« SebelumnyaLanjutkan »
Question 1. Had the kick anything to do Dr. G. M. Lowe-It is my opinion that sec- with the rupture of the bladder? tion will show no attachment of the tumor to Would an operation on the morning I the stomach, but that it is wholly in the saw him have accomplished any good result, omentum.
and would it have been justifiable? Dr. Grant Gullimore-I coincide with the
DISCUSSION. diagnosis, and believe the prognosis good, pro
Dr. W. F. Sawhill—Don't think that anyviding the hemorrhage is controlled.
thing better could have been done, even had Dr. N. Udell—Thinks the tumor malignant. the urine been drawn. The parents had deThat an operation is justifiable. Don't think layed too long--neglect. A physician is not exan operation will prolong his life to any great pected to, neither could he carry all the instruextent
ments with him on every visit that may be Dr. J. A. Jeannotte-Confirms the diagnosis necessary in every operation, surgical or and proposed treatment; an operation should
otherwise. be done; the patient will die anyhow, and an
Dr. R. S. Magee—The rupture occurred operation may prolong his life. If there is a when the distension disappeared. An operachance it is the duty of the surgeon to take it. tion at that time offered the only hope. If
Drs. Brierly, Sawhill and Lee will operate the doctor had been called prior to the rupsome time during the coming week, and
ture, a trocar or aspirator should have been have promised the JOURNAL a full account of used, and the urine drawn, supra pubic. No the case.
blame can be attached to the doctor's treatDr. J. H. McCasey presented a case of a ment in the case. Knew of a case recently lady who was having frequent and copious where the urine had been drawn off with a membranous discharges from the bowels, and trocar, and a silver catheter inserted and alspecimen of the discharge was shown.
lowed to remain, with good results. Patient A committee, consisting of Drs. Cullimore, using a cork in the mouth of the catheter, and Daily and Marcotte, were appointed to ex- drawing off the urine at stated intervals. amine the case and report to the society.
Dr. W. F. Sawhill reported an interesting Committee reported Lumbricoides Treat
case of dysphagia, as a result of paralysis folment Santonin as the doctor had already been lowing diphtheria. Had to be fed by rectal giving with improvement.
enemas for four weeks. Had now commenced Dr. Lowe presented the following case : to swallow small mouthfuls of liquid food but Boy, aged 14, diarrhea two weeks, treated by would vomit almost immediately. A report the family. Bowels became distended, which of the case will be given when a termination parents thought was gas as he suffered se- is reached. vere colicy pains. Breath was foul and of a
Dr. Cullimore read a paper on cataract, decidedly ureamic odor. After four days he
congenital and zonular. complained to his parents that he had not
DISCUSSION. passed any urine. This alarmed them, and I was called. Found him vomiting, with per
Dr. R. S. Magee-Nothing elicits the symsistent thirst. The distention of the abdomen pathy more than congenital blindness. The had disappeared. Tried to pass catheter, but diagnosis is somewhat difficult, and should be failed.
This was in the morning: patient made with care. The operation of discission died the following night. Autopsy showed is not at all difficult, and can be done entirely rupture of the bladder. About one quart of antiseptically. If the cataract is monocular, mucus, tinged with blood, was found in the
land vision good in the other eye, would not peritoneal cavity. Two weeks previous had operate unless there was pain, as patient has been kicked by his stepfather in the thigh become accustomed to seeing with one eye, with sufficient force to cause him to reel, but and if lens is removed it will necessitate the post-mortem examination revealed no vis- wearing of glasses. ible lesion in this region.
Dr. F. M. Daily—The discission operation
should be done early. It is safe and com- Dr. Blush said he had seen cocaine used in paratively easy.
three cases before the passage of the sound, The paper was further discussed by Drs. with good effects. Daily, Sawhill and Jeannotte.
Dr. Hazlett. of Abilene, then read an excelThis completed the program.
lent paper entitled, “A few remarks on StraTwo questions were proposed for general bismus.” discussion, as follows:
Motion to adjourn till 7:30, p. m. Carried. 1. Why is atropine used by the oculists in
EVENING SESSION. correcting error of refraction?
Meeting called to order at 7:30, p. m., Presi2. How would you detect whether a mus- dent Daugherty in the chair. cular defect of the eyes was causing head
By invitation of Dr. Dewees, Salina was aches?
selected as the next place of meeting. These questions were discussed at length by Dr. McClintock, of Topeka, read a paper Drs. Daily, Jeannotte, Sawhill, Cullimore and entitled, “Surgical Treatment of the ProsMagee.
tate." He selected three very interesting The convention was a valuable one for the cases, where he had performed perinæl prospractical work done, and not for the number tatonomy, removing a U or V shaped piece of its papers.
from the prostate, with excellent results in Adjourned to meet in Concordia First Tues
two cases. day in April, 1891.
Dr. Ketchersid, of Hope, then read a paper J. H. BRIERLY, M. D.,
entitled "Surgical Treatment of Empyema." Secretary, pro tem.
He used the aspirator as a means of diagnosis
principally, and directed the after treatment The Golden Belt District Medical Society. according to the nature of the fluid found.
Drs. Buck, Felty, King and McClintock, The Golden Belt District Medical Society complimented the paper highly, and confirmed held its fall meeting in Abilene, Kansas, the treatment. Thursday, October 2, 1890.
Dr. Guibor, of Topeka, who was to have Meeting called to order at 4 o'clock, p. m., read a paper on "Acute Nasal Catarrh," was President P. Daugherty, M. D., in the chair. prevented from attending by illness.
The following members responded to roll Dr. Dewees, of Salina, then volunteered a call:--Drs. Austin, Hazlett, Felty, King, Ross, paper on “ Digitalis; Indications for the use Kauffman, of Abilene; Daugherty, Hays, of.” King, of Junction City; Dewees, Browne and In view of the theory recently advanced by Harvey of Salina; Ketchersid and Blush of Dr. H. C. Wood, of Philadelphia, in his article Hope; Hatman of Manchester: McClintock read at the International Medical Congress, at of Topeka.
Berlin, advocating digitalis in collapses, from The minutes of last meeting read and ap- the effects of an anæsthetic, Dr. Dewees proved.
thought it proper to study its general action Dr. Browne, of Salina, read a paper entitled and use.
He advocated the old theory of “ The Formation of Urethral Stricture, with Rosunsteim, that when the arteries were special reference to its Treatment.” He ad- empty and the veins full, then digitalis was vanced the theory of urine leakage as a causa- always indicated. tive factor in urethral stricture. He advocat
DISCUSSION. ed the treatment of gradual dilatation as being Drs. Felty and Blush had never used digibest and safest, if any instrument could be talis under these circumstances, considering it used at all. But if not, the continued method too slow, but preferred ammonia and alcohol. of internal and external urethrotomy.
Dr. Ketchersid said that digitalis increased Under discussion, Drs. Felty, Dewees, Blush arterial tension, and thereby decreased nutriand Daugherty complimented the paper, and tion, and ammonia and alcohol increased it. confirmed the treatment.
Dr. Daugherty said he used digitalis with extreme caution, owing to the unreliability of Dr. R. E. McVey read a paper on “Veuthe preparations in the market. He said digi- ralgia and its Treatment." talis was indicated in dilatation of heart, when
DISCUSSION. compensatory hypertrophy was not present; Dr. Gibson, being called upon, complimentbut when it was, digitalis was contra-indi-ed the paper. cated.
Dr. S. G. Stewart thought most neuralgias “Malarial Affections," being the subject for were caused by mal-nutrition. All so-called general discussion, it seemed the universal neuralgias are not neuralgias. Reported a opinion that we knew little if anything of the case of neuralgia of the orbital region treated cause of malaria.
successfully with a hypodermic injection of The majority advocated larger doses of cold water; has often used this with success; quinine.
has used cocaine in neuràlgia hypodermically Dr. McClintock referred to the intra-venous with success. injection of muriate of quinine, and also the Dr. G. O. Morgridge spoke of the term neuhypodermic injection. Never had an abscess ralgia being often a meaningless one. Canfollow.
not conceive of a pain without a lesion ; the Dr. Hazlett had used the bisulphate of qui- pain may be at a distance from the lesion, as nine hypodermically, and had numerous ab- the pain in the knee in hip-joint disease. It scesses.
is said by some that every pain is a call from Dr. Dewees had used the compressed tab- the nerve for more blood. Spoke of a lesson lets of quinine prepared by John Hyatt & learned from an old doctor, who said while Bro., for hypodermic use, and never had an suffering from a headache at one time, he ate abscess.
some frozen watermelon. A copious flow of Dr. Felty favored small doses of quinine oft urine followed and his headache was relieved. repeated. Never had given but one 20 gr. Always take into account in your treatment dose, and then the patient died.
of neuralgia the lesion. The more we know On motion of Dr. Dewees, Dr. L. A. Buck, of the pathology of this disease the fewer of Peabody, Kansas, who was present with us, remedies we will use. was unanimously elected to honorary mem- Dr. Lindsay spoke of the nerve endings that bership
transmit sensations of pain alone. This is the Meeting adjourned till the second Thursday only rational reason for the treatment of in January, 1891.
neuralgia, as it is generally treated. AnDr. F. B. BROWNE, Secretary. emia of the nerve is not the sole cause of neu
ralgia, for we have cases where there is hyTopeka Academy of Medicine and Surgery. peremia.
Dr. Sheldon thought often neuralgia could The Topeka Academy of Medicine and be relieved by phlebotomy near the seat of Surgery met in regular session at Lincoln pain. Related a case of severe neuralgia repost hall, Tuesday evening, October 7, Presi. lieved in this way by the patient accidentally dent Dr. L. H. Munn presiding.
cutting his foot. There were present Drs. McGuire, Pelton,
Dr. Donaldson was surprised at the small Uhls, Donaldson, Shelton, H. W. and G. o. doses of gelsemium used by the author of the Morgridge, R. E. and W. E. McVey, Mitchell, paper. Said he had been in the habit of using Green, Lewis, Magee, Minney, Stewart, Peers, larger doses. Had used quinine and phenTefft, Longshore, Gibson, Williamson, Lim- acetine, 3 grs. of each, with good results. mer, Lindsay and Righter; Mr. Walker, drug- Dr. Pelton asked, what is pain? Exalted gist, and Mr. Gilbert, medical student.
sensibility. In some cases normal sensibility Drs. L. L. Uhls, graduate of Rush, 1884;
with exalted activity. In some cases we have W, R. Wallace, graduate of Starling, 1880, pain, and vice versa. Had often used elec
a neuralgia of central origin with peripheral and G. O. Morgridge, Keokuk, 1870, were tricity with good results. Had used phenaelected members of the Academy.
cetine in 5 gr. doses with good results.
Dr. McVey, in closing, in answer to Dr. 'the lymphatics, and it will simply lie dormant Munn's query, whether a gr, morphia was and be ineffectual. More active means of not too much; said he usually combined it stimulation will have to be resorted to, and with atropia, then it was not too much, as the this we find in the cautery. atropia counteracted its bad effects, and help- On motion a committee of three, consisting ed to control pain. Said large doses of gelse- of Drs. Minney, Michell and McGuire, were mium, in his experience, produced disagree appointed to arrange for the entertainment of able diplopia
the Eastern District Medical Society, which Dr. R. S. Magee followed with a paper on meets in this city Tuesday evening, Oct. 14. * Corneal Ulcers, and their Treatment with Papers for next meeting: Galvano-Cautery."
“Report of a Case of Rheumatism, with DISCUSSION.
Choreic Complications,” by Dr. S. G. Stewart. Dr. W. E. McVey said he had seen many
“Report of a Case of Gun-shot Wound of of the cases mentioned in the paper, both be- Abdomen,” by Dr. C. C. Bradley. fore and after treatment with the cautery, and
Adjourned to meet first Tuesday evening in thought the results good and entirely satis- November, when the annual election of officfactory.
D. F. RODGERS, Secretary. Dr. G. O. Morgridge said the galvano-cautery was used by many eminent oculists, but Eastern Kansas District Medical Society. thought it had its bad features as well as many good ones. The cicatricial tissue remaining The Eastern Kansas District Medical Soafter the healing process was much less when ciety met at Lincoln Post hall, Topeka, Kanthe galvano-cautery was used than that fol- sas, October 14, 1890, at 8 p. m. lowing the use of any other plan of treatment. Present-Drs. G. P. Marner, Morganville; Had been in the habit often of using an oint- J. T. Scott, Holton; L. Reynolds, Horton; H. ment of iodoform, 20 grs. to the ounce of vase- S. Pickard, Burlingame; F. E. Schenck, Harline, in the treatment of these ulcers.
veyville; C. R. Carpenter, W. J. Van Emon, Dr. Wall thought the class of ulcers made and W. D. Bidwell, of Leavenworth; 0. C. some difference. Those known as rodent McNary, Soldier's Home; W. C. Tyree, D. R. ulcers are best treated by the galvano-cautery. Porter, and J. D. Griffith, Kansas City, Mo., For simple ulcers prefers atropia, or cocaine, Geo. M. Gray, Kansas City, Kansas; W. L, with hot stimulating applications. Spoke of Schenck, Osage City; D. C. Jones, D. R. Pelmalarial keratitis being best treated with qui- ton, W. E. McVey, W. S. Lindsay, H. C. nine internally. He had found the yellow Miner, D. F. Rodgers, M. B. Ward, R. S. Maoxide of mercury an efficient agent in the in- gee, J. E. Minney, J. L. Owen, J. W. Redden, dolent ulcer, and highly recommended its use. Theo. W. Peers, R. E. McVey, J. W. Donald
Dr. G. 0. Morgridge spoke of the yellow son, J. P. Lewis, M. H. Cazier, M. R. Mitchell. oxide of mercury in the later stages being S. G. Stewart, J. C. McClintock, W. H. good, but not so efficient in the stage of hy- Righter, L. L. Uhls, H. K. Tefft, C. C. Green, peræmia.
H. L. Alkire, H. T. McLaughlin, and J. D. Dr. J.E. Minney said patients object to iodo- Gibson, Topeka. form because of its disagreeable odor. Advo- Drs. Jones, Schenck and Lewis were apcated strongly the use of the cautery, and in pointed censors. place of the iodoform uses a saturated solution The following were elected to membership: of boracic acid.
H. M. Downs, Kansas City, Kansas, graduate Dr. Magee, in closing, said he had been un- of University of Michigan, 1880; G. O. Morgable to find any authority who outlined the ridge, Topeka, graduate of Keokuk, Iowa, variety of ulcers to which the galvano-cautery 1870; Geo. L. Limmer, Topeka, graduate of should be applied. Does not think that in the Kansas City Medical College, 1888; Edmund indolent ulcer the yellow oxide of mercury Longley, Burlingame, graduate of McGill Colwould be absorbed because of the occlusion of lege, Montreal, Canada, 1866.
A. H. Fabrique, Wichita, was elected honor- though it could be brought to a potable conary member.
dition by a moderate expenditure of time and Dr. Carpenter read a paper on
“The Water money. Supply of Leavenworth."
Dr. Jones stated that all except possibly one DISCUSSION.
of his cases of typoid fever this year, had used Discussion was opened by Dr. Schenck, in hydrant water. the absence of Dr. Terwilliger. He endorsed
Dr. Schenck spoke of the greater danger of the statements of the author, speaking especi- using Kaw than Missouri river water. ally of the necessity of doing away with typh
Dr. McNary stated that the water used at oid fever, which is a human filth disease. He the Soldier's home was pumped one and oneremarked that up to ten years ago typhoid half miles below the outlet of the Fort sewer. was almost unknown in the state, but now,
He stated that they had had no cases of typhpecially in older cities, like Leavenworth, oid fever at the Home; had few cases of dyshuman excrement, has entered the soil and is entery, and had almost no winter cholera when accomplishing its work. He thought Dr.
it prevailed. Carpenter's conclusions were almost identical
Dr. Carpenter closed the discussion. He with those of Dr. Milroy, of Omaha. The an
was careful to state that cistern water was safe alysis of wells used by private individuals, es- only so long as the cistern remained tight. pecially those within 100 feet of privies, should
The paper was received. be attended to as well as the analysis of reser
Dr. Reynolds read a paper on a Case of voirs for public use, and the majority of them Femoral Herniotomy." condemned, for they cannot be purified. The
DISCUSSION. doctor enlarged upon the duty of the physician Dr. Van Emon, of Leavenworth, was invited to preserve health as well as to heal such cases to open the discussion. He advocated early of disease, as in fact send for them.
operation, mentioning a similar case operated Dr. Porter, of Kansas City, was interested on eight years ago, in which the patient has in the paper, because it came near home. He remained well since. admired Murchison, because he believed that
Dr. Griffith spoke of the difficulty of diagtyphoid fever originated de novo in many cases, nosis of lumps in this vicinity in many cases, and that was his own opinion. In his opinion describing a case he took for hernia, but after cistern water was not as safe as Missouri river taxis under chloroform for twenty minutes he water, the stirring up of the current being made an incision, and out rolled a quantity of most efficacious for its purification.
pus. The bowels had been very constipated, Dr, Griffith, of Kansas City, stated that he vomiting had been severe, and even stercorawas on the state board of health, and hence ceous. The diagnosis of femoral from inguinhad an interest in this subject. Memphis al hernia was often impossible until an incision alone has good cistern water, and that is due was made. to the absence of cesspools in the city. The
Dr. Schenck said that Sir Astley Cooper had average cistern has cracks, through which had a similar experience to Doctor Griffith. sewerage will seep very easily. Hydrant Dr. Lindsay inverted a patient to accompwater can be purified by the Pasteur filter, or lish reduction, and when Dr. Stewart cut by additional heating to 212°. Dr. Davis had down he found a quart of pus, and the patient informed him that the sewerage emptying into died that night. the Hudson river had to be thoroughly disin- Dr. Rodgers spoke of a case of hernia he fected, and Dr. Griffith thought the time was took for epididymitis or orchitis. Vomiting coming when the Missouri river water would of stercoraceous matter occurred. Operation have to be similarly treated.
by another surgeon later showed a gangrenous Dr. Bidwell was of opinion that typhoid did bowel, and death ensued. not originate de novo, and that in the case of by Dr. Lindsay, stating that there was no
Dr. Righter referred to the case spoken of Leavenworth, at least, the hydrant water was question of hernia when he saw it, and he had worse than the well and cistern water, al- given no such opinion.