ORIGINAL COMMUNICATIONS. Medical and Surgical Science, EXTRACTS FROM HOME AND FOREIGN JOURNALS. Abyssinian midwifery,------------ Medical Obstetric Ethics Acute Orchitis cured in twenty four hours, ---- ---- ------ Simple mode of performing Artificial Respiration in asphyxiated children,.. Nitrate of Lead In the treatment of sore nipples,.. Homœopathy in France,... Sweet Quinine: What is it?.------- Carbuncle successfully treated with pressure, by means of adhesive strips,. Acute Rheumatism treated with Eromide of ammonium................ Uterine Diseases,.. REVIEWS, EDITORIALS, &c. To our patrons,. "Save me," A just and sensible man,. "Tuum Est,". To our readers,-. Et Tu Bute,.----- The New York Medical Journal, Boston, Woman's Medical College, ☛ N. CHAMMINGS, manager of the NASHVILLE JOURNAL OF MEDICINE, will reply to all ietters concerning the JOURNAL; give receipts for subscriptions or advertisements, and try to be useful to its patrons. N. B.-On the wrapper of each JOURNAL, after the name, will be found the month with-and year in which the subscription expires: it will then show the propriety of renewing or stop. ping the receipt of it. We will give or credit thirty cents for each number returned to us of January, 1867, of January and February, 1868, 1869. A P.O. Order is the cheapest and best mode of remittance; after that a registered letter or draft on a Bank. We have lost so many remittances, for which P. Master's receipts had been obtained, that we have not any reliance on them. We desire to be informed of the non-receipt of JOURNALS after the first week in the month. Every letter should contain the name of the county in which the writer resides, and to insure my receipt of them, be addressed-without any allusion to the MEDICAL JOURNAL-simply, N. CHAMMINGS, 217 S. Market St., Nashville, Tenn. The Celebrated Patent Craig Microscope. An optical wonder; costs only $2.50, magnifies 10,000 times, a power equal to complicated microscopes of many times its cost. Simple, ornamental, portable, and permanently available, it has received the highest premiums at all fairs wherever exhibited, and the approval of the press and public everywhere; for which, see circulars. Adapted to popular and scientific use, it should be on the table of every family, physician, school-teacher, entomologist, botanist, naturalist, mineralogist, etc. Shows the adulterations in food and drugs, eels in vinegar, animals in water, urinary deposits, uric acid, urea, globules in blood or milk, tubular structure of hair etc. It is, at home, a source of endless amusement and instruction, and one of the most valuable gifts to be chosen. The remarkable trichina spiralis, or pork-worm was first discovered in America, by Dr. Kendall, with this well-known, low-price, but high-power instrument; these worms are now to found in cats, crows, blackbirds, hawks, and other birds, also in moles and pigs, any of which eaten by man, may cause dangerous illness, and even death. Sent, for the proprietor, prepaid, for $2.75, by, N. CHAMMINGS, Publisher of the NASHVILLE JOURNAL OF MEDICINE. CASE XVII. Humerus two and a half inches removed. Capt. P. A. Reeves, Co. G, 23d Kentucky Regiment, U. S. V., was wounded at the battle of New Hope Church, Georgia, May 27, 1864, with a minnie ball, making a compound comminuted fracture of the humerus. Two and a half inches of the shaft was exsected on the 7th of the following July, by Dr. A. McGraw, of Cincinnati. The ends of the bone were kept in apposition by a sling passing around the neck and elbow. Complete bony union exists with a shortening of two and a half inches, which was about the extent of bone removed. Capt. R. states that the arm is of great service to him. The result of the operation is good. I examined the arm, and made the notes of the case. CASE XVIII. Humerus, upper portion, four inches of the bone resected. Col. J. M. Graham, of the Federal army, wounded 18th November, 1864, at the battle of Nashville, by a minnie ball, in the upper portion of the humerus. Four inches of the bone was resected the day the wound was received. There is two inches shortening. Abscesses have formed but once since the first four months. The arm is very useful. Dr. Hall, of Utica, Ill., operated. The notes of this case were furnished by Dr. W. Wardner, of Cairo, Ill. Considering the seat and extent of this operation, it has proved very successful after the lapse of four years. CASE XIX. Humerus, upper third, three inches of bone resected. Gen. W. F. Tucker, (late Confederate army) was wounded 14th of May, 1864, at the battle of Resaca, Georgia, with a minnie ball in the left humerus. The operator, Dr. J. S. Cain, states that the ball must have passed directly through the bone, as it literally comminuted it for about two and a half inches, extending to within an inch of the great tuberosity. The resection consisted in sawing both ends of the bone smooth, the ends then were approximated as near as possible. There was about three inches of the bone removed. The resection extended to within about three-quarters of an inch of the anatomical neck. There is three inches shortening. The wound healed very promptly, and no abscesses formed around the seat of resection or operation. There is no bony union, therefore he has but little control over the arm, except when resting on a table, or supporting it in that position. The functions of the fore arm and hand are good. It is preferable to no arm. The result of this case is not as good as some I have given, yet I do not think the condition and usefulness of the arm at this time would argue against resection. The notes of this case were furnished me by Dr. J. S. Cain, of Okalona, Miss., who operated. CASE XX. Humerus, upper half, six and a half inches removed. John A. J., was a soldier in the Confederate army, wounded at the battle of Peach Tree Creek, on the 20th July, 1864, in the upper portion of the humerus, by a minnie ball. Resection was performed the same day, removing six and a half inches of the bone from the upper portion of the upper half. He had not been troubled with abscesses around the wound. There exists four inches shortening. The functions of the limb are impaired, but the patient states that it is of great service to him, and that he would not be without it for any consideration. This is, so far, the most extensive case of resection of the humerus among my collection of cases. As the arm is useful, and so highly prized by the patient, it is not an encumbrance, therefore, the result proves, after four and a half years, that it is a very successful case of resection of that bone, Dr. Roan, of Madison County, Tennessee, operated. CASE XXI. Humerus, upper third, four inches of bone exsected in upper third of humerus. R. Mc, a soldier in the late Confederate army, was wounded in upper third of humerus, by a minnie ball, at the battle of Atlanta, Georgia, July 28th, 1864. Resection was performed the next day, removing four inches of bone. The arm is shortened about two inches; functions of the limb are impaired to some extent, but improving daily, and it is of much benefit to him now. The arm has been healthy since it first healed. Dr. Barnes, Surgeon of the 41st Tennessee Regiment, operated. Judging from the gradual improvement in the functions of the arm, it may be termed a very successful case of resection. The notes of the last two cases which are very interesting, were furnished me by my friend Dr. G. H. Barnett, of Weekly County, Tenn. CASE XXII. Resection of the entire wrist-joint, including about half an inch of the radius and ulna. Private Speers, Co. C, 53d Georgia Regiment, late Confederate army, was wounded at the battle of the Wilderness, May 6, 1864, with a minnie ball through the right wrist, fracturing the radius and all the carpal bones. The treatment consisted in placing the arm and hand in two straight splints applied on the anterior and posterior surfaces, with extension to prevent too close proximity of the metacarpal bones with the ends of the radius and ulna. That was done with a view of avoiding anchylosis. The patient is now following his former occupation, that of engineer on a steamboat, and able to perform as much manual labor as before the reception of the wound. After a lapse of four and a half years, this continues to be a very useful limb, and is of great service to him. The notes of this case I obtained from the Medical and Surgical Reporter, of December 5, 1868, which case was reported by Dr. J. J. Knott, of Atlanta, Ga. CASE XXIII. Humerus, lower third, three inches removed. J., a Confederate soldier, was wounded May 18th, 1864, by a minnie ball, at the battle of Yellow Bayou, Louisiana. Resection was performed the next day, extending to just above the elbow joint. The extent of shortening is two inches. No abscesses have formed. The arm is of no use to him; the hand is considerably atrophied. The result of this case proves that the principal nerves of the arm were seriously injured, therefore it was not a case for resection. The atrophy of the hand proves that those important nerves were impaired by the wound. The notes of this case were furnished me by my friend, Dr. J. B. Bishop, formerly of this State, now of Athens, Texas. CASE XXIV. Humerus, middle third, nearly four inches removed. J. B. B., a soldier, (late Confederate,) was wounded at the battle of Sulphur Tressell, Ala., September 25th, 1864, with a minnie ball. Resection was performed the day the wound was received, exsecting nearly four inches of the bone. There is two and a half inches shortening. The functions of the limb are somewhat impaired, but the patient states that it is far better than no arm. Abscesses continue to form occasionally around the seat of resection. He can use the arm to do any light work. The result in this case is good, as the arm is useful in performing light work. Judging from the notes of the case, it is my opinion that the presence of a small piece of necrosed bone is causing the recurrence of the abscesses, and if that were removed, the arm would be healthy and of ɛtill more service. Dr. Alex. Thompson, the surgeon of the regiment, now of Humboldt, Tenn., operated. The notes of this case were furnished me by my student, W. S. Bennett. |