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R. Iodine tinct.
3iij. Spiritus vini rect
3iij. M. Sig., keep cloth wet with solution about the neck.
December. Inspiration labored, thirst frequent, probably because breathing through her mouth caused rapid evaporation of the moisture. Awakens at night oppressed for breath. Gave arsen. 3x trit., one powder morning, noon and night, and left calc. carb. 3x trit. t. i. d. as an intercurrent remedy.
I saw my patient again in January. Appetite fair; and beef, milk, eggs, rice, and other nutritious foods formed her principle articles of diet. The gland gave a hard, firm sensation to the examining fingers, and had extended bilaterally to and beneath the anterior border of the sterno-mastoid, upward to the hyoid bone and below to the clavicle. Pulse, 88.
Pulse, 88. Temperature, normal. Heart beating regularly, but somewhat labored. Slight flushing of face, no headache, except when having palpitation, and this occurs about once in two days, sometimes not so often. Left bell. 3x, teaspoonful every half hour when troubled with headache, and an ointment of Biniodide of Mercury
lbj To be rubbed upon the growth twice a day. Is to sit in the sun, allowing its rays to fall upon her neck.
Feb. 3. Cannot lie down; must keep the mouth open. Stertorous breathing. Pulse 144, often higher. Respiration rapid, Cough hard, sometimes expectoration of thick, tenacious, yellowish mucus. Very thirsty. Face red, eyes bright. Wants to be fanned. Rattling of mucus in the throat.
Laurocerasus (), in drop doses every ten minutes seemed to give her relief, so that she slept a little that night, and ant. tart. 3x trit. relieved the cough. From this time until Feb. 20, her symptoms grew worse. Food was taken only in liquid form and by sips. Breathing grew more labored, and patient died from exhaustion, Feb. 26.
A decrease in the size of the gland was noticeable the day before she died, and the decrease was more marked just before death.
Query : Did the epistaxis which occurred before the appearance of the tumor, have any relation to the goitre?
Treatment, Old School.
3. Inject 6-10m weekly, was followed by reduction in size of the gland.
Cardiac sedatives as Gels., Verat vir., Digit. Also
mj. Sig. To be taken daily, for three years. Result, cured.
Cactus tinct. 3jss has been credited with reducing the palpition, when Digitalis and Strophanthus failed. Potass. Iodide
3ij Iodine tinct.
Zijss M. Sig. Apply night and morning, and five drops in water t. i. d. has been known to cure.
Hughes suggests Fluoric acid, Calc. c., Iod., Spongia, Bell., Lycopus, Nat. mur., Amyl nit.
T. F. Allen reports a case cured by Ars. Nat. mur, has been credited with cures. Galvanization has been extolled. Ligating the arteries or starving the gland has met with poor results.
Gentlemen, in reviewing the case, I feel dissatisfied with the results of the treatment, for all I did was to palliate. Thirteen years ago, a reputable physician diagnosed her trouble as goitre, and said he could do nothing for it. After the existence of the enlargement for three years it totally disappeared, either under the treatment of the clairvoyant or of itself, but returned after ten years' absence to be the cause of her death.
FRACTURE OF THE FEMUR IN A CHILD TWELVE MONTHS OLD.
BY N. R. PERKINS, M.D., MILTON, MASS. [Read before the Massachusetts Ilomeopathic Medical Society.] June 20th, 1890, was called to see J. R., aged twelve months, a stout, well-nourished boy, when the following history was given me: One hour previous to my visit, while his nurse was giving him an airing, his carriage was overturned, and he was brought to the house crying.
On removing his clothing, there was found an oblique fracture of the middle third of the femur. I could not approach the child without its crying and kicking, thereby tilting up the lower end of the fractured bone. How should I dress it? I had no authorities to guide me, never before having heard of such a case. The long splint, the weight and pulley with sand-bags, were of no account here. The plaster cast seemed to be the only way. Accordingly, with the assistance of Drs. A. E. Perkins and George H. Rhoads, the patient was etherized, the fracture reduced, and after securing strips of adhesive plaster to the leg reaching from a little below the knee to the sole of the foot,
leaving the ends to make extension, and to the trunk anteriorly and posteriorly for counter-extension, a plaster cast was put on reaching from the ankle to the arm-pit. The leg was held in position until the cast had hardened, when the adhesive straps were drwwn over either end of the cast and secured.
Eveyrthing seemed to go well for two or three days, when the severe strain brought to bear on the plaster over the hip joint, from carrying the patient on a pillow, caused the plaster to break down. I now fitted a shellac splint, covering the leg, abdomen and chest, making extension and counter-extension, as before. This seemed to be much better, as I could easily open the splint and examine the seat of fracture, although I usually gave the patient a little ether.
July roth, I left the care of the patient to my successor, Dr. George H. Rhoads, who informed me that the little fellow did finely, with no deformity and no shortening.
I have been unable to find on record a case of fracture of the femur in a child as young as this. I had no guiding rules of treatment, but improvised treatment which proved successful.
IN MEMORY OF DR. DRYSDALE.
Editor of N. E. Medical Gazette:
It has been one of the good fortunes of my life to have held for many years the personal acquaintance, and, I may believe,' friendship of Dr. J. J. Drysdale. I first had letters of introduction to him from Dr. Hering, in 1854, and he gave me the most cordial reception, carefully advising and assisting me in my plans for study in England and on the Continent. He showed then, what continued to the last of his life, a warm interest in America, and a hopeful expectation of the progress which homoeopathy would make in this country. “You have fewer difficulties,” he said, “and more energy to overcome them than we have here in old England.” In the nearly three years which I spent abroad between 1854 and '58, his house was always open to me with the most cordial welcome, and he was alert to every point of progress which science or homeopathy made in the New World. In 1881, I met him for the last time at the International Congress in London. The marks of age were beginning to be evident, yet he possessed the same gentle, genial spirit that had been characteristic of a long life. His interest in what he believed to be the true progress of medicine was unabated, and I shall never forget the earnest, longing look when I told him how much his friends in America would appreciate a visit from him ; but he shook his head, and said, " I'm
too old — I shall never see America in this life.” Few of our associates have ever been as warmly and as justly appreciated by scientific men as Dr. Drysdale, and his researches did much to open the way to later discoveries in microscopic life. He had the warm friendship of such men as Darwin, who highly commended his scientific labors. In his death we lose one of our ablest associates.
I. T. TALBOT.
Fujiya HOTEL, MIYANOSHITA, JAPAN, Sept. I, 1892. Dear Gazette :
Just as I was leaving home for Japan, the advance sheets of a beautiful volume, written by my old friend, Dr. Bushrod W. James, came to hand. I put it in my trunk, promising myself the pleasure of its perusal on shipboard while crossing the broad Pacific. Now that I am resting a few days, at this quiet, charming place among the mountains, I must briefly write my impressions of the book.
In medicine and hygiene Dr. James long ago made a good reputation for himself as a writer. He has been a great traveller, and has written letters of observation of more than common interest; but here he has ventured into the domain of poesy, narrative and descriptive.
It has been my privilege to accompany the Doctor in some of his travels, and seeing the assiduity of his note-taking, I have urged him to issue a volume for the public to read; but I did not know he had been courting the muses the while, and that he would break out in verse.
However, “Alaskana” is out, and, after a careful reading, I must congratulate the author upon his research, happy narratives and descriptions and elegant expressions in poetry, He must rank with Longfellow who wrote of Hiawatha; with Crawford, who shaped up the story and legends of the Finns; and with Arnold, who has immortalized the ways and virtues of the Japanese in his " Japonica."
The tide of summer travel from America, and of late, also from Europe, has been moving up to Sitka, and this volume by Dr. James is destined to increase it and greatly enhance its pleasures.
Poesy has embellished cold facts and lifeless history, touched up the seas and rocks, the snow-capped peaks and glaciers, and charmingly told the legends of the Alaskans, with many a bit of quaint custom, of adventure, of hardship and homely joys.
On our steamship across the Pacific were several persons lately from a visit to Sitka, to whom I loaned Dr. James' book, and all were pleased with its descriptions.
I think it becomes us, in the profession, to indulge in some feelings of pride that we count among us such literary gentlemen as Crawford and James. Your far-away occasional contributor,
J. P. DAKE.
REVIEWS AND NOTICES OF BOOKS.
OPHTHALMIC DISEASES AND THERAPEUTICS. By A. B. Norton,
M. D. Philadelphia : Boericke & Tafel. 1892. 535 PP.
This exhaustive and admirable work is in two parts; the first and larger part dealing with diseases of the eyes, and their treatment; the second part is a presentation of the pathogenetic and reputedly clinical symptoms of drugs having relation to the eyes. The second part is practically a third edition of the work on Ophthalmic Therapeutics, originally written, in collaboration, by Drs. Geo. S. Norton and T. F. Allen, and of which a second edition was issued by Dr. Norton alone. It has been thoroughly revised and brought up to date ; doubtful drug-symptoms eliminated, and new drugs introduced. The first part of the book is entirely new. The late and muchlamented Dr. George S. Norton was employed, for several years, in perfecting its plan and collecting its materials, much of the latter being the classification of extended personal experience. It was to have been written by Dr. George S. Norton in collaboration with his brother, its present author; but this hope being frustrated by death, Dr. A. B. Norton has, with affectionate painstaking, undertaken and most successfully completed the contemplated work. It is a book which not only the specialist, but the everyday homeopathic practitioner must heartily welcome, since it deals not only with rare but with ordinary ophthalmic diseases, such as the every-day practitioner is often called to cope with. Its style is terse and practical ; enough of anatomy and physiology are given to assure easy comprehension of the matter in hand ; in addition to very full indications for homeopathic medication, there are given many simple and sensible directions for local treatment and for operative interference. The sane modern plan is followed of giving separately the pathogenetic and the clinical indications of each drug dealt with. There are many admirable cuts and chromo-lithographic plates. The work will easily become a leading authority in its chosen field.