An argument with the censor at St. Luke's Hospital, New York / by Hugh Owen Thomas.

  • Hugh Owen Thomas
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: An argument with the censor at St. Luke's Hospital, New York / by Hugh Owen Thomas. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    Hutchinson having very ably made a condensed extract of my teaching, for which I tender my thanks, proceeds to show his application of these principles to the treatment of hip-joint in- flammation, prefacing his demonstration by a condemnation of the practice which Dr. Shaffer confidently recommends. Also, he informs us that Thomas, of Liverpool, believes that the indication of the proper treatment of the disease are to secure immobility of the joint with extension, while Professor Hamilton's wire gauge apparatus was designed merely to secure immobility of the joint without extension. I believe that I ought to understand Mr. Thomas' principles and practice as well as any one in this country ; I am not so sure as to Professor Hamilton's. From at least the year 1875 to 1889, Thomas adhered to the practice of immobility of the joint without extension. Referring to Mr. Thomas' practice, we are further informed, The instrument is carefully moulded to the inequalities of the body by means of wrenches, and is well padded and covered with leather. This, I believe, is not quite correct, but the same remark does not apply to the following quotation :— This apparatus will not permit the patient to sit down. This is good evidence of the efficiency of Thomas' appara- tus. Before terminating the discursive part of the paper, Dr. Hutchinson very ably points out the errors of the Davis, Taylor, and Sayre practice, and again refers to the Thomas instrument, by its long leverage, extending from the angle of the scapula to the calf of the leg, has some control over the movements of the joint, but it is unnecessary for this purpose.
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