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infectious chancroid, or the true Huntarian chancre, is deprived of its contagion and changed to a simple ulcer. Hemorrhoidal tumors, when external to the sphincter, are bodily destroyed, and the parts heals without unpleasant symptoms. Indolent ulcers of long standing take on new life after the application of solar heat. In the course of a few days healthy granulations appear, which continue to a favorable termination, especially when the general health is looked after. Granular surfaces, which are inclined to bleed from the slightest touch, are changed to a healthy state. Hemorrhages from small arterial or veinous vessels are checked almost instantly with the solar cautery.
Diseases of thė skin of a parasitic nature are treated with marked success. Cases that have withstood the repeated attacks of the usually prescribed remedies, have succumbed to one or more applications of solar heat. I believe that the pustules of small-pox can be aborted, and pitting prevented with this agent. What seems surprisingly strange to me, is the fact that a remedy of so much curative power and value, and one so easily utilized, should have remained unknown to the medical profession so long. From the time I first tested the virtues of solar heat, as a remedial agent, up to the present, I have kept back nothing of value from the profession, have been willing and ready at all times to impart any knowledge acquired, and have urged my professional brethren to use this agent in their practice. I am sorry to confess, however, that the liberality on my part has not at all times been met by a fraternal response. I have been mis. represented and even accused of quackery.
But we must not forget the fact that many of the new discoveries in surgery and therapeutics, on being introduced to the notice of the profession, have been traduced and criticised and their virtues misrepresented by a class of critics found in every department of social life. Even Jenner, whose name stands on the pages of history as a bright, effulgent star, and whose memory will be revered and honored by generations yet unborn, suffered the most positive opposition and criticism before public sentiment gave him credit, and acknowledged the great benefits accruing from vaccination in destroying the predisposition to small-pox.
I will close by noticing a few cases out of many treated sucessfully by solar cautery:
CASE I.-Mr. M. C., Petaluma, Sonoma County, aged some fifty years, came under my care for treatment of an ulcer of the neck, just below the angle of the lower jaw. It dipped down under the edge of the sterno-cleido-mastoid muscle, immediately over the carotid artery. The ulcer measured one and a half inches in diameter, circular in form, and presented a dark crust superficially, cracked and furrowed. The floor was depressed below the raised margin of the ulcer. The sinuous raised moulding which surrounded the ulcer, was of a cartilaginous hardness of a faint pink color. A part of this rim was being broken up by ulceration, with symptoms of malignancy, bleeding upon the slightest touch. Still in most respects a characteristic rodent ulcer. The history of the case was a remarkable one. Twenty-four years previous to this consultation he was kicked by a young colt, producing the wound upon the neck, since which time he had failed in his efforts to heal the injured surface. I commenced the treatmeut of this case by concentrating the rays of the sun through a large and powerful lens, destroying the raised margin to a level with the healthy skin and also cauterized most thoroughly the floor of the ulcer; the slough came away the fifth day, the wound exhibited to all external appearances a healthy ulcer, granulations soon appeared and healing commenced and continued with few interruptions. When it became necessary I repeated the operation until every vestige of the morbid material was destroyed. The wound healed in a few weeks, leaving a very slight cicatrix.
CASE 2.-Miss B., of this city, aged twenty, consulted me as to the removal of a port-wine colored mark situated upon the entire left side of the chin, commencing at the median line of the lower lip, extending to the angle of the mouth, down to the lower edge of the jaw bone. She came into my office thickly veiled. It required no little coaxing on my part to get her consent to uncover her face, that the mark could be seen. marked that “she always wore a veil outside of her immediate family.” She readily consented to an operation for the removal of the discoloration, as she had suffered great mortification and mental distress, especially since budding into womanhood. With a powerful lens of a focal diameter of four lines, I cauterized the whole discoloration at one sitting, and applied to the part
a dressing of zinc ointment, as a protection from the air. The burnt crust came off in one week, leaving the skin much lighter in color. Two weeks later I repeated the operation, and then waited the final results of the treatment. Two months from the first operation scarcely a trace of the mark could be noticed. I lost sight of this young lady for some eighteen months, then met her one evening at a small party, at a mutual friend's but did not recognize her. As I was about to leave she accosted me and said in a whisper, “Doctor, have you forgotten your old patient?' After looking her in the face a moment, I answered by asking, "Are you the young lady from whose face I removed a mark?” She replied, “I am," and signaled me not to expose her. I noticed, however, that the treatment had proved a perfect success.
Case 3.-A lady with a daughter of six years, residents of this city, called at my office to consult me about the daughter, who had upon the left side of the face, two inches below the eye
and near the nose, a small tumor, the size of a walnut, on the surface of which was an ulcer, which was subject to frequent bleedings. The commencement of this tumor dated back some
Its growth was slow but continuous. The mother informed me that she had consulted some twenty physicians and surgeons, only one of whom advised its removal. The advice generally given was, “Let it alone, don't molest it.” Upon examination it proved to be a very fine specimen of epithelial
The consent of the patient was readily given for its removal by the solar cautery. She was brought under the influence of an anesthetic, the cautery was applied and the morbid growth was destroyed in some four minutes. Five days afterward the slough came off, a simple ulcer remaining, which under suitable dressing was healed in a very short time, there remaining a small cicatrix as the only evidence of the previous disease. Eight years have elapsed and there has been no return. I have been happily surprised to find, in nearly all of the operations with the solar cautery, after the healing of the wound, so slight a cicatrix; much less than other modes of treatment, not even the cutting of the knife excepted.
CASE 4.-India-ink mark. Mr. B. and wife called for ad vice; the latter had upon the outside of the leg below the knee, two
large Roman letters, produced with India iuk. I noticed that the husband was more than anxious for their removal. There was a little romance connected with this case, as I learned afterward. The young lady while residing in a seafaring town, had a lover—a sailor boy. After their engagement he took the liberty to print upon her limb the initials of his name. As ever, true love rarely runs smoothly at all times, the lovers became estranged, and the present husband became her Benedict. These large beautiful Roman letters, seen upon the limb of the wife, were a constant reminder that he was not her first love. The solar cautery was brought to bear, however, upon these ghostly letters, as he conceived them, and they were soon obliterated, leaving no trace of their former self.
CASE 5.—Mrs. B., aged some forty years, of Petlauma, Cal., came under my care some nine years ago, for the treatment of a disease of the right breast, mostly confined to the nipple and the tissue surrounding it. The nipple had receded more than an inch into the body of the gland, leaving an aperture the diameter of which was equal to that of my index finger. It was lined with a granular membrane secreting pus. The adjoining structures were hardened and the skin of a dark-red color. The patient informed me that the disease commenced some fifteen years since, with an ulcerated nipple. During these long years of suffering she had been unable to get any permanent relief from the physicians she consulted. I commenced the treatment of this case by placing her in a position to apply the concentrated rays of the sun, directly to the aperture left by the receding nipple, using a lens of a focus of two lines. With this I most thoroughly cauterized and destroyed the granular membrane as well as a small layer of the parts adjoining. The burned material came away within a few days, leaving the surfaces in a satisfactory condition. With treatment to improve the general health and the use of suitable dressings, I was enabled in a few weeks to produce a permanent cure. There has been no return of the disease.
I selected these few cases from a list of many others that were successfully treated with the solar cautery. You will notice that each differs in material points from the others. I did this to show that the concentrated rays of the sun could be utilized in the treatment of a large class of surgical diseases.
UNITED CONFEDERATE VETERANS.
Official Report of Joseph Jones, M.D., LL.D., of New Orleans, La., Surgeon-General of the United Confederate Veterans, embracing
the Period extending from April 9th, 1892 to July, 1893.
156 WASHINGTON AVE., NEW ORLEANS, LA., July, 1893. To Hon. John B. Gordon, General Commanding United
Confederate Veterans, Birmingham, Alabama : GENERAL: I have the honor to submit the following results of my
labors in behalf of the United Confederate Veterans dur. ing the past year, February, 1892–July, 1893.
The Third Annual Meeting and Reunion of the United Confederate Veterans was held in New Orleans, La., April 8th and 9th, 1892, and my labors up to this date, were submitted to the General Commanding, and form a portion of the Official Report of the Minutes of the Third Annual Meeting and Reunion as reported and published by General George Moorman, Adjutant General and Chief of Staff. At the Third Annual Reunion, no camps of the United Confederate Veterans were represented; and a number of camps have since been organized, bringing up the total to 251.
It is to be hoped that the entire South will at no distant day be covered by the camps of those Confederate veterans who have survived the casualities of the bloody conflict (1861-1865) and the ravages
of time. It is of great importance that each camp should be thoroughly organized and its organization placed in form by publication.
The medical officers should be known by, and at all times be accessible to the individual members of his camp, or soldier's hospital or home. The medical officers of the individual camps and organization, should be known to each other, and to all the veteran soldiers in order that every sick and disabled Confederate Veteran, at home or abroad may at all times, and under all circumstances enjoy the skillful and humane attentions of our learned and benevolent surgeons.