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cury, which makes, with the metal, a brittle but that the attending doctor could not get all amalgam.-ED.]
the after-birth, and the woman was flooding. I reached the residence as soon as possible; but
flooding, if there had been any, had ceased. Cocoanut for Tape-Worm.
The young mother looked very pale and anemic, Editor MEDICAL WORLD:-- In the August as if she might have lost much blood ; but her number of “ Good Health” appears a notice inother told me she had looked that way for from the English monthly, “Health," of the many months. The old mother told me there worm-destroying properties of the cocoanut. was a part of the after-birth remaining. I have verified the statement by destroying a Upon examination I found the vulva much tape-worm in my own person after failing with swollen and very tender, but did not succeed in heroic doses of male fern, chloroform and tur- finding any placenta. I then requested to see pentine in combination. No fasting or abstain- the placenta. The doctor who attended the case, ing from business was observed. For breakfast, and who was now in bed and sound asleep, was the milk and half the pulp of one cocoanut was called. He said the after-birth was buried, and taken; at noon, the balance of the pulp, fol- that I could not tell anything about it if I lowed by a regular dinner; at 3 P.M. an enema should see it. I promptly told him if I could of warm water was used, and the entire tape- not get the desired information I would go at worm was immediately expelled. I believe once. He then proceeded to describe the plathis discovery important from the fact that it is centa, saying there was a soft part and a hard the most pleasant remedy yet introduced, re- part. The soft part, that was attached to the quires no fasting, and also from the fact that uterus, he had separated and taken away, but the prevalence of tape-worm is increasing failed to get the hard part, which did not seem to steadily.
be attached. The husband reluctantly proceeded Grand Rivers, Ky. C. H. LINN, M.D. to resurrect it. The cord was torn off, and pla
centa torn in pieces. I put them together, and
decided it was all there except a very small part Chloroform Applications for Colic.--Vagi- that might be adherent. I decided the doctor, nismus.-Impotence.
becoming alarmed, had forcibly torn away Editor MEDICAL WORLD:- Let Dr. Hunter
the attached placenta, and in the act drew the (page 423) use local application of chloroform
fundus down, reinserted his hand and was tugover stomach to relieve his cases of colic. I ging at that. have poured half an ounce of this agent on a
The woman was much prostated, temperature folded handkerchief, laid this on stomach, cov
100°, pulse 130 per minute; weak. I instructed ered with something to prevent evaporation (a that she should not be taken out of bed under newspaper will answer), and secured speedy re
any consideration, until further orders. Still lief. Patients will think it is fire, but if you
having full faith in their beloved doctor as to remove it in one minute there will be no blister. the hard part still remaining, and acting on the No after-effects.
theory that the most efficient means for remov. I think likely Dr. Casey (page 423) will find
ing a retained placenta is to shake it out, they on inspection that the hyperesthesia of the
took her up several times during the night; vulva in his case is caused by an irritable car
and early next morning I was called to remove uncle in urethra or at margin of meatus, and
“that large piece of after-birth which I said was the trouble will disappear upon its removal
not there. It was hanging there, but would not with scissors. Use cocaine and touch bleeding
come away." I found a complete inversion of point with lunar caustic or nitric acid after
uterus, which was, all except neck, external to removal. Vaginismus must be very rare in
vulva. The vulva was much swollen and very
tender, the uterus was also much swollen. parous women.
For cases of impotency like Deltoids (page (There was no hemorrhage at any time from 423), I have been giving hypodermics of mor
beginning to end of this case.) The woman was phia sulph., 1-8 gr., atropia sulph., 1-100 gr.,
greatly prostrated, and fainted at slightest and strychnia sulph., 1-60 gr., three times a
attempt at reduction. I had Dr. Raynes, of week in dorsum of penis, with much satisfac
Sunbright, called on June 26th. The woman tion. D. S. HUMPHREYS.
was then delirious, temperature 102° ; pulse 165 Leata, Miss.
per minute. But one sound of beart could be heard, that was a blowing sound or murmur.
As it was impossible to reduce the uterus under Case of Complete Inversion of Uterus.
the circumstances, and as we thought a reducEditor MEDICAL WORLD:-1 was called June tion might never be required, we postponed that 24th to Mrs. B., aged 19 years, first confinement. operation indefinitely. All the above sympThe messenger said that the child was born, toms were slightly aggravated for the next two
weeks, temperature rose to 103; pulse, under way, was nearly frozen, as it had lain there for drug influence, fell to 120, but still irregular. nearly or quite an hour. I removed the plaAfter two weeks the symptoms began to improve. centa, then gave the patient a large dose of I treated the patient with digitalis, quinine quinine. Pulse beginning to come up stronger; (but little used), strychnia in large doses, as skin not so cold and clammy. I called for hot much as gr, daily, was given every three water and cloths; made water antiseptic; wrung hours. Treated the uterus with antiseptic cloths out of the hot water nearly as warm as I washes and dressings. After a few days the could stand it comfortably; then applied cloths attached portion of placenta peeled off nicely to the protruding uterus, changing when cold. and the mucous surface took on a healthy ap- I kept this up for some eight or ten minutes till pearance, and at the end of six weeks the the uterus felt warm. Then, as I thought, uterus had returnell almost to its normal size. came tug-of-war. I proceeded to reduce it by The first three weeks the patient was nourished taxis, reducing part next to os uteri gradually with milk fed with a spoou, and for a short first. I soon got the uterus within the vagina. time by rectal injections; but at the end of six I then about half doubled my fingers and hand, weeks, the appetite was good and strength fair. applied to the fundus and, by gradual manipuI again called Dr. Raynes to assist in making lation and pushing, reduced it to its normal an attempt at reduction. I told the doctor I position. I then gave the patient one dram would see what I could do without anesthetic. of fluid extract of ergot, and proceeded to wash I grasped the body with my fingers and thumb, out the uterus thoroughly with water, hot as the fundus resting in my palm, and by gentle she could comfortably bear, first rendering it pressure I soon had the whole organ within the antiseptic. vagina. Here I met with greater resistance ; but I was surprised at the small amount of hemwe relieved each other and kept up a steady orrhage. The woman made a good recovery pressure all day. After the vagina was made and is now up, though for several days she comtense, or put upon the stretch, it turned the plained of considerable pain in the region of neck, rolled it as it were, back over the body; the uterus and lower portion of stomach and then the fundus went up to its place of its own lumbar region. Now what I wish to know is, accord, or by muscular movement, and the what caused the inversion ? The midwife claims work was completed “as easily as rolling off a it was a slow labor and that she didn't pull on log."
the cord; as she expressed it, they all came The woman has been on her feet three weeks, out together. took a ride a week ago, and there is no ten- Unity, III. W. W. IRELAND, M.D. dency to prolapse. Cocaine was used locally at beginning of
The Uterine Safety Tube. treatment to relieve pain in vulva. Was also given at times to relieve pain in stomach.
Editor MEDICAL WORLD:-The Uterine Deer Lodge, Tenn. A. JONES, M.D.
Safety Tube not only renders parturition safe for the mother, but also furnishes a means of protecting the child from the dangers which
threaten it during its exit. Inversion of the Uterus.
That these dangers are of great magnitude is Editor MEDICAL WORLD:-I was called up shown by the appalling infantile mortality at 2 o'clock A.M., some two weeks ago, in during and soon after birth, as well as by the haste, and told by the man that he wished me thousands of cases in which the loss of sight or to come with him at once, as his wife had been hearing can be directly traced to injury or acciconfined and there was something wrong. I was dent at birth. soon there, only one mile distant.
When I ar
The dangers which imperil the life or health rived I found three very badly-scared women. I of the child during parturition may be briefly asked the old midwife what was the trouble; stated as follows: she said something was wrong. I turned my at- 1 Death from pressure transmitted through tention to the patient and found her nearly in the liquor amnii during the contractions. a state of collapse. I gave her a hypodermie 2. Death from drowning, due to the liquor injection of aromatic spirits of ammonia, then amnii being forced into the air-passages durproceeded to make vaginal examination and ing the contractions. found the child and placenta expelled and uterus 3. Loss or impairment of sight or hearing by protruding beyond the vulva. I saw I had an the liquor amnii being forced against the coninverted uterus to deal with, turned completely junctiva, or into the Eustachian tube during wrong side out, like turning a bag. It felt the contractions. cold to the touch. Į ligated and separated the 4. Death from pressure of the intrauterine cord, gave the child to the nurse, which, by the air, when locked in, and causing death, either
by producing internal congestion, or by ob- The Use of Cold Water as an Antipyretic. structing its circulation in the umbilical cord. Editor MEDICAL WORLD:-Of all the anti
5. Death from the violence of the labor pro- pyretics (old and new) that have been lauded ducing fracture of the cranium.
by the medical profession, there isn't one that will The Uterine Safety Tube enables the physi- take the place of cold water, especially in that cian to ward off these prolific causes of death dreaded disease, scarlet fever. My experience and disease by drawing off the residual liquor with it in scarlet fever has taught me to use amnii so that none will remain behind to be nothing else. Why should a physician pester a forced into the air-passages or special organs, little patient with nauseous doses of quinine, or by lessening the internal pressure so that it can- any of the other antipyretics, which will disnot reach the point at which the child's life will order their stomachs and dispel appetite, when be imperiled, and by equalizing the interval he can substitute a remedy which does not proand external air-pressures between the contrac- duce nausea, vomiting, headache, roaring in tions, reducing the internal pressure when in ears, etc., and which is safe in every particular? excess, and increasing it when deficient.
The following is the method used: 'Whenever P. McCaHEY, M.D. the temperature reaches 103° and above. I use 1413 South 10th Street, Philadelphia.
cold water from spring or well. I secure a fine surgical sponge, medium size. The chest and
arms are exposed and bathed, then rubbed dry Ink Eraser.
with a towel, followed immediately after with Editor MEDICAL WORLD:- I send formula
inunctions of cosmoline I next expose the for an ink eraser which is good and perfecıly
back and follow in turn the process of sponging, harmless. Take of chloride of lime one drami, drying and greasing with cosmoline, and finally soft water four ounces, shake together and let
expose the loins and limbs, and again follow the stand twenty-four hours, then straiu through a
process of sponging, drying and greasing. After cotton cloth. Mark it solution No. 1. Solution
you have finished one portion of the body you No. 2 is one dram of acetic acid to the ounce of
should cover that portion, and so on until you water. For use wet the blot or ink stain with
have finished the whole process. All this should No. 2 and then apply No. 1 with a sliver or
not occupy more than five minutes. After you tooth-pick. When dry, burnish the paper with
have bathed the child in this manner you will any smooth substance, and it is as good as new.
find a reduction of temperature of from two to This will not remove India ink nor printer's
three degrees. Instead of the effete material ink. For Dr. Pritchard, in November World, remaining on the surface, which is poured out
F. E. WEEKS.
so abundantly in fever cases, and, as a result, Clarksville, Huron Co., Ohio.
clogs up the pores and keeps the heat pent up in the body, the material is removed from the sur
face, the pores are opened, the capillaries are In sending subscriptions, etc., to this office, do not dilated, and the heat allowed to escape from the address to name of editor, as then the letter can only be opened by him, and if he is specially engaged or
surface, which otherwise would be allowed to go temporarily out of the city, your matter is delayed. Ad
on with its deadly ravages on the internal dress all communications to THE MEDICAL WORLD. organs. It also calms the irritability of the Then they are opened by the working force of the nervous system and produces two or three office, and receive prompt and appropriate attention. hours of sound sleep. If the temperature ruos Anything contained therein which needs the attention
below 103° I use tepid water. This bathing of the editor is referred to him after the routine part is attended to. But don't mix things up on the same
should be repeated every three, four or five sheet of paper.
Subscriptions, contributions for hours, according to rise of temperature. In publication, etc., may be sent in same envelope if on several cases I had some difficulty in getting separate sheets of paper. But address only to THE
the family to understand its therapeutic value, MEDICAL WORLD, 1520 Chestnut St, Philadelphia, they holding to the erroneous belief that it Pa., and not to personal name of editor.
would drive the eruption in. That mistaken
idea can be soon dispelled from the minds of The Alkaloid says of Prof. Waugh's "Outline of Treat. the laity. There isn't the least particle of danment with Dosimetric Granules" : “ This is an exceedingly timely as well as useful little book. . . . With
ger of taking cold in using the sponge bath. this little book, a judicious selection of dosimetric
There is also less danger of complication when granules and some common sense, the physician should
cold water is used for fever reduction. My be well equipped for the combat with disea-e.” Price success with the remedy has proved its virtue. only 50 cts. See Order Blank, page xxvi
I would like to hear some of the members of
THE WORLD family give their experience and Dr. John W. CORBETT, Camden, S. C., writes of “The Physi
views on the cold-water sponging for the reduecian as a Business Man:"_"I have read and re-read it with a tion of temperature in scarlet fever. great deal of interest and profit." Price, $1. See order blank, page xxvi
Churchtown, Pa. D. W. STYER, M.D.
Intermarriage of Relatives.
were ordinarily bright children, grew up to manEditor MEDICAL WORLD:-In the October hood and womanhood without anything differnumber of the WORLD I find an article by ent from the average men and women of the Dr. Wm. F. Waugh, on “Intermarriage of Rel- neighborhood in which they were raised. At atives,” that has interested me very much, as it the proper age they married and have raised has brought to mind a short history of a family, families around them that are fair average the recital of which may be of interest to Dr. children. Waugh as well as other readers of your excel- I very well remember that the result in the lent journal. The family I refer to was that of two eldest of this family was, by every one that my oldest brother, who married a cousin, the knew of it, attributed to the near relationship daughter of his and my father's brother. My existing between the parents ; but this idea was brother was a close student in his early life and a mere matter of opinion without proofs to susbecame somewhat noted as a political writer. tain it. But that children so very dissimilar At twenty-one years of age he became a school- every respect should decline at the same age, teacher in Virginia and for over forty years and pass out of life so nearly alike, is to me a continued his school at the same place. At difficult problem, and I would be pleased to twenty-five he married his cousin, as stated have the opinion of Dr. Waugh if he feels disabove, who was also of a literary turn and very posed to notice it. much like her husband in every particular. Fountain City, Ind. T. W. TAYLOR, M.D. The union was a very happy one, and after a few years the wife assisted her husband in the school, which became very popular, and many
A Novelty. of the active business men of the West received Editor MEDICAL WORLD :-To report a case their entire scholastic training in this school. which has recently occurred within the domain The result of the union was six children, four of my practice, and ask for diagnosis and comboys and two girls, the three eldest and the ment by the professional brethren, will no doubt youngest being boys. The first born was a beuefit the writer, and I trust be of interest to most remarkable child and was a student almost the profession. from birth. By the time he had reached six The case is a lady, Mrs. D., whom I was called years of age he had read history, biography and, to see October 13th, being informed by her indeed, every subject that would interest a bright husband two days before that there was a sort student, and could talk about the works he had of'tumor in the region of her womb; and as her read with as good sense as most persons of ma- menses were on at that time, had better wait a ture age. My brother kept him from study as day or so before seeing her. When I called I much as possible, but he seemed to imbibe found, as I thought, a uterine enlargement from knowledge almost intuitively and bid fair to fibroid, or possibly pregnancy. The tumor was become a ripe scholar before reaching his ma- confined to the hypogastric region, and its upper jority. His health always seemed good and his portion slightly forked. It was movable and spirits buoyant; but he never indulged in the slightly tender. It was not larger than the sports of childhood, always preferring his books normal uterus in the fifth month of pregnancy, , and the company of older and intelligent per
but did not have the accompanying symptoms
of that state. The lady informed me that the At eight years of age his father noticed his tumor had beeu growing there only four or five eyesight was failing, although his eyes did not weeks. The history of her menstrual periods show any sign of disease, nor did he complain recently was that they had been irregular, with of any pain. He was taken to distinguished a tendency to menorrhagia. All the adverse oculists in Winchester, Baltimore and Wash- signs I could get did not warrant me in excludington, but all decided that nothing could be ing pregnancy. done for him, and by the time he reached twelve On the 20th I went back to see her, and took years he was completely blind. At thirteen Dr. Theodore Seinknecht with me. The tumor his mental powers began to fail, and by the time was about twice as large as when I first saw her, he arrived at fifteen he was a driveling idiot, and was of a more round contour. We would and died before reaching his sixteenth year. not venture to probe the uterus for fear of preg.
There was nothing precocious about the next nancy. So we prescribed a little time instead son, either physically or intellectually. He of active medication, thereby awaiting developseemed to develop as ordinary children until ments. he reached eight years, when his eyesight began On the 27th I went back and took Dr. Bogle to fail, and then he ran the same course as his
The tumor then was still larger, and older brother and lived but a few months longer seemed to be divided into two distinct massesthan he did.
one right, the other left—the right being about The two younger brothers and the two sisters twice as large as the left and a little above.
There was a distinct sulcus between the two, and
Dr. Patton's Case of Version. each mass could be moved without shaking the Editor MEDICAL WORLD :-Dr.Patton writes other. The tumors seemed to yield to fluctua- in the October MEDICAL WORLD, page 386, tion, and we almost certainly diagnosed ovarian asking the opinion of the profession as to what cysts or tubal dropsy. We ventured to tell should be done in a case where a woman had them that an operation might be the only chance been in labor eight hours, the hand and arm for life.
of the child presenting. We wish to advise the On the 29th I went back and found no doctor that we think there was no real question change except that the tumors were enlarging involved, as there was but one course to be purrapidly. The right one extended two inches sued, which, in fact, should always be followed at above the umbilicus.
once in all cases of hand presentation-viz, Dr. Holiway was called for, and I met him administer an anesthetic; then oil the hand, inthere the next day. We both advised an opera- sert it into the womb,grasp the feet of the child tion, for we had probed the womb and made a and carefully, but firmly, bring them down. If, close examination. They did not agree to the while the hand is in the womb, contractions ocoperation then. Next day Dr. Bogle called cur-which will be very likely- let the open again, and found the lady suffering dreadfully hand lie flat against the body of the child until with pelvic pains, vomiting, bleeding at the the pain or contraction has ceased, then continue nose, fever 101°, with a tendency to prostration, your work. If, however, you cannot readily He said they wanted me to call that evening find both feet, do not lose much time in searchand see her. I talked with Dr. Bogle about ing for the missing foot, but bring down the one her condition, and we agreed that it was too late found and the other will follow. For obvious to operate, and all we could do was to ease her reasons, though, we think it best to get both feet down to the grave. I called to see her about 3 if it can be done easily. After the feet and legs P.M., and was informed at the gate by her hus- have been delivered, nature will usually do the band that a large, jelly-like mass ad passed rest, with a litt assistance from the obstetrician, from her about an hour before, and that she was such as carrying the feet and body upwards comparatively easy, the tumor having gone towards the umbilicus of the mother to enable away. I found things about as he told me. The the face of the child to more easily follow the mass had been saved for me to see.
hollow of the sacrum. Dr. P - being, as we composed of little clear lobules from the size of suppose from his writings, a young obstetrician, a bird-shot to a garden pea. They were covered got, in all probability, a little rattled and forgot by a very thin, transparent membrane, which, what he was taught on this point, which is alon being pricked, let out a thin, watery fluid ways very fully explained at all good medical and then collapsed. The lobules seemed to be colleges. Such cases as the doctor describes are bound together by this little delicate membrane. not unusual, and he may meet another any day. Some blood-clots were found in the mass. The La Salle, Ill. Floyd CLENDENEN, M.D. entire mass, including the few blood-clots,
EDITOR MEDICAL WORLD:-I find that although I take The would have filled a gallon bucket. From that Medical Record and various other medical publications, there are time till now the lady has bien doing well. A
none of those that I would miss so much as THE WORLD.
Lebanon, York Co., Maine. John S. PARKES, M.D. discharge has been continuing similar to the lochia after normal delivery.
In September WORLD we announced that new subWhen we consider the case we see that the
scribers remitting then for WORLD for 1893 would re
ceive the remaining numbers for '92 free. To those that great bulk of that mass was formed there in did not see this offer at the time, we will say that we will about sixteen days. I've been reading about make that offer substantially good to them by offering to almost all sorts of uterine growths, but find noth
send free, upon request, any two of the following numbers ing like this. One would naturally think of
to new subscribers remitting immediately for 1893.
June number. Special number, devoted to the inpolypi, hydatids, etc., but they have only a
portant subject of Cholera Infantum. A practical treatpartial resemblance.
ise upon this subject from the working ranks of the I fear a return of the growth, and therefore profession. Worih the subscription price for the entire shall probably curette the uterus and inject year. tincture of iodine and carbolic acid. If any one
July number. A regular issue, but containing many
valuable articles. can give us four doctors and also the profes
August number. Devoted largely to the subject of sion in general, any light on this case we would Dysentery: be pleased to have him do so through The September number. The great Malaria number. WORLD. JOSEPH J. WALLER, M.D.
October number. A regular number, containing Oliver Springs, Tenn.
many valuable articles.
November number. A regular number, containing
many valuable articles. J. E. ROCKAFIELD, M.D., of Columbus, O., writes : Ten cents each, or three for 25 ets., for any ordered THE MEDICAL WORLD is better than lots of journals above the two free numbers to which you are entitled, which I pay five dollars a year for.
with your '93 subscription, as above described.