The report of the ordinary and resident medical officers and the annual report of the Inspector and Director, of the Public Hospital, for 1864, with the reply of the ordinary medical officers thereto : the letter of Alexander Fiddes ... and his correspondence with the governor, and the executive committee on the subject of his resignation and retirement from the Hospital : the letter of L.Q. Bowerbank ... in reply to Dr. Fiddes, and Dr. Fiddes' reply to same : also, the evidence adduced at the coroner's inquest, held on Richard Bailey, lately an inmate of the Public Hospital.

  • Kingston Public Hospital (Jamaica)
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: The report of the ordinary and resident medical officers and the annual report of the Inspector and Director, of the Public Hospital, for 1864, with the reply of the ordinary medical officers thereto : the letter of Alexander Fiddes ... and his correspondence with the governor, and the executive committee on the subject of his resignation and retirement from the Hospital : the letter of L.Q. Bowerbank ... in reply to Dr. Fiddes, and Dr. Fiddes' reply to same : also, the evidence adduced at the coroner's inquest, held on Richard Bailey, lately an inmate of the Public Hospital. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    and that near the valves there were G or 8 vascular snots - the T,‘ J did not indicate any deposition of pus • the urethr-i anH n ’ 1 1 1 l examined in situ, the bladder whig? in the pe W™ try S' 3 tracted, not much larger than „„ orange, and ™ SaM upper part; the walls of the bladder were much thickened lltnl cutting through its coats about a table spoo^ill o? tins urine did not present any very striking pecSiaHties TV 1 opening the bladder further, exposing the whole Lnal of the ureth^ the mucous membrane both of the urethra and the bladder did nd present any unusual appearance, except here and there a little \j culanty m the urethra; whilst in the bladder a number of ved say lo or 20 were eniarged, tortous, and filled with dark venou] blood. In the urethra I observed, at or about where the incision J been made, a somewhat circumscribed portion of tissue, which wd thickened, and containing some small veins filled with blood, wliid rendered it of a somewhat darkish character. Upon examining tlj T T°? SeCtl°nS’ thCre WaS °nl^ an appearance of some g3 fluid and I saw no appearance of black spot or- dead cellular tilsul vlnch was gangrenous. Whilst examining the bladder, I found tliaj one of the opening of the ureters was vas lound, soft, and free from any discoloration whatever I had not an minnrtnm ^ xi n . , , . . x UcM1 “J Wilctl/Cver not an opportunity of examining the other ureter, but the kidney were in the most aclvanced .state of chronic disease. The kidnevi were both atrophied, the membrane covering them was adherent s the tissue of the kidneys itself, and yielded before I could separate it ££0na alctl01' being made there was very corfcicle substance discover* iile,tubelar P°[tl01i was also vei7 distinctly marked, and both ap- pealed to present the appearance of a somewhat brawny and uniform character ; the pelves m both were much dilated, and in one, the rHit 1 think, it was somewhat sacculated, and which, upon section, allowed t quantity of muco-purulent fluid to escape. I also observed 3 or 4 small cysts on the external portion filled with a glary yellowish fluid ; and I also removed from that kidney, what appeared to have been a bunch of small calculi, I observed the gland near the jaw, had been incised, and was apparently discharging pus. From a careful consideration of the post mortem appearances, in which I observed particularlv the state of the kidneys, I have no hesitation in expressing my opinion that Richard Bailey the deceased died from constitutional ' effects <3 diseased kidneys. Any effects which any operation may have had must be due to the low state of vitality of the patient, and the serio* organic mischief and blood poisoning, under which that patient 1 * boured, as a consequence of such a condition of the kidnevs. f, strongly am I of opinion, of the state of this mans system and “blood no doubt at the time of his admission into the Hospital, that lie h in all probability albuminous urine, which, taken in connection win* the long standing disease of the bladder—the state of the urethra- and. the relief of which nature gave that patient, by producing fistula in peiineo, would have made most medical men apprehensive that the most tiifling wound would be attended with serious and posailily fatal results. Indeed, from the state of the kidneys, I am of opinion that the man suffered under mortal disease, and that it required but a short time to show its results. It being six o clock, the Coroner adjourned the investigation till 12 o’clock to-morrow, (Wednesday)