quarters were close to the erysipelas wards; the cases
,
: ,
.
,
-
TREATMENT BY SUSPENSION. LITTLE seems now to be written or said regarding this method of treatment in this country. On the Continent,
however, it is still used, but apparently its sphere is being
gradually narrowed.
In the Deutsche Med.
Woclzensclarift,
1890, No. 37, Rosenbaum gives the results observed in a : series of cases seen at Mendel’s clinic in Berlin. Of
sixty
open secret that that report will set forth the impurity of the drinking-water as the main source of the disease-as, indeed, must be manifest to all who know the channel through which the water-supply of Pisa comes. The aqueduct which brings it into the city is as old as the days of the Medici, and most probably has not for centuries undergone the slightest inspection or repair. Not till she receives a new aqueduct, bringing her water-supply from a pure source, will Pisa place herself above the risk of a recurrence of such terrible typhoid outbreaks as that which, all told, has just numbered 3000 cases. Munich was similarly scourged ; but her new aqueduct has given her almost entire exemption from the disease. Naples, the typhoid preserve of Italy,’ has lately banished the disease from her wells by replacing her old, defective water-supply by pure water from the Serino. Brescia and Milan, both of them notorious for the increase of typhoid within the last few years, are contemplating the con. struction of aqueducts to bring untainted water from the Alps. Pisa, according to her best sanitary authorities, must do likewise, if she would continue to boast herself the educational centre and art resort she has hitherto been. No doubt the expense of the undertaking will be heavy, and, like other Italian cities, she is, in the present financial state of the kingdom, ill able to encounter fresh burdens. But the health of her inhabitants is paramount, and her fame as a medical school imposes on her a responsibility not shared by such non-academic centres as Brescia or Milan. The Government, as in the instance of Naples, may have to intervene with its aid, and the citizens must be prepared for fresh sacrifices. But, now that she is cognisant of the danger, she must lose no time and spare no effort to prevent a recurrence of what, in so famous a medical school, is
which had a full course of treatment, there were : twenty-five which improved. The improvement was most marked as regarded ability to stand and walk ; the pains were lessened in frequency, but not abolished ; incontinence of urine was temporarily improved in some cases, but it is not claimed to have been cured in any. As to improvement in the acuteness of vision in cases’ where the sight was affected, nothing very definite seems to have been experienced. It is to be noted tlat the cases in whichlittle short of a scandal." improvement is said to have taken place are all cases of locomotor ataxy. The author is not enthusiastic as to the ANTHRAX AT THE EAST END. efficacy of suspension, but thinks it might be tried, and is On the 18th inst. an inquest was held at the London of opinion that in estimating its value from the therapeutic on a young female hair-sorter who had been of allowance be made for view must the conHospital point very admitted into that institution on the 14th. She then siderable mental effect produced on the patient. had a red spot on her neck with much surrounding swelling, and at midnight on the 15th she inflammatory TYPHOID EPIDEMIC AT PISA. became collapsed, vomited, dying of cardiac failure in AN Italian correspondent writes :-" Italy owes so much a few hours. A characteristic ulcer was found in the small of her revenue to the sojourn in her cities of visitors from intestine, so that the case comes under the head of abroad that her reluctance to deter these welcome guests "intestinal authrax"and malignant pustule. The hair by publishing the truth as to the prevalence of disease merchant, in whose employ the patient had been for within her borders is intelligible if inexcusable. The the past two years, said that his firm collected clean recent outbreak of typhoid at Pisa illustrates this habit of cowhair all over the country, that he had never known of hers. Since the close of August there has been a gradual connexion with the hair sorting, nor was he aware any illness in increase of typhoid cases in that famous university town of the possibility of disease being communicated through and art resort, first in units, then in tens, till quite recently contact with the hair. The case is clearly one of anthrax, the figures reached, out of a population of 60,000, the and it is unfortunate that the source of the infection has formidable proportion of 200 per day. On the lOth inst. not been traced. We trust, however, that inquiries will be the numbers had fallen to twenty per day, and there is no made as to the existence of the disease amongst any of the doubt that the epidemic is disappearing; but it is only now cattle from which the hair was obtained, unless, as is likely, that we are permitted to know the full extent of the the sources of are not kept sufficiently distinct to supply visitation, while for the last two months the tourist wave permit of any conclusion on this head. has been passing slowly through the city in utter ignorance of the danger it was incurring. And that danger was, INSANITARY STATE OF MELBOURNE HOSPITAL. indeed, a terrible one, to avert which the city authorities DURING the past six months there has been considerable opened lazarettos, reinforced the resident medical staff by even students from the into outside, pressed agitation in Melbourne respecting the alleged insanitary contingents the service, procured chemical experts to analyse the state of the hospital in that city. Mr. T. N. Fitzgerald drinking-water, practised every precaution known to was the first to draw attention to the subject, and at the the sanitary engineer, and opened, to defray the sitting of the Charities Commission in July some striking expenses incurred, a subscription which King Humbert evidence was given which showed the extremely deplorable headed with 10,000 lire. The Government inspector, state existing in that institution. Mr. Girdlestone, for inSignor Canalis, assisted by competent coadjutors from stance, said that the whole construction of the building was the city, the commune, and the university, has been dili- faulty, and that it was impossible to keep it in a sanitary gently investigating the cause of the outbreak, and his state ; the house-surgeon’s rooms were not fit to live in; the report is awaited with much interest. Meanwhile, it is an nurses’ quarters were close to the erysipelas wards; the cases
,
: ,
.
,
-