Strathroy Middlesex General Hospital Site Patient Services Directory
MIDDLESEX HOSPITAL
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156 tecting capillary structures, and the snrgery man and nurses gave busy " note of preparation." All were anxiously on tip-toe, waiting to see the delicate flourish with which the first incision was to be made, when in stepped that colossus of surgery from Spring Gardens, and with very little manipulation succeeded in returning the polapsed intestine to its proper cavity. The operating surgeon looked con- fused and blushed; the knowing ones laughed; and the patient was order- ed away to soak in a warm bath! A dark complexioned little Parisian, who has been long tottering about the Borough, had wedged himself close up to our shoulders, anxious to get a peep at this rarity, and seeing the parties disperse very suddenly, could not help expressing his surprise to us, by shrugging up his shoulders and ejaculating, Voila! MonDieu! 1’0- peration est perfectionne ; n’est il pas?" Out of politeness to the stran- ger, we were obliged to answer, " Oui, Monsieur, it est en verite; mais en maniere tres extraordinaire ;" - and so saying, we walked out of the theatre. After the pupils had been round the Hospital, Sir ASTLEY introduced Mr. FAY, dentist, from America, who had come into the Borough by appoint- ment, in order to show the students his peculiar mode of extracting teeth. The instruments used for the purpose are forceps of various forms, fitted to the peculiar shape of each class of teeth, by which they may be removed ta a line perpendicular to their soc- ets, with much less pain than by the ordinary method. They appeared to give great satisfaction to the persons who examined them. MIDDLESEX HOSPITAL. Case of Fracture of the Sternum and Fracture of the Ribs, accompanied with Emphysema. Maria Keate, aged 57, a healthy looking woman, of florid complexion, was brought into the Hospital on tke morning of 26th April. It appears, that whilst employed in milking a cow the animal kicked her, and sub- sequently trod upon her. Upnn examination, we readily dis- covered a transverse fracture of the sternum, at that part between the articulations of the third and fourth ribs, the lower portion of the bone being driven inwards ; the soft parts about the sternum not much injured, atthongh there was considerable pc- chymosis in different parts of the chest. The six inferior true ribs of the left side we found fractured at about the middle of the bone, and the third, fourth, and fifth, fractured near to their cartilages ; some of the false ribs were also fractured. On the right side, the second, third, and fourth true ribs were fractured, and in addi- tion to this, there was a fracture of the left clavicle at its middle. Her breatli- ingis exceedingly anxious and hurried her countenance indicates acute pain, which she feels npon inspiration, es- pecially at the fracture of the third and fourth ribs of the left side; pres- sure at this part, or upon the fractnr. ed sternum, occasions great distress.. Pulse 100, and hard ; she was direct- ed to be bled, ad. xiv. and a ban- dage was passed round the chest. 27th. We learn, from the nurse, that she passed a restless night; she has a constant tickling cough, whicfit greatly distresses her ; breathing hue. ried and anxious ; pnlse 114 and small-; cold surface. S4ie lays on her back, with the head and pelvis raised, from which position she finds some relief (we suppose from relaxinz the abdo- minal and sterno-cleido mastoidal muscles.) Upon passing the hand over the ribs of the left side, we found considerable emphysema at the back part. She took a purgative powder last night, which has not acte,d. V. S. ad. xvj. Enema commune statim. She takes a simple demulcent ture, for the purpose of allaying tlte cough. 28th. Upon visiting her this morn- ing, we found no abatement of the symptoms; breathing laborious, as well as frequent; inspiration succeed
Transcript of MIDDLESEX HOSPITAL
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tecting capillary structures, and thesnrgery man and nurses gave busy" note of preparation." All were
anxiously on tip-toe, waiting to see
the delicate flourish with which thefirst incision was to be made, when instepped that colossus of surgery fromSpring Gardens, and with very littlemanipulation succeeded in returningthe polapsed intestine to its propercavity.The operating surgeon looked con-
fused and blushed; the knowing oneslaughed; and the patient was order-ed away to soak in a warm bath! Adark complexioned little Parisian,who has been long tottering about theBorough, had wedged himself closeup to our shoulders, anxious to get apeep at this rarity, and seeing theparties disperse very suddenly, couldnot help expressing his surprise to us,by shrugging up his shoulders andejaculating, Voila! MonDieu! 1’0-peration est perfectionne ; n’est il
pas?" Out of politeness to the stran-ger, we were obliged to answer," Oui, Monsieur, it est en verite;mais en maniere tres extraordinaire ;"- and so saying, we walked out of thetheatre.
After the pupils had been roundthe Hospital, Sir ASTLEY introducedMr. FAY, dentist, from America, whohad come into the Borough by appoint-ment, in order to show the studentshis peculiar mode of extracting teeth.The instruments used for the purposeare forceps of various forms, fitted tothe peculiar shape of each class ofteeth, by which they may be removedta a line perpendicular to their soc-ets, with much less pain than by theordinary method. They appeared togive great satisfaction to the personswho examined them.
MIDDLESEX HOSPITAL.
Case of Fracture of the Sternum andFracture of the Ribs, accompaniedwith Emphysema.Maria Keate, aged 57, a healthy
looking woman, of florid complexion,was brought into the Hospital on tke
morning of 26th April. It appears,that whilst employed in milking acow the animal kicked her, and sub-sequently trod upon her.
Upnn examination, we readily dis-covered a transverse fracture of thesternum, at that part between thearticulations of the third and fourthribs, the lower portion of the bonebeing driven inwards ; the soft partsabout the sternum not much injured,atthongh there was considerable pc-
chymosis in different parts of thechest. The six inferior true ribs ofthe left side we found fractured atabout the middle of the bone, and thethird, fourth, and fifth, fractured nearto their cartilages ; some of the falseribs were also fractured. On theright side, the second, third, and fourthtrue ribs were fractured, and in addi-tion to this, there was a fracture of theleft clavicle at its middle. Her breatli-ingis exceedingly anxious and hurriedher countenance indicates acute pain,which she feels npon inspiration, es-pecially at the fracture of the thirdand fourth ribs of the left side; pres-sure at this part, or upon the fractnr.ed sternum, occasions great distress..Pulse 100, and hard ; she was direct-ed to be bled, ad. xiv. and a ban-dage was passed round the chest.
27th. We learn, from the nurse,that she passed a restless night; shehas a constant tickling cough, whicfitgreatly distresses her ; breathing hue.ried and anxious ; pnlse 114 and small-;cold surface. S4ie lays on her back,with the head and pelvis raised, fromwhich position she finds some relief(we suppose from relaxinz the abdo-minal and sterno-cleido mastoidalmuscles.) Upon passing the handover the ribs of the left side, we foundconsiderable emphysema at the backpart. She took a purgative powderlast night, which has not acte,d.
V. S. ad. xvj.Enema commune statim.
She takes a simple demulcent ture, for the purpose of allaying tltecough.
28th. Upon visiting her this morn-ing, we found no abatement of thesymptoms; breathing laborious, aswell as frequent; inspiration succeed
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ing expiration as fast as possible ;pulse 114, and small.
The emphysematcus swelling hasconsiderably increased, and now ex-tends all over the left side of’ thethorax, but not extending to the foreparts. The enema returned unchang-ed, since which she has taken an ape-rient draught and the bowels havebeen well relieved. The blood wasbuffed but not cupped.
Repr. V. S. ad. xvj.29th. We found her much as yes-
terday ; pulse quick, breathing equallyanxious. The emphysema not ex-
tended ; the cough greatly exaspe-rates the pain ; she brings up a littlefrothy mucus with the congh, streakedwithblood. She was directed to bebled again, to 14 oz.
80th. We found her much worseto-day ; countenance livid ; pnlse ir-regular ; the sensorium much affected;her breathing is exceedingly labo-rious ; the hands and feet cold. She
lingered on in this state of extremesuffering until the following morning.No examination of the body tookplace.
The Accidents admitted this weekare-a simple fracture of the thigh,just above the condyles ; a case of se-vere lacerated wound of the scalp;and some other unimportant cases.
TO CORRESPONDENTS,
R. E. L. is not in the secret re-
specting the cause of the late revo-
lutionary movements at St. Thomas’sand Guy’s Hospitals; MISS WHITFIELDhad doubtless a considerable share inobtaining for Mr. SOUTH his appoint-ment to the Lecturer’s Chair.
According to the present aspect ofaffairs at the above institutions, a su-perficial observer would be somewhatpuzzled to say whether the Hospitalswere founded for the relief of diseasedpaupers, or for the PROFESSIONAL ad-vancement of a particular FAMILY ofSurgeons. Public offices of respon-
I sibility should be open to men of ta-lent generally, and ought not to befilled by the members of a particularbrotherhood. We shall keep a vigi-lant eye on the proceedings at theseinstitutions, and shall faithfully reportwhat we observe, and we are muchmistaken if it do not form a rathercurious history of humbug, stuffling,and intrigue.W. Y. mnst write again ; he should
be mare particular as to his dates.
We advise A STUDENT OF THE
MIDDLESEX HOSPITAL to demand areturn of his entrance money ; he.
certainly could not have bargainedfor the present regulations, whichmust prevent him from deriving anybenefit whatever from the Hospitalpractice.The letter of A STUDENT is not
written with sufficient accuracy forpublication.We thank AN OLD ARMY SURGEON
for his hint; we shall not be unmind-ful of the Infamous Apothecaries’Act, the alteration proposed by Mr.BROUGHAM does not affect the prin-ciple of the Bill, but merely relates toa portion of the detail.
The circumstance mentioned by ANAPPRENTICE is too insignificant fornotice.
We are much obliged to MEDICUS:the contract between Dr. HOOPERand a certain personage is curious ;we are in want of a few more facts.
The proposition of D. WB was givenin THE LANCET within a few weeksfrom its commencement.
’ T. is neither a judge of LIZARS’ Plates nor our impartiality, andive would advise him to learn to
write English before he again quotest HORACE.
If A. B. of Newcastle will write toas again, and convince us that he is.serious in his request, he shall be at-tended to.
The CATHOLIC FRIEND is not at all
. in our way.
