Billeder på siden
PDF
ePub

diarrhoea 36); constitutional diseases 87 (cancer 26, phthisis 42); developmental diseases 53 (premature birth 27, old age 23); local diseases 370 (diseases of the nervous system 48, of the circulatory system 54, of the respiratory system 65 (pneumonia 35), diseases of the digestive system 154 (enteritis 119).

South Australia.

Board of Health.-At the last meeting of the Central Board of Health, Adelaide, the secretary to the local board of health for Dalkey wrote requesting this board's approval for dispensing with the services of Dr. C. H. Souter as officer of health on the ground that there was a nearer resident medical practitioner. The local board of health for Mount Crawford submitted for approval the appointment of Dr. E. V. Russell Fooks as medical officer of health at £25 per annum.

Cerebro-Spinal Meningitis. During the first nine months of this year ten deaths occurred in the State from cerebro spinal meningitis. Several cases have occurred among the workmen at Bundaleer waterworks. Dr. Ramsay Smith, chairman of the Central Board of Health, reported that the sanitary arrangements were excellent and had always been most carefully looked after. The only suspicious circumstance connected with the outbreak was the fact that several Indian hawkers were camped within a few yards of where the outbreak occurred, from whom the men purchased clothing and other articles. He suggested that tramps and hawkers be prevented from camping near the works. The Central Board of Health has recommended that this be placed on the list of notifiable diseases under the Health Act.

Vital Statistics.-During the quarter ending. July 31st, 1902, 2395 births were registered in South Australia, exclusive of the Northern Territory. The number of deaths recorded during the same period were 1197; of these deaths 205 occurred from zymotic diseases (measles 106, enteric fever 25, diarrhoea 40); 205 from constitutional diseases (cancer 77, phthisis 81); developmental diseases 147, and 522 were the result of local diseases (diseases of the nervous system 54, of the circulatory system 148, pneumonia 65, enteritis 41). In the city of Adelaide 239 births and 255 deaths were recorded during the quarter; of these deaths 51 occurred from zymotic diseases (measles 34, enteric fever 8); 56 from constitutional diseases (cancer 26, phthisis 25); 31 from developmental diseases, and 89 from local diseases (diseases of the nervous system 11, of the circulatory system 27).

HOSPITAL INTELLIGENCE.

Alfred Hospital, Melbourne.-The managers of the Alfred Hospital announce that unless a reduction in the Government grant from £5000 to £3280 per annum is made up from other sources they will be compelled to reduce the hospital accommodation for patients.

Hospital for Sick Children, Sydney. The board of management of the Hospital for Sick Children recently received from the committee of the Carrington Convalescent Hospital an offer to lease to them a brick cottage, adjoining the grounds of the above-named institution at Camden, to be used by the board of the Children's Hospital as a convalescent home. decided to accept the offer of the Carrington Hospital committee. The committee estimate that the cost of furnishing and of effecting a few necessary alterations

It was

to the cottage will be about £250. The additional cost to the hospital of maintaining the home is estimated at £600 per annum.

Melbourne Hospital.-At a special meeting of the subscribers to the Melbourne Hospital held last month, to consider the amended by-laws relating to the honorary medical and surgical staff, as recommended by the committee, the following by-laws were agreed to:"There shall be ten physicians and ten surgeons-exclusive of specialists-five of whom respectively shall have charge of the in-patients, and five of whom respectively shall have charge of the out-patients."-"Every person elected to the office of physician shall retire from the same on attaining the age of 65, and every person elected to the office of surgeon shall retire from the same on attaining the age of 60; but such physician or such surgeon on retiring from office may be elected consulting physician or consulting surgeon, as the case may be.". After considerable discussion, the following proposals were withdrawn:-"Every physician and surgeon hereafter elected by the governors as a member of the honorary medical staff shall, subject to the by-laws of the hospital now or hereafter in force, hold office for a period of eight years, at the end of which term he shall be eligible for re-election." "No physician or surgeon to inpatients shall hold office other than consultant on the medical staff of any other metropolitan hospital." was announced that the amount of the subsidy granted to the Hospital by the Government had come down from £15,000 a year in 1884, and £14,000 up to 1893, to as low as £9840. The reduction of the charity vote would be a considerable embarrassment to the Hospital.

It

The

The Women's Hospital, Sydney. monthly meeting of the board of management of the Women's Hospital was held at the Equitable Building on October 27th. Judge Backhouse (president) occupied the chair. The honorary general secretary of the Hospital Saturday Fund wrote asking that one of the executive officers should be appointed a life governor of the Women's Hospital. The request was granted. A letter from Madame Melba, enclosing a cheque for £50, was acknowledged with thanks. Mr. Fell, hon. secretary, intimated that Lady Rawson (patron) had visited the hospital on October 24th. Lady Fairfax was also present. Lady Rawson inspected the wards, and expressed the pleasure it gave her to see everything in order, and also her appreciation of the good work carried on at the hospital.

A New Dispensary for Women. The formal opening of the newly established out-patient department in connection with the Home Training School and Lying-in Hospital, Stanley-street, Newtown, Sydney, took place recently. Mrs. C. F. Roberts performed the opening ceremony. There were present, amongst others, Dr. Walter Spencer, Dr. E. P. Sandes and Dr. Richard Arthur.

The

a

The Fever Hospital, Melbourne. receipts from all sources for the building of this hospital totalled £22,505 ls 1d. The amounts already paid out aggregate £23,966 3s 7d, and there remains to be paid for completion of current contracts sum of £1778 12s 8d, making together a total of £25,744 168 3d, so that the excess of expenditure over receipts is £3239 15s 2d. There is a bank overdraft of £1461 28 6d, which with the £1778 12s 8d due on contracts makes up the total shortage mentioned. The cost of furnishing the hospital has been estimated at £2000, and the probable maximum cost of maintenance of the institution at £6000 per annum. Before the hospital can be opened for the reception of patients a sum of £3239 158 2d must be forthcoming, and, in addition, at

least £2000 more must be raised for equipment. These difficulties were laid before the Premier recently by a deputation from the committee. Sir Samuel Gillott said the Premier of the late Government had promised to provide £4000 extra in two yearly sums, and in consequence of that promise an overdraft of £4000 had been obtained. The Premier said in this case money had been promised for a particular work which had in consequence been carried out. He, therefore, considered that the Government should make good the sum of £2000, the amount which had been placed on the estimates. As to the request that the Government should take any responsibility for the maintenance of the hospital, he could hold out no hope whatever. He did not wish to give a final opinion, but the management of the new hospital would be wise if it anticipated that the Government would take the view he had put forward.

Adelaide Hospital, South Australia.-In the annual report of the Board of Management of the Adelaide Hospital for 1901 it is stated that there were in hospital on December 31st, 1901, 183 patients; admitted during the year 1901, 3371; total, 3554. There were cured or convalescent, 1958; relieved, 790; unrelieved, 372; died, 282; in hospital on December 31st, 1901, 209. Average number resident daily, 250; mean residence, 25 days; rate of mortality, 7.9 per cent.; number of out-patients, 17,233; number of operations performed, 1255. The number of cases of enteric fever treated is more than double that of last year, the deaths, however, bearing a lower percentage. Negotiations were completed, and all difficulties were removed in connection with the return of the honorary staff; and after allocation of the work and wards the appointed staff entered on their duties at the end of February and the beginning of March. A number of students immediately followed, and the medical school was re-established, and one of the most serious and lasting episodes-extending over five years-in the history of this or any other hospital was terminated. Dr. Ramsay Smith applied for leave to go to South Africa on the understanding that, if allowed, he would resign his position as honorary physician in favour of a paid appointment as physician to the isolation wards. This arrangement was ratified by the Government. Dr. Napier became surgeon and gynecologist to the hospital instead of senior surgeon. Drs. Niesche, Rogers, Shepherd and Bickle were reappointed as honorary medical officers. A great loss to the hospital and State was sustained by the death of Dr. E. W. Way, who had for so many years been a prominent member of the board and staff. The University requested the board to nominate Dr. J. A. G. Hamilton, who had been doing the late Dr. Way's work, as gynæcologist, which request the board acceded to. It was resolved to appoint two honorary assistant gynaecologists, an honorary bacteriolorist, and an assistant bacteriologist, and it is hoped that the laboratory will be fitted up and in full swing before long. It was found that the X-rays apparatus could not be properly looked after in the out-patients' department, and a room was prepared in the main building which answers the purpose until proper accommodation for this and other appliances is provided. The expenditure for 1901 reached the large amount of £20,103 12s 8d, being at the rate of £75 128 11d per bed occupied per annum. This was caused by an increase of 335 indoor and 1843 outdoor patients treated, also by the increased cost under some of the contracts; but it is hoped that this sum will be lessened next year, owing to the action of the Finance Committee, although the increase, owing to the Federal tariff, will be considerable.

The Coast Hospital, N.S.W.-The annual report of Dr. Ashburton Thompson, Chief Medical

Officer of the Government, states that the number of patients remaining in on December 31st, 1900, was 233; 2688 were admitted during the year, the total number under treatment thus having been 2921. Of the total, 2469 were discharged, while 168 died; the mortality was 5-75 per cent. The average daily number of occupied beds for the year was 255-5, being an increase of 41 1. The average stay of patients in hospital has been 31.24 days. The number of cases of enteric fever admitted during 1901 was 214, as against 247 during 1900, a decrease of 33; the percentage of deaths being 10-19. 146 cases of measles were admitted as against 29 for 1900. One death took place from measles, two from measles and broncho pneumonia, and two from measles and whooping-cough combined. 192 cases of scarlet fever were admitted, against 125 in 1900; five deaths took place from this disease. 72 cases of diphtheria were admitted, as against 10 during 1900; four were fatal. 28 cases of whooping-cough, with broncho-pneumonia, were admitted, of which eight died. Dr. W. B. Violette continued in the office of medical superintendent until July 31st, 1901, when he was succeeded by Dr. A. G. Heury. The posts of house surgeons were filled as follows:-Dr. R. R. Hardman, to March 26th; Dr. R. A. Fox, from March 27th; and Dr. Ada C. Affleck, from the beginning of the year. The annual cost per bed was-for maintenance and treatment £56 13s Old, for the ambulance service £5 13s 5d, and for repairs £2 11s 24d; total, £64 178 84d.

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small]
[blocks in formation]

Dr. J. B. McLean has resigned his appointment as Assistant Medical Superintendent at the Hospital for the Insane, Toowoomba.

MEDICAL NOTES.

Hospital for the Insane, New Norfolk (Tas.) -Some additions are now in progress in connection with that portion of this institution known as the Ladies' Cottage. These, when completed, will give accommodation for 50 beds, all of which will be occupied at once. There are now in the hospital 441 patients, the largest number that has ever been there. These additions will relieve the overcrowding to a considerable extent.

Merical Man Wanted at Carnarvon (Tas.)— The residents of the Carnarvon district are endeavouring to raise a guarantee of £200 per year for a resident medical man. At present the nearest doctor is the one at Sorell, and as the travelling expenses are considerable, there are very few residents who could afford to pay the fees for his attendance.

Queen Victoria Homes for Consumptives.At the last meeting of the Advisory Building Committee the honorary secretary reported that in company with Dr. Sydney Jones and the honorary architects he had visited Wentworth Falls, and reported that the buildings for the new sanatorium were nearing completion. On the recommendation of the honorary architects the following work was approved of :-The inside of wards, dining-room and sitting-room to be painted and varnished; the cottage which is to be used as administrative quarters to be painted both inside and out; the fixing of several extra tanks for the storage of water, etc.; all the additional work to cost £291. The honorary architects were instructed to prepare plans and obtain estimates for cost of building a cottage for the resident medical officer. The sanatorium, which is to accommodate 20 male patients, will be opened early in the coming year, and only those suffering in early stages of the disease will be admitted.

Charitable Donations and Bequests.-Madame Melba has made a donation of £50 to the funds of the Women's Hospital, Sydney; £100 to the Hospital for Sick Children, Sydney; £100 to the Sydney Hospital; £100 to the Brisbane General Hospital; and £50 each to the Children's and Lady Lamington Hospitals. The owners of the Melbourne Cup winner have donated £200 in equal parts to the General and the Children's Hospitals in Melbourne and in Adelaide. A legacy of £61 10s to the Sydney Hospital, payable in five years, was received from the executors of the late J. S. Harrison. The Women's Hospital, Melbourne, committee have received a cheque for £146 as a donation from the estate of the late Mr. T. B. Payne.

The Kew Asylum Charges.-The board which recently inquired into the charges of unfitness for duty against Dr. Stuart Macbirnie, of the Kew Lunatic Asylum, Victoria, have found that the charges were not proven. The true gravamen of the accusation was not so much that Dr. Macbirnie had been unfit for duty on a particular night, but that he drank to excess, and particularly that he was in the habit of taking drugs; but this allegation has been pronounced in unequivocal terms not proven. The matter, as far as he is personally concerned, is therefore at an end.

CERTIFICATED NURSE, P.A.H. Sydney, L.O.S. Eng., desires to hear from medical man re opening for Private Hospital in country town.-BETA, G.P.O., Manly.

MEDICAL APPOINTMENTS.

NEW SOUTH WALES.

Campbell, Alfred, F.R C.S. Edin., etc., to be Government Medical Officer and Vaccinator at Young, vice Dr.J. T. Heeley, resigned. Graham, Edward Alfred, M.B., B.Ch. Melb., to be Government Medical Officer and Vaccinator at Deniliquin, eier Dr. A. W. F. Noyes, deceased.

VICTORIA.

Cole, Dr. F. Hobill, to be Examiner in Pharmacy and Materia
Medica in the Univers.ty of Melbourue.

Plowman, Sidney, F.R.C.S., to be Examiner in Pharmacy and
Materia Medica in the University of Melbourne.
Read, Stanley J. Docker. M.B., to be Public Vaccinator for the
Northern District and Officer of Health for the Borough of
Raywood.

QUEENSLAND.

Butler, A. G., M.B. Camb., to be Health Officer for the Port of Gladstone, Medical Officer at Gladstone, and a Health Officer for the purposes of " The Health Act of 1900," vice M. M. Lyons, M.B. Melb., resigned.

McDonald. Dr. J. F., to be Health Officer for the Port of Brisbane, also Health Officer for the purposes of the Health Act of 1900.

WESTERN AUSTRALIA.

Barber. Dr. G., to be Honorary Ophthalmic Surgeon to the Kalgoorlie Hospital.

Elgee, Dr., to be Officer of Health for Bellevue.

Harrison, Dr. W. A., to be District Medical Officer, York.

Riudor. A. W., M.R.C.P., to be Surgeon to the Broad Arrow Hospital.

Scott. Dr. G. M., to be Honorary Ophthalmic Surgeon to the Kalgoorlie Hospital.

NEW ZEALAND.

Bennett, Dr., to be House Physician at the Auckland Hospital. Wilson, Dr. J. B., to the vacancy at the Northern Wairoa Hospital.

The following to be Public Vaccinators for the districts set opposite

their names:

Edgar. John James, L.R C.P.S., Napier.
Fleming. William Alexander. M.B., M.S., Catlin's.
Harrison, George Alfred, M.R.C.S., Eltham.
Toswill, John Cecil, M.B., etc., Hastings.

TASMANIA.

Deane, Charles Maslen, M.D., M.R.C.S., to be Port Health Officer and Medical Officer to Police, Gaols and Paupers, Strahan, vice P. J. Godfrey, L.R.C.P., L.R.C.S., L.F.P.S., L.M., resigned.

JUSTICES OF THE PEACE.

NEW SOUTH WALES.

Dalton, Henry Moyer Cyril, M.B., Murrumburrah.
Hosking, John Edward Francis, M.R.C.S., etc.. Deniliquin.
Kelly, Robert Vandeleur, C. B., L.R.C.P., etc., Delegate.

WESTERN AUSTRALIA.

Gray, Dr. Colin, for the Plantagenet Magisterial District. Molony, Dr. P. J., of Carnarvon.

PROCEEDINGS OF AUSTRALASIAN MEDICAL

BOARDS.

NEW SOUTH WALES.

Ambrose, Theodore, M.Ch. Univ. Sydney 1902.
Kerwin. Patrick James. L.R C.P. Edin. 1901, L.R.C.S. Edin. 1901.
L.F.P.S. Glas. 1901.

Leva, Johann, M.D. Univ. Zurich, State Exam. Certif. Zurich 1889.

Martin, John Wilson, M. D. Univ. Edin. 1893.

Rygate. Charles Daniel Hartley, D.P.H.R., C.P.S. Irel. 1902.
Sharp, Walter Alexander Ramsay, M.Ch. Univ. Sydney 1902.
Webb, Fritz William, M.Ch. Univ. Sydney 1902.

TASMANIA.

Wilkinson, Arthur Norris, M.R.C.S. Eng. 1895, L.R.C.P. [Lond

1895.

BIRTHS, MARRIAGES AND DEATHS.

BIRTHS.

BURGE.-September 30th, at Ravenswood, Waverley (New South
Wales), to Dr. and Mrs. S. Bruce Burge-a son.
HIGGINS.-On September 13th, at Ellery-street, Wood's Point
(Victoria), the wife of John Higgins. L.R.C.S. Edin.-a son.
HINDER.-October 20th, at Carleton, Summerhill (New South
Wales), the wife of H. Critchley Hinder-a son.

HODGES. At Port Chalmers New Zealand), on September 20th,
the wife of George Hodges. M.B. a daughter.
KING-SCOTT.--On October 24th. 1902, at Weyanoke Queens-
cliff (Victoria), the wife of John D. King-Scott, M.B., Ch. B,

-a son.

L'ESTRANGE.-On October 17th, at Charleville, the wife of Dr. Henry L'Estrange, of a daughter. MACDONALD.-On September 25th. at 148 West-terrace, Adelaide (South Australia), the wife of Dr. D. MacDonald-a son. MORRIS.-On October 28th, at Kembla House, Port Adelaide (South Australia), the wife of Dr. E. W. Morris-a son. WEIGALL.-On October 8th. at Orom-Tara, Cheltenham (Victoria), the wife of Gerald Weigall, M.B.-a daughter.

MARRIAGES.

DAISH-LEAHY.-On the 17th September, by the Rev. Robert
McNair, William Daish, M.D., Melbourne, to Ruth Ashenden,
second daughter of the late Alfred Leahy, Shepparton Park,
Shepparton.
HAY-PUCKLE. - On the 10th September, at St. John's Church,
East Malvern (Vic.), by the Rev J. Gason, John Binny Hay,
C.M.G., M.B. et C.M. Edin., son of the late George Charles
Hay, M.D., to Edith Mary, third daughter of the late Walter
Summers Puckle and Mrs. Puckle, Southwood Lodge, Malvern.
READ-HAYLOCK.-On the 15th October, at Springhurst,
Victoria, Stanley Docker Read, M B., Ch.B., of Eaglehawk,
son of Jas. C. Read, of Springhurst, to Florence Alice,
daughter of the late Alfred J. Haylock, of Rockhampton, and
granddaughter of the late Dr. T. B. Haylock, of Sydney.
DEATHS.

MORSON - November 15th, at North Sydney, Alexander Kinnear
Morson, M.D., formerly of West Maitland.
PINCOTT.--On the 18th October, at Virginia-street, Newtown,
Geelong (Vic.), Rupert Pincott, M.R C.S., in his 84th year.

BOOKS RECEIVED.

Death and Sudden Death. By Prof. P. Brouardel and F. Lucas Benham M.D., B.S. Second edition. London: Baillière, Tindall & Cox. Sydney: L. Bruck. Price, 10s 6d. Transactions of the American Dermacological Association at its 21st Annual Meeting. Official Report of the Proceedings. By Frank Hugh Montgomery, M.D., secretary, Chicago, Ill.

A System of Physiologic Therapeutics, a practical exposition of the methods, other than the drugging, useful in the prevention of disease and in the treatment of the sick. Edited by S. S. Cohen, M.D.

Vols. III and IV. Climatology, Health Resorts, Mineral Springs. By F. P. Weber, M.D., F.R.C.P. Lond., with the collaboration for America of Guy Hinsdale. M.D. P. Blakiston's, Son & Co.. 1012 Walnut-street, Philadelphia. Sydney: L. Bruck, 15 Castlereagh-street. Price, 10s per vol.

MISS WARD, late Matron of the Yass District Hospital, having opened a Private Hospital at Yass under the supervision of Drs. Thane and English, is prepared to take in a few cases of incipient Phthisis for treatment. Terms, from Two Guineas a week and upwards. Apply to Miss WARD, "Llawhaden," Private Hospital, Yass.

HUDSON'S "EUMENTHOL" JUJUBES (Registered) are a Gum Jujube containing the active constituents of wellknown Antiseptics, Eucalyptol, Thymus Vulg., Pinus Sylvestris, Mentha Arv., with Benzo-Borate of Sodium, etc., and exhibit the antiseptic properties in a fragrant and efficient form. Sold by all chemists; tins, is 6d. Are Antiseptic, Prophylactic, reduce Sensibility of Mucous Membrane.

Mr. W. A. Dixon, F.I.C., F.C.S., Public Analyst of Sydney, after making exhaustive tests, says:-"There is no doubt but that Eumenthol' Jujubes have a wonderful effect in the destruction of bacteria and preventing their growth. I have made a comparative test of Eumenthol' Jujubes and Creosote, and find that there is little difference in their bactericidal action."

NOTES ON PYLORECTOMY FOR CANCER. By A. MacCormick, M.D. (Edin.), (Hon.) F.R.C.S. (Eng.), Lecturer on Surgery in the University of Sydney, Hon. Surgeon to the Prince Alfred Hospital, Sydney.

As this is an operation that has no very great hold on British surgeons, I thought it might interest you if I were to give some of my experiences of it. I first performed pylorectomy in 1890, and the patient lived about seven years; but I am confining my remarks to-night to the operations performed by me during the last three years, as I have had some difficulty in tracing my cases between 1890 and 1899. The number of my pylorectomies during this period has been six, and of these four were alive and well when last heard of. Of the remaining two, one died of secondary hæmorrhage from the portal vein 17 days after operation, and the other of bronchitis one month after operation.

Case I.-R.W., male, aged 49, was admitted into Prince Alfred Hospital, December 13th, 1899, complaining of pain in the epigastrium, of wasting and vomiting. On examination the muscles were found to be on guard over the epigastric region, but no definite tumour could be made out. On January 9th, 1900, the pylorus and about one-third of the stomach were removed, as were also some enlarged glands. The stomach was closed by direct suture of the divided ends. The patient left the hospital on February 1st. I saw him again about six months ago, i.e., two years and a-half after the operation, when he was apparently in perfect health, and there were no stomach symptoms.

Case II.-F.P., aged 43, male, was admitted to Prince Alfred Hospital on March 28th, 1901, complaining of a sensation of weight and fulness. after food, with occasional vomiting, immediately or at irregular intervals after taking food. The patient was anæmic and cachecticlooking, emaciated, and the abdomen retracted. A cylindrical growth, about 2 in. long, could be felt in the pyloric region, hard, movable, and not tender. April 4th, 1901 On opening the abdomen the tumour was found fairly extensive, and encroached on the duodenum more than usual in such cases. Gastrojejunostomy was performed, but as the patient stood this operation so well I determined to excise the growth. This was done, and the divided ends of the stomach and duodenum sutured blindly, and dropped back. Everything

went well until the 20th, when the patient became suddenly collapsed, passed blood by the rectum, and gradually sank and died. Postmortem: Ulceration into the portal vein at the blind end of duodenum.

Case III.-A.K., aged 50, female, was admitted to Prince Alfred Hospital July 22nd, 1901, complaining of vomiting and of a movable tumour in the abdomen in the region of the pylorus. August 8th: Pylorectomy was performed by Kocher's method. The case was an eminently suitable one for operation, which was executed within the hour. The patient suffered little or no shock, and made a rapid recovery. She now expresses herself as perfectly well.

Case IV.-M.C., aged 59, male, admitted to the Prince Alfred Hospital January 13th, 1902, complaining of wasting and vomiting. The stomach was found to be much dilated, and the patient vomited a large quantity twice a week. A movable tumour could easily be felt in the region of the pylorus. January 19th, 1902: Pylorectomy was performed and direct suture of the divided ends accomplished. Recovery was delayed somewhat on account of bronchitis, which disturbed the patient much. He was discharged February 22nd, 1902. I saw him a short time ago, prior to his leaving for England; he looked well, felt strong, and there were no stomach symptoms.

Case V.-J.C., male, aged 55, admitted to Prince Alfred Hospital April 30th, 1902, complaining of a large abdominal tumour, of vomiting, and of wasting. The tumour was larger than a cricket ball, and could be moved from one side of the abdomen to the other. May 8th: The greater part of the stomach was removed and direct suture of the divided ends carried out. The tumour projected into the cavity of the stomach, was fungated, and smelt very foul. The patient's progress was at first satisfactory, but at the end of ten days the abdominal incision gave way and had to be re-sutured. Union of the abdominal incision occurred satisfactorily, but at the end of four weeks the patient succumbed to an attack of bronchitis. During the last 14 days he was taking full quantities of food and stimulant by the mouth.

Case VI.-Mrs. H., aged 63, was admitted to "The Terraces" Hospital on July 22nd, 1902, complaining of vomiting and of a sensation of fulness after taking food. A large pyloric tumour could be felt. August 3rd: The pylorus was excised with a considerable

« ForrigeFortsæt »