The Parish will case before the Surrogate of the City of New York : medical opinions upon the mental competency of Mr. Parish / by John Watson [and others].

  • Watson, John, 1807-1863.
Date:
1857
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Licence: Public Domain Mark

Credit: The Parish will case before the Surrogate of the City of New York : medical opinions upon the mental competency of Mr. Parish / by John Watson [and others]. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    6th.—The Later Ailments. After recovering from the immediate effects of this latter ailment, says Dr. Delafield, Mr. Parish had a number of attacks distinct from the general disease, but the most frequent dependent upon its cause; or, in other words, dependent upon the condition of the brain, which led to the disease. (I. f. 2070.) He had one or more severe attacks of cholera morbus; he had more than one, I think, severe attack of inflam- mation of the lungs; at one time an abscess formed under the angle of the jaw, which became so large as to threaten suffocation, and there were various minor attacks from time to time. (I. f. 2071.) Dr. Markoe, in allusion to the attack in July, 1849, considers it apoplectic, (II. f. 1973,) and that the paralysis, in connection with it, implicated the whole right side, including the organs of speech, all the muscles of the back which have connection with the ex- tremities, and the sphincters of the bladder and rectum. The motion of the head and neck was not affected; there was paralysis of the lips and the movements of some of the facial muscles. As to the circulation and same sort: Tbe patient in the act of passing an enema-tube experienced great, indeed, excruciating pain; fifteen hours afterwards he had em- physema of the integuments of the abdomen ; a few days subsequently he had offensive purulent discharges; a portion of the sloughing membrane passed per anum; and after death a large ulcer of the mucous membrane of the rectum was discovered, together with a perforation of the muscular coat. It appears probable that a large abscess had formed between the mucous and muscular coats, that the former had sloughed away leav- ing the latter bare, while the cellular membrane behind it had been com- paratively little affected. I believe, adds the reporter, that cases of perforation of the rectum from the unskilful introduction of the clyster- pipes are not very rare, and that most [anatomical] museums contain specimens of the accident; but I do not recollect myself to bave met with an instance in which it was productive of emphysema. (See North Amer. Med. Rev. Vol. I. p. 552, for July, 1857, from Gwfs Hospital Report Vol II p. 68, for 1856.) '