Robert Murray M Cheyne the Glory of the Christian Dispensation
COMPLIMENTARY DINNER TO SIR W. WATSON CHEYNE
1
107 the Latin form of those homely words put upon.’ I think that suffering members of the public are very much put upon’ if methods of this kind are to be permitted, and I believe that in this sense the defendant or any other member of the public renders a duty to his fellow members by publishing language which has the effect of characterising such methods even in harsh terms as ’ an imposture.’" COMPLIMENTARY DINNER TO SIR W. WATSON CHEYNE. THE students (present and past) of King’s College Hospital have arranged to give a complimentary dinner to Sir W. Watson Cheyne, to congratulate him on the well- merited baronetcy recently bestowed on him. The dinner will take place at the Waldorf Hotel, London, on Friday, July 17th, at 7 for 7.30 P.M. Old King’s men have been communicated with as far as possible, but any of them who have not received notices are especially requested to communicate with the secretary of the dinner committee at the hospital. Owing to the large number of acceptances already received it has been found necessary to limit the invitation to old members of King’s (staff or students). ___ NEURITIS OF THE MUSCULO-CUTANEOUS NERVE FROM RUPTURE OF THE BICEPS. IN the Jmvrnal of the American Medical Association of May 16th Dr. P. S. Doane has reported an unusual injury and its result-neuritis of the musculo-cutaneous nerve from rupture of the biceps. A builder, aged 55 years, while on a ladder 20 feet from the ground fell. He broke his fall by grasping a projecting beam with the right hand and imme- diately felt a sharp pain in the right arm. The arm became swollen, but little attention was given to the injury until after the tenth day when intense pain began in the arm. This grew progressively worse and was so intense as to prevent sleep. With some difficulty he could sign cheques and letters. He consulted a physician who used an electric current for one month to relieve the pain without result. The patient was then seen by Dr. Doane who found just above the bend of the elbow on the inner side of the arm a globular mass about five centimetres in diameter, moveable in all directions to a moderate extent but less so downwards. Above it was a marked depression. The mass was thought to be muscular tissue and part of, if not all, the biceps. It was not tender but immediately above it and to its outer aspect was marked tenderness. On the outer side of the forearm there was some anesthesia. The grip was weak and the arm could I, not be abducted beyond 45°. Neuritis of the musculo- , cutaneous nerve secondary to rupture of the biceps, ’, which it supplies, was diagnosed. As the general condition of the patient was not good an operation was not performed. To relieve the neuritis a bandage was applied below the ruptured muscle which was thus held up to a considerable extent. The arm was bandaged to the trunk so as to relax the muscle and to keep it motionless. After two months the neuritis had disappeared. Examina- tion showed definitely rupture of the long head of the biceps but the condition of the short head could not be determined. The following operation was performed. An incision was made from the lower border of insertion of the pectoralis major downwards for three inches. Dissection showed that the long head of the biceps had been torn from its attach- ment to the upper border of the glenoid fossa and that con- traction had invaginated it into the belly of the muscle. Not finding it possible to replace the long head in its original position. Dr. Doane dissected it free from its in- vagination and adhesions, split the sheath of the short head, freshened the tendon surface of the long head, planted the latter into the short head, and sutured it there with interrupted catgut sutures. The wound was closed and the arm was kept in a flexed position for three weeks by a sup- porting plaster cast, after which a sling was used. Almost normal use of the arm was regained. ’ , FORESTS AND FAMINE IN INDIA. A FEW weeks ago there appeared in these columns a note upon the question of afforestation. It was discussed from the point of view of the influence of trees upon climate. If that question is of importance in this country the main- tenance and cultivation of forest trees would seem to be of much greater importance to the welfare of the Indian peoples. The subject is ably discussed by Mr. J. Nisbet, formerly a conservator of forests at Burma, in the current number of the Nineteenth Oentury. He points out that the prosperity of India as an agricultural country depends mainly upon the rainfall. Any irregularity in the monsoon currents profoundly affects the crops where their thriving depends solely upon rainfall. Although much has -latterly been done by irrigation and the construction of water tanks there are vast tracts which have to depend entirely on the actual rainfall. Of late years the Government of India. has been endeavouring not only to cope with want and, famine but to eradicate the causes which bring about these disasters. So long ago as 1846 it was pointed out that iii Bombay unrestrained clearances of forest had diminished the fertility of neighbouring gardens and rice lands. Thus the cutting down of trees in the South Konkan caused the springs to dry on the uplands and made the climate drier, the seasons. more uncertain, and the land less fertile. In effect a forest acts as a sponge, and when the rain does fall water which would otherwise flow rapidly away is held up and distri- tributed gradually to the adjoining rivers. But apart from this, Mr. Nisbet points out that in time of famine the forest can be thrown open to the villagers and their cattle. An Indian forest produces a number of edible roots and fruits, while the value of the forest as a grazing ground for cattle may be gauged from the fact that during the famine of 1897 nearly 700,000 head of cattle were saved by being turned into the forests of the Deccan. Mr. Nisbet’s object ill writing this article is to show that, apart from the value of the timber produced, the Indian Government would be well advised to extend the principle of afforestation in the interests of the public health. ’’’ I 1)11 POST-OPERATIVE DUODENAL ILEUS. Professor Leopold Landau, speaking before the Berlin Medical Society, recently discussed the question of duodenal ileus. He said that, notwithstanding the strictest asepsis, peritonitis and ileus still develop sometimes after laparo- tomy, and it may be difficult to say which part of the intestine is occluded. Lately a good deal of light has been thrown on the matter by the statement of Professor Schnitzler of Vienna that ileus may be produced by strangulation of the duodenum by the superior mesenteric artery which runs behind the pancreas and in front of the duodenum to the root of the mesentery. The symptoms of duodenal ileus are very characteristic and may be met by a very simple proceeding. Professor Landau described the case of a woman upon whom a hysterectomy had been performed for myoma and who three days after the operation suffered from severe collapse, with a thready pulse of 160, stenocardia, and profuse bilious but not fasoulent vomiting. There was pronounced meteorism and her state very much resembled acute peritonitis. The stomach-pump gave no relief, so by the advice of Professor Schnitzler she was
Transcript of COMPLIMENTARY DINNER TO SIR W. WATSON CHEYNE
107
the Latin form of those homely words put upon.’ I think
that suffering members of the public are very much putupon’ if methods of this kind are to be permitted, and I
believe that in this sense the defendant or any other memberof the public renders a duty to his fellow members bypublishing language which has the effect of characterisingsuch methods even in harsh terms as ’ an imposture.’"
COMPLIMENTARY DINNER TO SIR W. WATSONCHEYNE.
THE students (present and past) of King’s CollegeHospital have arranged to give a complimentary dinner toSir W. Watson Cheyne, to congratulate him on the well-merited baronetcy recently bestowed on him. The dinner will
take place at the Waldorf Hotel, London, on Friday, July 17th,at 7 for 7.30 P.M. Old King’s men have been communicatedwith as far as possible, but any of them who have not receivednotices are especially requested to communicate with the
secretary of the dinner committee at the hospital. Owing tothe large number of acceptances already received it has beenfound necessary to limit the invitation to old members of
King’s (staff or students). ___NEURITIS OF THE MUSCULO-CUTANEOUS
NERVE FROM RUPTURE OF THEBICEPS.
IN the Jmvrnal of the American Medical Association of
May 16th Dr. P. S. Doane has reported an unusual injury andits result-neuritis of the musculo-cutaneous nerve from
rupture of the biceps. A builder, aged 55 years, while on aladder 20 feet from the ground fell. He broke his fall bygrasping a projecting beam with the right hand and imme-diately felt a sharp pain in the right arm. The arm became
swollen, but little attention was given to the injury until afterthe tenth day when intense pain began in the arm. This grewprogressively worse and was so intense as to prevent sleep.With some difficulty he could sign cheques and letters. He
consulted a physician who used an electric current for onemonth to relieve the pain without result. The patient wasthen seen by Dr. Doane who found just above the bend ofthe elbow on the inner side of the arm a globular mass aboutfive centimetres in diameter, moveable in all directions to amoderate extent but less so downwards. Above it was amarked depression. The mass was thought to be musculartissue and part of, if not all, the biceps. It was not tender
but immediately above it and to its outer aspect was markedtenderness. On the outer side of the forearm there was
some anesthesia. The grip was weak and the arm could I,not be abducted beyond 45°. Neuritis of the musculo- ,cutaneous nerve secondary to rupture of the biceps, ’,which it supplies, was diagnosed. As the generalcondition of the patient was not good an operation was
not performed. To relieve the neuritis a bandage wasapplied below the ruptured muscle which was thus held upto a considerable extent. The arm was bandaged to thetrunk so as to relax the muscle and to keep it motionless.After two months the neuritis had disappeared. Examina-tion showed definitely rupture of the long head of the bicepsbut the condition of the short head could not be determined.The following operation was performed. An incision wasmade from the lower border of insertion of the pectoralismajor downwards for three inches. Dissection showed thatthe long head of the biceps had been torn from its attach-ment to the upper border of the glenoid fossa and that con-traction had invaginated it into the belly of the muscle.Not finding it possible to replace the long head in its
original position. Dr. Doane dissected it free from its in-
vagination and adhesions, split the sheath of the short head,
freshened the tendon surface of the long head, plantedthe latter into the short head, and sutured it there with
interrupted catgut sutures. The wound was closed and thearm was kept in a flexed position for three weeks by a sup-porting plaster cast, after which a sling was used. Almostnormal use of the arm was regained.
’ ,
FORESTS AND FAMINE IN INDIA.
A FEW weeks ago there appeared in these columns a noteupon the question of afforestation. It was discussed fromthe point of view of the influence of trees upon climate. Ifthat question is of importance in this country the main-tenance and cultivation of forest trees would seem to be ofmuch greater importance to the welfare of the Indian
peoples. The subject is ably discussed by Mr. J. Nisbet,formerly a conservator of forests at Burma, in the currentnumber of the Nineteenth Oentury. He points out that theprosperity of India as an agricultural country dependsmainly upon the rainfall. Any irregularity in the monsooncurrents profoundly affects the crops where their thrivingdepends solely upon rainfall. Although much has -latterlybeen done by irrigation and the construction of water tanksthere are vast tracts which have to depend entirely onthe actual rainfall. Of late years the Government of India.has been endeavouring not only to cope with want and,famine but to eradicate the causes which bring about thesedisasters. So long ago as 1846 it was pointed out that iii
Bombay unrestrained clearances of forest had diminished thefertility of neighbouring gardens and rice lands. Thus the
cutting down of trees in the South Konkan caused the springsto dry on the uplands and made the climate drier, the seasons.more uncertain, and the land less fertile. In effect a forestacts as a sponge, and when the rain does fall water whichwould otherwise flow rapidly away is held up and distri-tributed gradually to the adjoining rivers. But apart fromthis, Mr. Nisbet points out that in time of famine theforest can be thrown open to the villagers and their cattle.An Indian forest produces a number of edible roots and fruits,while the value of the forest as a grazing ground for cattlemay be gauged from the fact that during the famine of 1897nearly 700,000 head of cattle were saved by being turnedinto the forests of the Deccan. Mr. Nisbet’s object illwriting this article is to show that, apart from the value ofthe timber produced, the Indian Government would be welladvised to extend the principle of afforestation in the
interests of the public health. ’’’ I
1)11
POST-OPERATIVE DUODENAL ILEUS.
Professor Leopold Landau, speaking before the Berlin
Medical Society, recently discussed the question of duodenalileus. He said that, notwithstanding the strictest asepsis,peritonitis and ileus still develop sometimes after laparo-tomy, and it may be difficult to say which part of the
intestine is occluded. Lately a good deal of light has beenthrown on the matter by the statement of Professor Schnitzlerof Vienna that ileus may be produced by strangulation of theduodenum by the superior mesenteric artery which runs
behind the pancreas and in front of the duodenumto the root of the mesentery. The symptoms of duodenalileus are very characteristic and may be met by a verysimple proceeding. Professor Landau described the case of awoman upon whom a hysterectomy had been performed formyoma and who three days after the operation suffered fromsevere collapse, with a thready pulse of 160, stenocardia,and profuse bilious but not fasoulent vomiting. There
was pronounced meteorism and her state very much
resembled acute peritonitis. The stomach-pump gave norelief, so by the advice of Professor Schnitzler she was
