« PředchozíPokračovat »
the plugs : Take a fine steel probe and moisten it, and wind on the end an amount of cotton sufficient in length and thickness to completely fill the nostril, and carry it on the probe to the position you desire. This will require a little force in order to hold the septum in its proper place. After this is accomplished the probe should be given a turn or two in the opposite direction from which it was turned in winding on the cotton; this will liberate the probe, and it can be easily removed, leaving the cotton firmly fixed. Another method I have tried, which I did not like nearly as well ; that is the solid ivory or hard-rubber plug. which is difficult to hold in position, and is more painful to the patient. I should have stated that this operation is performed under the influence of ether.
We have never met in practice the concretions to which reference has been made; but the foreign bodies from without have been numerous, such as shirt and shoe buttons, tacks of various sizes, bits of sponge, wads of paper, beads, peas, beans, kernels of corn, etc. A skilful use of the probe in the nares when foreign bodies are lodged there is of the utmost importance. A few months since a patient was sent to me for the removal of a polyp, and, on examination with the probe, I stated that I did not think that the child had a polyp, but that some object had been pushed up the nose. The parent was very sure that I had made a mistake, until I introduced a small-sized curette in the direction of the middle meatus, carrying it well back; then pressing the end of the instrument down upon the object, and drawing it forward, a piece of foul-smelling sponge was removed about the size of the end of my thumb. Another case of interest was a little girl who came with her mother, with the left nostril highly inflamed, and smelling badly. The nostril was examined with a fine steel probe, the end of which was protected with cotton, and we found something which showed some resistance, and which seemed to fill the passage, as the child could not force air through the nostril. After trying several times to bring the object forward without success, the mother, protesting that the child had never done such a thing as to put anything up her nose, we finally took a Belocque canula and gently pushed the object back into the pharynx, and the child spat it out. On examination, this was found to be a wad of common wrapping paper tightly rolled.
Tacks have been about the worst objects to remove, especially the large stair-carpet tack, about an inch in length; these become incrusted and fixed crosswise in the nostril, and frequently remain in the nose for a long period. The course to pursue in such a case is to take a blunt-pointed, flexible probe and try and learn the form of the object by carefully following its outline ;
then disengage the point and remove with the nasal forceps. For the removal of smaller, round objects the small curette has been used more than any other instrument, and with better success.
In cases of threatened deformity from the too early removal of the primary or secondary teeth, the case should be put under the care of a good dentist. Where the deformity has already become pronounced, proceedings should be undertaken to correct the deformity by such appliances as are used in the dental art. If these are persisted in the deformity may be wholly overcome.
The reasons for the most of the operations on the nose for stenosis of the nose and the occlusion of the passages are, first, the benefits the child gains from them, in being made so much
ore comfortable, and in enjoying better health ; second, the improvement in the voice and speech, and the better appearance in the school-room and in all public places. The child's opportunities for advancement in many directions are greatly increased by opening the nares.
GANGRENE FOLLOWING THE STING OF AN INSECT.
BY N. R. PERKINS, M.D. [Read before the Massachusetts Homæopathic Medical Society.] June 22d, 1889, 4 o'clock P. M., I was called to see Mrs. B., aged 30, married, and the mother of two children. From her I learned the short history of the case.
About three hours previous, while she was at work in the garden, she felt the sting of an insect on the back of the neck. Soon her face began to swell, and in a short time her eyes were closed, her ears swollen enormously, features distorted beyond recognition, her hands and arms were swollen from finger tips to the elbow, but no other parts of the body were involved. By the next morning the dorsal aspect of the hands and fingers were assuming a dark, mottled appearance, also the pinna of the ears. The swelling of the face had abated a little ; temperature and pulse normal. On the previous evening had prescribed lachesis, and enveloped the hands and arms in cotton, and directed that they be kept warm with bottles of hot water. This prescription was continued. On the following morning the line of demarcation had formed, beginning at the wrist joints and extending around the hands, midway between the dorsal and palmar sides of each finger, to the wrist, embracing the dorsal surface of each wrist and hand. Separation soon began, and the skin and cellular tissue sloughed off over the back of the hands and fingers. The necrosed tissue was cut away as fast as it separated. Poultices were used of slippery-elm bark, made with infusion of eucalyptus leaves. Granu
lations were healthy, and in a short time healing had completely taken place. Lachesis was given in water every two hours, until the necrosed tissue had all been cut away.
Query. — Was this the sting of an insect? If so, why was necrosis of tissue caused from it? And why was the circulation cut off from this particular locality, i.e., back of hands and wrist?
MAINE HOMEOPATHIC MEDICAL SOCIETY. Editor Gazette :
The report of the annual meeting of the Maine Homeopathic Medical Society, held June 7 and 8, has been delayed by the absence of the secretary at Washington, in attendance upon the American Institute of Homeopathy.
This meeting of the Maine Society, marking, as it did, the completion of the first twenty-five years of its existence, the second day was given to its celebration, and the president's annual address was largely statistical, historical, and biographical.
The society has been called during the past year to mourn the death of two of its members, W. S. Howe, M.D., of Lewiston, in August, 1891, and F. A. Roberts, M.D., of Waterville, in May, 1892. These are the first losses by death the society has sustained in several years. Resolutions were passed expressing the society's loss, and sympathy towards the bereaved families.
Seven physicians were elected to membership, as follows, viz., Edwin H. Durgin, M.D., of Searsport ; Roscoe L. Graves, M.D., of Saco; L. C. Jewell, M.D., of Cape Elizabeth ; W. Scott Hill, M.D., of Augusta ; R. L. Dodge, M.D., of Portland; A. D. Bowman, M.D., of Mechanic Falls, and Arthur L. Parsons, M.D., of Bucksport.
The meeting was opened with an invocation by Rev. Henry Blanchard, D.D., followed by the roll-call, showing the presence of twenty-three members. There were also present five applicants for membership, and several visitors.
There were present, as delegates from the Massachusetts Homeopathic Medical Society, Dr. J. H. Sherman, of Boston, and Dr. W. K. Knowles, of Everett. This visit of Drs. Sherman and Knowles was very pleasant to us, both from old associations and because of the mark of fellowship between the two societies. To the elder delegate, Dr. Sherman, the society voted, unanimously, the title to honorary membership. Dr. Sherman's address on the status of homeopathy in Massachusetts was full of interest.
Papers from the several scientific bureaus were read, as
follows: “Hydrastis," by Solon Abbott, M.D., of Biddeford ; “ A Case of Cancer Not Cured by Arsenicum Album,” by M. S. Briry, M.D., of Bath ; "Cases From Practice,” by F. O. Lyford, M.D., of Farmington; a paper in materia medica on “ Plantago, and Involuntary Provings of Camphor,” by J. T. G. Emery, M.D., of South Waterboro; "A Clinical Case — General Calcification of the Joints," by Lyman Chase, M.D., of Kennebunkport ; “ Clinical Medicine," by L. P. Graves, M.D., of Saco; “A Case of Hemorrhage of the Stomach," by H. I. Harvey, M.D., of Newport. For the Surgical Bureau, A. K. R. Harvey, M.D., of Lewiston, presented a paper entitled “A Few of My Failures." For the Bureau of Gynecology, J. W. Whidden, M.D., of Portland, read a paper entitled “Can Women Expect Help?" Anna G. C. Ohler, M.D., of Portland, read a paper on “The Science and Practice of Midwifery.”
Free discussion ensued upon a number of these papers.
Drs. A. I. Harvey, J. C. Gannett, H. C. Bradford and W. Scott Hill were appointed delegates to the American Institute of Homeopathy. Delegates to the several New England Societies were appointed as follows: To New Hampshire, Drs. M. C. Pingree and Charles R. Cole; to Vermont, Drs. F. O. Lyford and M. K. Dwinell; to Massachusetts, Drs. E. F. Vose and Cora M. Johnson ; to Rhode Island, Drs. M. S. Holmes and H. P. Heald; to Connecticut, Drs. F. A. Gushee and T. N. Drake.
The following were elected officers for the ensuing year, viz. : For President, W. E. Fellows, M.D., Bangor; Vice-Presidents, J. C. Gannett, M.D., Yarmouth, and E. Vose, M.D., Portland; Recording Secretary, J. C. Gannett, M.D., Yarmouth; Corresponding Secretary, R. H. Pulsifer, M.D., Waterville ; Treasurer, Solon Abbott, M.D., Biddeford ; Censors, Drs. H. C. Bradford, J. M. Prilay, W. V. Hanscom, A. F. Piper, C. S. Philbrick; Committee on Legislation, Drs. W. F. Shepard, A. I. Harvey, C. M. Foss, J. W. Whidden, M. S. Briry.
The second day was given up to a sail by steamboat among the beautiful islands of Portland Harbor and Casco Bay, and a typical shore dinner at the Portland Club House at Great Diamond Island. The day was beautiful, the bay at its prettiest, the company, to the number of about thirty, ripe for enjoying everything, the dinner one of the best for which the club is noted. Following the dinner informal toasts and speech-making were in order.
The matter of a new insane hospital was discussed during the afternoon, and the matter was left in the hands of the general legislative committee.
The Maine Homoeopathic Medical Society, with the strength of young manhood in its years and membership, marks out for
itself in the future a higher stand - a stronger influence, if possible — than in the past.
JAMES C. GANNETT, M.D., Recording Secretary.
CONNECTICUT HOMEOPATHIC MEDICAL SOCIETY. The Connecticut Homeopathic Medical Society held its meeting at Hartford, May 17th.
Dr. Stark, of Norwich, President, read his annual address, his theme being “Homeopathy: What Is It? What Has It Accomplished ?”
Papers were read as follows:
Dr. Emily Pardee, of South Norwalk, “A Report of Three Cases of Scarlet Fever and Measles Appearing Simultaneously as Distinct Diseases."
Dr. E. B. Hooker, of Hartford, “The Health of Hartford."
Dr. E. H. Linnell, of Norwich, "An Every-day Case and Some Homely Deductions."
Officers were elected as follows : President, Dr. C. B. Adams, of New Haven; Vice-President, Dr. H. P. Cole, of Bridgeport ; Secretary and Treasurer, Dr. E. B. Hooker, of Hartford, Librarian, Dr. G. H. Wilson, of Meriden ; Censors, Drs. W. F. Hinckley, of Naugatuck; C. L. Beach, of Hartford; E. A. Wilson, of Meriden ; Sophia Penfield, of Danbury; and C. H. Colgrove, of Willimantic.
Dr. Plumb Brown, of Norfolk, was elected a member of the society.
It was voted to hold a semi-annual meeting of the society, at Meriden, on the third Tuesday in October.
REVIEWS AND NOTICES OF BOOKS.
TRANSACTIONS OF THE HOMEOPATHIC MEDICAL SOCIETY OF THE STATE OF
PENNSYLVANIA. TWENTY-SEVENTH SESSION.
This substantial and interesting volume offers the record of much thorough, enthusiastic and fruitful work on the part of our Pennsylvania confrères. Every bureau furnishes papers which give food for discussion and for afterthought. Dr. Bier's "Cases of Mental Suggestion” venture into a field but little known by homeopathists, though already worked, with results of much interest to science, by progressive practitioners of the old school. Dr. M. M. Walker's “ Fifty Cases of Typhoid fever” illustrate the value and interest of carefully studied and tabulated instances of familiar disease. Dr. Cranch's brief notes on “ Spider Poisons" have the Wellerian merit of making one "vish there vos more." The volume, as a whole, is a richly creditable one. THE POCKET PHARMACY, WITH THERAPEUTIC Index. A Resumé of the Clinical
Applications of Remedies Adapted to the Pocket-Case, for the Treatment of Emergencies and Acute Diseases. By John Aulde, M.D. New York: D. Appleton & Company. 204 pp.
This may be looked upon as one of the remarkable books of the age. Its advent was referred to in the May issue of the GAZETTE, but it deserves more than the