Surgical experiences : the substance of clinical lectures. / By Samuel Solly.

  • Samuel Solly
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Surgical experiences : the substance of clinical lectures. / By Samuel Solly. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    C42 oftcnei’. Ho takes veiy littlo nom’ishraent durinf^ the day, but enjoys his cu]3 of bi’cad and milk at suppei*, and again in the night, more than anything: he has the lime-water in it, as in Lond^on. He has taken ten th-ops of chloroform and ten of sal volatile here, which I think has relieved him a little for the time. He has not had a fresh blister on since last Thursday, and that was on his stomach. ]\Ir. Barton thought, if he could possibly do without, the better, as of course they must weaken him. How, when he feels any slight pain in his back, he has an enema of fifteen drops of laudanum in the day. He says himself, be feels weaker than ever he did when in London, and is dreadfully low-spuited. On the 10th of June I received a note asking if he might have a little table beer. Up to this time the abstemious system had been pretty fully carried out: it was now a little relaxed. June 15.—The report says he is gaming strength, and goes out every day, but does not use much exertion. July 9.—I was summoned suddenly to Dover, on account of the intense sufiering he was enduring. When I arrived there I found him in the same agony as when I first saw him. After the date of the last report he was persuaded to accompany Lord Y-——■, in his yacht, for a cruise to Lymington. He was not absent many days, and did not make any extraordinary exertion while on board; but after landing at Lymington he walked about half a mile, which was more than he had ever done at Dover. From this time liis pain had gradually increased until it reached its present intensity. The treatment which had been adopted in London, with perfect success in relieving his pain, had been again tried before my aiTival, but without more than temporary relief; viz. chloroform, blistered surface dressed with morphia, opium injected into the rectum. On examination I found that the tumoim was decidedly smaller, the pulsation much less distinct, and the sound much fainter. The pulse at the wrist was stronger. He had decidedly gained flesh ; was looking healthy; the muscles were firm, and his general condition good. Under these circumstances I advised Y.S. ad 5XV. He bore the bleeding well; no feeling of faintness ; the pidse became much softer, and he was decidedly relieved for a time by the loss of blood. The blood on the next morning exhibited a firm coagulum, slightly cupped and buffed. His pain and sickness had very much retuimed again. I now recommended a strong aperient, and a blister on the front of the abdomen over the tumom', to be dressed with morphia. On the 12th of July I received the following from Dr. Barton :— “ I am happy in being able to give a rather more favourable account of oim patient. After applying the morphia to the blistered surface on the stomach he had a very tolerable night, vdth a good deal of sleep at inteiwals, and this freedom fi*om pain continued till about three o’clock this afternoon, when it again returned, but not so severely. He has taken very little food, as his stomach is irri- table, having vomited twice. The bowels have been veiy obstinate, but after taking six pills, a,nd having liad two injections administered.