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abdominal abscess acid adhesions antiseptic applied attack bladder blood bowel broad ligament cancer catgut cause cent cervix child chronic condition cure curette cyst danger death dermoid diagnosis dilatation discussion disease drainage tube electricity endometritis examination fever fibroid tumor finger fluid foetus forceps gauze glands Gynecology haemor haemorrhage hernia hospital hysterectomy incision infection inflammation inflammatory intestines iodoform irrigation kidney labor laceration laparotomy ligature malignant Medical membrane ment method months mucous muscles normal Obstetrical occur opera operation ovarian ovaries pain pathological patient pedicle pelvic peritonaeum peritoneal cavity peritoneum Philadelphia physician placenta portion position posture practice pregnancy present puerperal pulse recovery removed reported rhage rupture seen septic side skin stump suppuration surgeon surgery surgical sutures symptoms temperature tion tissue treated treatment tubal tubal pregnancy tubercular ture typhoid ureter urine uterine uterus vagina wall weeks woman wound
Page 517 - The practical point to be illustrated is the following: The disease known as puerperal fever is so far contagious as to be frequently carried from patient to patient by physicians and nurses. Let me begin by throwing out certain incidental questions, which, without being absolutely essential, would render the subject more complicated, and by making such concessions and assumptions as may be fairly supposed to be without the pale of discussion.
Page 520 - A woman in the country, who was employed as washerwoman and nurse, washed the linen of one who had died of puerperal fever ; the next lying-in patient she nursed died of the same disease ; a third nursed by her met with the same fate, till the neighborhood, getting afraid of her, ceased to employ her.
Page 742 - Pot., and >« gr. each Cannabis Indica and Hyoscyam. Dose— One-half to one fid. drachm in water or syrup. PAPINE. The Anodyne principle of Opium ; the narcotic and convulsive elements being eliminated. Dose— One fid. drachm, represents ^ gr, morphia in anodyne principle.
Page 531 - This same Dr. Campbell is one of Dr. Churchill's authorities against contagion. Mr. Roberton says that in one instance within his knowledge a practitioner passed the catheter for a patient with puerperal fever late in the evening ; the same night he attended a lady who had the symptoms of the disease on the second day. In another instance a surgeon was called while in the act of inspecting the body of a woman who had died of this fever, to attend a labor ; within forty-eight hours this patient was...
Page 533 - Lee to express his deliberate conviction that the loss of life occasioned by these institutions completely defeats the objects of their founders ; and out of this train of cumulative evidence, the multiplied groups of cases clustering about individuals, the deadly results of autopsies, the inoculation by fluids from the living patient, the murderous poison of hospitals, — does there not result a conclusion that laughs all sophistry to scorn, and renders all argument an insult?
Page 519 - I ARRIVED AT THAT CERTAINTY IN THE MATTER, THAT I COULD VENTURE TO FORETELL WHAT WOMEN WOULD BE AFFECTED WITH THE DISEASE, UPON HEARING BY WHAT MIDWIFE THEY WERE TO BE DELIVERED, OR BY WHAT NURSE THEY WERE TO BE ATTENDED, DURING THEIR LYING-IN : AND ALMOST IN EVERY INSTANCE, MY PREDICTION WAS VERIFIED.
Page 518 - I had evident proofs that every person who had been with a patient in the puerperal fever became charged with an atmosphere of infection, which was communicated to every pregnant woman who happened to come within its sphere.
Page 536 - ... 5. If within a short period two cases of puerperal fever happen close to each other, in the practice of the same physician, the disease not existing or prevailing in the neighborhood, he would do wisely to relinquish his obstetrical practice for at least one month, and endeavor to free himself by every available means from any noxious influence he may carry about with him. 6. The occurrence of three or more closely connected cases, in the practice of one individual, no others existing in the...
Page 215 - The facts recorded demonstrate, first, that there is a fruitful field for gynaecological work among insane women ; second, that this work is as practicable and can be pursued with as much success in an insane hospital as elsewhere ; and third, that the results obtained not only encourage us to •continue in the work, but require us, in the name of science and humanity, to give to an insane woman the same chance of relief from disease of the ovaries and uterus that a sane woman has.
Page 535 - I have no wish to express any harsh feeling with regard to the painful subject which has come before us. If there are any so far excited by the story of these dreadful events that they ask for some word of indignant remonstrance to show that science does not turn the hearts of its followers into ice or stone, let me remind them that such words have been uttered by those who speak...