The Sun. — London, England, 1828-12-13 00:00:00

LAW INTELLIGENCE. MOs'!` SINGU LAR TRIAL COURT OF KING'S BENCH, Dec. IL The following was given in ONLY A PART of our impression LAST NIODT, in our SBCOND and THIRD EDITIONS. COOPER v. WAKELY. Mr. Lambert was gemerally•sitspecte,l, but I do not know for what reason, to have .centributed the report. I was asked at Lambere's respecting the operation, and I ga v e the same account as Ido new. Mr. Wakely andsttlr. 'Lambert thought that the instrument passed between the bladder and the rectum, but upon my oath they. did not induce me to state so. lltany persons, however, thought so. A • Mr. Whittaker was also present at this. con versation. • I drank tea with them, there was.. no model of any of these parts introduced to us. I went some tine after that to Wakely's house and re mained there for about ten minutes ; I cannot take on myself to say whether the forceps passed between the bladder and the rectum ; Wakely and Lambert gave good reasons for making a man think that they did pass, in that way ; I think that it did so paps in the first incision ; upon the examination of the parts after death, Lambert put his hand between , the bladder. and the e rectum, he then took it up, and_ showed it to Doctor Ilodgskin ; the Doctor said. that he did : not like to have persons, . who had no bUsinesi 'at the Hospital; come there to s tail preparations.—l did not Lear Dr. Hodeskin say to Lambert, " Friend, thou did'st it thyself." I did not see Lambert put his hand there;• but at Lambert's house that was mentioned as a reason for the incision being between the rectum and the bladder. this witness having' , occasionally hesitated in his answers., Sir Ltatze SVA KLETT said, this operation of getting answers is so painful, that I ...hall discontinue it. Witness—lt is by no means painful to me, I assure you, Sir. (A laugh.) Ou his re-examination by the defendant, the witness declared that the defendant bad never induced him to give any particular evidence on this trial. • Mr. James Lambert examined by the defendant-1 wit nessed the operation in question, and furnished you with the report, declaring upon my honour that it was true, but that it was rather en understatement than an overstate ment, I now repeat that the report is true in substance, Rod I know of no material inaccuracy in it, but have since heard that Mr. Callaway held the , stone in his hand, and not is a forceps. The subject was in my opinion a favour able one for operation. The operation lasted for more than an hour. The improsion on my mind was that the knife bad not entered the bladder, because there was not she usual gush after the incision. After stating the particulars of the operation, the witness said that he was present at she post. racrtem examination... The suftect was lying on, the floor of the Demonstrator's room. The morbid parts, were removed. I asked for them, and they were shersere to me in the pre sew* of several of she. pupils.. .My attee497l was of course , directed to see whether, any difficulties wnii/.4 present themselves in the morbid parts. I found the preataite. gland rather larger. 'thin. (mai- .I saw on the. halt Aide of the gland a smallish oblinue cut. The parte arronad - the neck' of. the ',ladder appeared to be bruised. tan the under part of the meek of bladder, there was a eingtdar appearance. It was a small pitetrusion .ahout the size- of the tip .01.. my finger. (: - ..ht .examigi,og farther, I fogad that my finger - pamed up with the greatest uaodaty between the blatiderind• , the 'rectum. On any so learn aat.h, I did not at* theslightest force in•presing my finger between the bladder and-the rectum ; neither , did I break down any structure, -Whileeti-rgotr.:.ehewing this to stile pupils Doetac fiedgskin. tame tap ;Ober, angrily, end said, " I wish people- who- have no beteinese here would not : :mine 1. 4 6 things about f a r- 1 and added that ..snuattiody hest broken down the fungous appearenee> on the neek of . elee bladder. I 'fol • lowed, and assured Leim. that had 'Merely . e.,e e eprined the preparation, and that ;2.4 been for a coneiclerabie; tinte about that - ho4ital, and wite iticapable of doing any I thing o 'improper. • Dr. • llodgeleig lend that it was not a deep peritoneint, indeed that 'there was oa thiag remarkable shoat it. I remember otseryieg 'to Mr. Key that from the reoult of this operation hbrinterit , extent did not appear to be tit for operating where the peri toneum was deep. Mr. Key instantly replied "if you say that the peritoneum of this patient tn.!' deep, you know nothing about it;" I Saw nothing in any pea of the preparation to aceount for the thelay in the extraction of the stone. I newer Saw a peritoneum in which I was unable to reach the bladder with the finger. My impres sion was, that in the case ire question the bladder gold have been reached with the finger. I did - nct see in the, neck of the bladder, or the prostate giend; an incision like the form of the gorget which was used in 'the operation. If the gorget did not pass into the 'bladder, it was likely to pass between it and the rectum. I have never seen the gorget passed betiveeo the bladder and the rectum by a 'skilful operator, qf by a person having any pretensions to skill. The gorget was used sub sequently, to both the knivea. -The knives were not used more than once each. I cannot speak troths cutting gorgobeiug introduced morn than once. I never saw an operation performed in a similar manner. The operator did not appear to be in a Oaten( Self-pOieessiort, tdo not believe the patiesit could recover under such an operations. 1 do not think Mr. Cooper a good operator, but I once saw him tie the sithclaViac artery in a very skilful manner. That is sot a difficult operation to a man who has any nerve. Ido uot think Mr. Cooper's abilities are adequate to the office of surgeon to Ouy'e Hospital. Cross-examined by 'Sir J. Sceoteerr—l am a surgeon, and have been in the peofessiou 13 years. I cdosider myself more competent than .Mr...l3ranshy Cooper to perform an operatiou like this. - I began attending the Hospitals about six years ago, and was admitted a surgeon about three years since. This is not the test communication I have made to the Lancet; I have Leen a contributor for some years; I received eneolu tent 'for My contributions; did not derive a larger hie come froM it than from' try' practice as a surgeon; I ant intimate with the editor ; T need to" receive 'eight guineas a month, and afterwards was paid iii proportion to the matter . published. I cannot say exactly 'when I first began to contribute towards the Lancet ; I think it Wei about a year ago. I should think that the circulation of the L "'eee Poiler, was worth about five or six thousand a year. I hetieve M. Wakely prac tises as a surgeon occasionally. believ e tk,e . principal inemitie of Mr. Wakely is derived-from this war k, I never reeollect Mr. Bransby Cooper turning me out ef the room; (upon further consideration - the witness said) I remember one occ asion at ---flu Y's Hos pital when Mr. Cooper address -4 me, but the re was so much noise that I Could not ten what he said. I ite, ew that' at some dinner there was something said. I think with objected to something, when he came front the chair , th I en others, and thought I had disturbed the ha rmon y , left the room, because I felt there was a strong faling against the measure I had adopted. I. cannot exactly Agy when this was, it might be.two.years ago. I don't remem ber tIOV quarrel that 1 had with Mr. Cooper. I never remelt her Mn-. Cooper saying, that I should leave the room ear ho would, unless some apilegy were made ; I believe zh e word 'hats" in this work is applied to the Hospital seereeorie ; I reeallect some inquiry being made by Mr. Cooper in regard to the word as applied tv Ulna; I think that occurred at St. Thomas's Hospital, but I gl e iek it was not in the leetute-room. I can swear most positively that I do not rotoilect Mr. Cooper cafing that unless an apology were made, tither he or I mute lose the room. I remember using the sward " bat" once its zeteeking of a trial, hut / have no hesitation in saying totl applied that to no one i n panticular. said to . 2lrtinehy Cooper that I did not intend it to be per emu'. I do not retuember saying that I would make him repent it ; I *wave that to the best of my re collection. lam a man .of warm feelings, and may have said many t hin g s in the c ouraeof my' life which I du, not recollect, but Ido not believe lei., ssi4 this. I don't think it impossible tha t I could,- but , L leave pro such im prevsion on my mind. Upon my oath, I never rez o, et ]raving amid such words. I ant of OPinion th e t the alte" , was some time in January; 1 tkjok it w as some t i me ' about Christmas. I have never hem hot to one dinner, and then I went away, hut was notturned ,east. I carried this revert to my friend Mr. Wakelyr and this waa.o.le of the weekly contributions. This fist" within the eight guinea, pier moni.h. I an: not aware that there fiver' one or two ex . pressions in it more severe than he thottattt ;it Fight to pub lish. I assured him shay were true. The krtteipal alte rations, I believe, n hieh Me, Wakely made, were A , A, speet to the time. I believe I state el it was rather more thgo an hour, and Mr. %hely said he woui4 rather be under the mark. Ido not remember any oilier &hero:was. I have not seen the manuscript singe it was written; I,did not write the next attack on Mk. ,Coecter; nor any part of it, The first time it wits thought the koifereeehed the bladclexl saw no gush of urine, mid I cogeidered *hata fair ground for judging that the knife had nut ,reethedehe Madder. I did not see any gush of urine at any time efterwerds. `l' . lle only way 1 have of explaining this ia , that when the knife was thought to have touched the bladder 1 observed no gush of urine, and my impeession was that it bad not entered the bladder. I believe a sinall.opening may have been Inade into the bladder, through which a small quantity of urine oozed. I undereh:6'od Mr. Cooper to say, " Give me my uncle's knife ;" but. I cannot swear positively to that. The hist irnpres 'ion on my mind was—" My uncle's knife," or, " Sir Astley's," but I will not swear to it. I did not say in' my report, nor did I intend to convey such an impression, that Mr. Bransby Cooper had murdered the man, but I intended to convey the impression that the patient had lost his life for want of skill. I lamented the occurrence, and did not consider that this ririod was an important one - to get . reputation, in addition to my eight guineas. I did not think ..it-- a subject for ridicule. I put the note at the bottom. I heard the man say so. I saw the man before the opera tion was performed. I cannot say whether Mr.- B. Cooper wished the operation to' be performed or not. I urn not aware that Mr. Grainger has a cheap theatre near Gay's Hospital. I know he has a theatre there, which I believe to be as respectable as any. No. lecture I be lieve has been given upon the model of the operation, for the purpose of proving Mr. - B. Cooper's want of skill. I have been present when subjects of this kind have been demon strated by Mr. Pilger, but I believe not with a .view to this case. I believe Mr. Grainger knew of the case; I cannot confine myself to the mode ; I believe there was a dead subject there; upon my oath I do not think it was given with reference to this case; I have heard both Mr. Grainger and Mr. Pilger speak upon this, but I was not present at these lectures. I have before stated that I was present when a demonstration was given. I have shown the model to persons in the room. But I have not demonstrated the parts to persons in the room with a view to this case. I have been to the room and examined the parts repeatedly, but I believe not for auy improper purpose, but knowing that I was to give evidence in this case, it was with a view of refreshing my memory with respect to it. I believe witnesses on both sides were present, and I explained the disease to them. I again repeat I went with a view to refresh my own me mory. I bad met Mr. Wakely there on one occasion, he was not present when I was making these exhibitions. I declare, to the hest of my belief, that Mr. Wukely was not there during the demonstrations. I heard him, I be lieve, explaining to some of the pupils that some of them were to be witnesses. 1 don't recollect it being said that *Mr. ransby Cooper had murdered the man as much as if he had cut his throat with a knife; but I cannot swear that either one way or the other; 1 think I can swear such words were not used; I may have expressed myself in the dissecting-room, that the patient had lost his life by the operation. j think I said that not more than two days ago, Mr. Grainger did not lend his lecture-room to me. My motive for going there was, that I W 45 pppil. I believe I have heard four or five times lectures and explanations given to persons who are to he witnesses in this case. But have ;ever heard them given at Mr. Wakely's hcuse, nor. have they a,zer been given at my own. There were some giren at the theatre ; I think by a Mr. Pearl ; I stood closo to the operator. Cross-examined by Mr. Wakely—l am operator to the Middlesex Hospitals. Complaints were made against me for reporting to the Lancet. No other charge was made with respect to me. I was ejected from the institution in consequence of sending communications to the Lancet.. I had never sent a report from the Hospital be- Atre I was ejected from it. I never heard Mr. Wakely or tiny fr4y:say any thing with respect to the theatre. I did not eonsider tha; Mr. Grainger was lecturing to any wit nesses- fur_ the purpc.sq pf• imputing any thing to Mr. 1 Cooper. I consider they were ielAires to the class. " I be lieve the model was made public in the yard 4/ the theatre. The east produced in Court was, in point of fitet - ; taken from a 4,ai in the Lecture Room. Me..4lexander Leo examined by the defendant—l am acquainted-with Air. Bransby peoper, but never spoke to him. I saw tita operation, 4 waki 4 tedious operation, performed in the usual way. Defendant—When you say in the usual way, do icit Ryan in Mr. Cooper's usual way ?—I never saw him per barn} an operation before. I have been present at from fifty to a 11,pE.4rtul operations in lithotorny ; some have lasted for a quarter, or ke:ir, that was reckoned the contracting the bladder ;,I was senite 4iatancc from the table, and could not distinctly see what instraizZi,ka, C'Oop.a.r used ; I am not sure whether the forceps was in troduceS at kLe fret incision ; he made a second incision, and again introduced > y forceps ; I did not observe any thing particular in the manse?' or demeanour of Mr. Coo ate' at the former operations which ".cfi;nessed either in this tnin,t,y or Paris, I never saw the guFge f t inaro (Mead a fter the 1 4 42, drips been twice used. Ido not think that the operation laste4 I - 411y , an hour, though it certainly lasted from half an hour to Oita , F)}4mteo. 41" ff the operation scientifically performad?...4 I.7guld hesitate befog: 7 gave an opinion on so important a subject. Which do yoU it a i4; blr. Cooper or Mr. Callaway, the better surgeon ?—Cerfainiy Ws. Callaway.. j':Mr. Bransby Cooper, in your op:.p./on, fit to be a surgeati At Guy's Hospital ?—I should not4-...;_0 r.'ive an opinion on t'bit 4 7.40ject. Is the report in 4.e ,Lancft correct ?—Generally so, but I think that wind VatiteCtskl were not used although inserted in the Lancet.- I rather til;a- 14 form of the report objectionable. Cross-examined by Sir JAMES SCARI.E'irf Love L-eeo a Clerk before I commenced the study of surgery. I was also a potatee merchant. (A laugh) I performed operations in lithotomy on a dead subject, but never on a living one. When zo operation is being performer), no One can see or explain the dii,fienities which present threw aziees so well as the operator. Circumstances which ap pear angriguous to a bystander might be easily and satis- ' factorily explailicil by the operator, and particularly when the operation Is li.e.i't4,zned by the touch, and nut by the sight. It would be wail rash to pronounce on the incompetency of an operator' without first asking him as to time circumstances of time aa„ - .„ Next to the operator in lithotomy, the person who holds the is the bed subject. I have read the report in the Lancet, 14;4 must sa), , that it is a most unprofessional one. I raw ' only a small rlicamarge from the wound, it might he partly urine and blood or i.V.0041 alone. It sometimes happens that the stone is laid on the felt/aof the bladder which uun traets3 Ou the approach of the iustr.i4A;lit.• Ile-exaQined—When you state that the opeifgAr is the best judge, how 4,:,) you think that the operator cats i, ta best judge, when, eh is, tins case, he declared that lie did not know what'earthly dilticuity there was ?—lt is pos • - slide that a skilful man may fail at lice time to discover the cause of the difficulty. Mr. Thomas Briton examined .by the deiet4a.gt—l saw the operation performed, and the report in Lit; Lancet is substantially correct. He used a great number of instruments. lie 4.1. first lost his self-possession, but afterwards recovered it in s,;:t.v..e degree. I saw six or eight operations in lithotomy ; some lasted its long as five or ten riliantes. The operation in question iaated_q , bout an hour, during which great violence was used. I neacc,r,Say/ the cutting gorget n.s ‘ ed in the, same operation with time knife. The stone in this case was rather small, and Mr. C° @Fe, said that he could not diace.y.er the reason for the operation _la- ing so long. On the. whole, f do not con sidtc.r that the operatien was scientifically performed, 141 Z a s s s ' e T i r te i , n i e f t ro l I m my t l ie r,! it . ii ,P e zt.tocx, but nothing mate- Penjamin Harrison, the Treasurer ,of Guy's Hos ' pital, exaliained by defendant_l have held the nifi,ce for 31 year's. I'hWie the minute-book of the Hospital, - Grivernors who voted for Mr. tairimg the naines,of th e Bransby Cooper; tiltav,e Ilao the preparation of the parts of the deceased. Attr, -.ni.4y:,99fre„r was apprentice to his uncle, and his ' 3-L " = " r ° , V.Pr.eti 41,4 a year and a half beforelie was appointed' 0 hi ll; 41;1144,..1. He 4 d t a t; eolf e - c: l d ay eOr l is la u 2 lt s ing L'4,!,,4way assistant surgeon. - There c00pe . 1 , , , „ 4 , 41 ,, t.e d his office of surgeon on that day. it sus eon to waa appointed faaown.tiline_e_ Astley was time new/4 wasil Hnnosspnintaulu,nacnerini D e i n r t . in mere that such elections Wer,elo take place, nor is such netim:e ever Mr. Bransby Cooper i-..t.:44.1g been ati apprentice at the th, 4 i re!, and constantly under tile observation of the Directors, it Waelati; deemed necessary that la dtPilld r°d. ie _%vernors.any testimonials. am not a surgeon, nor are sur 11.9. you believe that persons not educe.r,e4.ki . t beynoical profession i,f.p be the best judges of the capahilitiea dicail skill P-11 stuityjd not pretend individually to give 4A , opinion, but the Govere a ve had constant opportunity o f ive. lijpg of his abilities. Tim fir: Hess, after going into a 4146 [ 1 of the elections which lately taken ~_p chosen place, in e.ye,:y instance the party wri : being either a re4'amtiye or an apprentice 0f iii' As 4 e 2 Y Cooper, said that Mr. Brawl* „Conger was not chosen in preference to 311 . . Callaway tin •• _he happene d , be time IA Sir A. Cooper. We selected Mr. CcopeiPePPe lie appeared t a u pe the fittest person for the sitastimn kb.* ..vacant. Do you mean to my Mr. Cooper is a better our >;'.(V Pan Mr. Callaway ? I GO 'At pisli to express an opinion 4q 4? delicate a ' question, Then why say that cooper was the fittest person a aft tWQ? liePi.it lye had selected a surgeon Ovi epuld also have attended to th ! ra sprgical sapid - recently estat~i Guy's hospital. If you had merely wanted a surgeon, without refer f!nceto the school, which of the two gentleineu would you have Ape° ?—I do not thiak it ueceasary to say what we would have dope in any supposed case. It is quite enough ,to answer what were our motives in the particular instance that occurred. Lord TewreauEN--The witness has given a most proper answer in my opinion, and I must sty that I disapprove of this Mode of instituting comparisons between the skill or merits of two prokssional gentlemen. The witness in answer to a question whetlitr St. Thomas's and Guy's hospitals, were not united until recently, said that the illedical School was at the latter Hospital, and the Surgical School at the former one. So far they were united. Upon being asked the cause that led to the establishment of the surgical school at Guy's Hospital, he said that the story was a long one, and would .in his opinion take up the time of the Court unnecessatily. The examination as to that point was not pressed any further. Cross-examined by Sir J. SCARLETT—Mr. B. Cooper was a - .demonstrator under his uncle, and gave great satisfaction in that rapacity. He was recommended to be appointed as. surgeon by all the surgeons of the Hospital. Sir .Astley Cooper.did not know that it was intended to elect his nyhew until the circumstance was communi .cated to him by witness. Sir Astley Cooper did write to witness at the time, but Sir Astley had nothing to do with the arrangement of appointing his nephew. 'Witness knew that -the plaintiff had been a pupil at the Norwich Hospital, and had been with the army in Spain, (luring tsto campaigns, and•went with his regiment to Canada, but in. the intermediate period he had been improving himself at Edinburgh. -Me subsequently became appreii tice to his uncle. Sir A. Cooper is a surgeon of the first eminence and practice, and his nephew had the advantage during his apprenticeship of witnessing his uncle's practice. Witness has heard that the Norwich Hospital is celebrated for operations in lithotomy. Re-examined by Mr. Wakely....Mr. 13. Cooper was president of a Society in Edinburgh. That WM before be served his apprenticeship. . Several preparations were here brought into. Court and were examined by Mr. Alderman Partridge, who then deposed that he could sec a large opening in the neck of the bladder, but he could not speak positively about. it without further investi. gation. Mr. Wakely then said that he had closed his case. The CHIEF JUSTICE then called upon Sir J. Scinurrr to state the case far the plaintiff. Sir JAMES asked his Lordship if it would be convenient to go on at that late hour (seven o'clock). He had some witnesses to call, and he thought it scarcely possible that the cause could he concluded that night. The CHIEF JUSTICE observed, that be might state his case to-night, and hoped he would remember that to-mor row was Saturday. Sir JAMES SCARLETT said he was aware of that, and Grat pp inconvenience would result from it as the case would be over in good Lisa, to-marrow. The CHIEP JusTica asked if it was impossible to close to-night. Sir J. SCARLETT said he should certainly examine witnesses, some of the first surgeons in Lon don, bpt, as his Lordship might conceive, that aftei what had passed he should not examine many. The Court was then faijopmpl: CONTINUED THIS DAY, To-day the interest in this ease appeared as great as yesterday. By eight o'clock the crowd round the Hall doors was very considerable, , and as time advanced so it increased in density. The officers, howsver, e4opted a course much more calculated to afford facility of admissie4 to those whose duty .it was to be present in Court : they kept the crovvd at the outer doors, and until the Jury, Counsel, and witnesses were admitted, those who had assembled mprely from curiosity were not allowed to force their passage. The rittmher of eminent surgeons was equally great as yesterday, —among the,pa we observed Sir A. Cooper, Doetors Bahington, sell., Addington, Bright; and Johnstone; Messrs. Green, Kay, Callaway, Travers; Tyrrell, and Brodie. _ . _After . the Jury appeared, at 20 minutes before 10 ck'clock,'Sis .1, Spa4ett was about to addresu the Jury, when one of the Jurors begged to be allowed to put a few questions to Mr. Lambert. Mr. Lambert was then called into the box, when the Juror said that_ he understood Mr. Lambert to say yesterday that the cause which rendered the first of the forceps into the bladder dif hpolt 6a account of the !first it?cisipn not being Mr. Larnhert!—f state that I could accopnt for it only in two ways; either that u very 411101 inci sion had been wade, or that the knife had tipt tered the bladder at all. The LEARNED JUDGE then read his notes of the eviaettc*e pf thip witness. The same 4rOr.- 7 I wapted to know whether the pad-7110rieni examination was matte h i sfare pr after Mr. Lambert furnished the defendant with the re port Mr. Lambert—After it. , Juror.,,-Wr. Lambert. stated that there was a small projection on the hoi!je of the Wadder, which appeared to him to be a little larger ;hap the Op of his little finger. Now,- I want .to know, wheilier this ,aiiaggal projection or enlargement could not by po.ssiloility , „kaye occasioned the first difficulty in in pawing the forceps? Mr. Lattibert—Certainly not, proo - ijcil that the Apt po ? ) p) ; 4 4.-t in the y ipiling; • • tiot tl/4; projection haveFct oesiPnem the . yiekling, rather than t le gush opt of the bladder lvhen the .cut- was. made? Mr. Lambert-4..tlijnis. nvt. ' . . Sir J. SpAtiwry wished to put a few questions ie had neglected. yeatertlay. Lord TENTERDEN desir e d th t thq might be corn niunicated through the Court. : Sir J, SeARLETT wished to' know whether M. 1.0,1)4rt had eorninurticated to the Morning Herald, Or Ale an y report of this on or before the 29th March ? Mr. Laa - Aiirert 7 r-Pertainly not, nor do I know how they got Will our, Sir,.J. SCARLETT-1 wish to ash whetinef y,9,4,c1 ; re ,aware that notice did come out in these new'spaperp respeAting this operation ? Mr. Lambert--Isawit in the 7iii4l, ut I did not see it in the Herald. Mr. %Vakely here kijAled to know whether M. Lambert had the slightest re-ei : ? . 1) to believe that these notices were transmitted tiirougia Ilir LoßDsiliP also enquired whether 'he itnev fhiti they as , ,er,!kvAnsmitted ? Mr. Lambert—l do not. Sir I. scom,gT.T. tkeß . r,ose and addressed the Jury as follows d oi gku mu, Lordship, Gentlemen of the Jury, the time bas a 4 kiai? a,.'- tired when the plaintiff is entitled, according tt?' ihp form of Pioceedings in this place, to lay before you the grounds on whi,M be seeks redress for one of the most injurious attacks . trpop I;if fame and fortune tliot okir #ppeare,d j`ii a Court Of .7ust;iev,?i7 . ented by falsehood ran d xuAilee; 'been ,pu t t his defence, though 6' is t i h% party complains, ; and though he seeks ti:r hands, such is the fate of human affairs that during sig satire day he has been placed upon : his defence as if s he kal hepn indicted for a criminal charge, and up to thi 4 s have no reason that I am aware.to know of whet it is 1;1a e:otkp t likitkv z _ unless, perchance, you have read it in the E4rtenvig;F:aelts 7yatertlaY, furnished with a curious exactitu de--forthAed, - no doubt, by the defendant or his attorney---furnisher wi,cl?out any' antidote or explanation, giving to that proeeedipg, of which the plaintiff complains, the widest posiibti circi t 4ation, striking therefore still ideeper into his bowdi l:oc 'injury ' i ;e has received. ti,entkßep, Jook at the ista:ter l a pi . i'oceer t i i ipp this day a? 4 yy,fterday, and I I venfure to say that they furnish, j R,vgry grounds for grave and TAegtiblo. trot my business, Gentlemen, to complain of the for* /91 ,law, or of the practice in Courts of Justice, I submit, p every subject does , to the rule L by whieTi we bound, but in a par ." 1 ) 1.6 case may e. ert to sag est? he* maprt t iiraie foi: an attac . ki. by 4 gr,Osi an trAlietiiatbel;ihat he have all the zeal' his accusation, and when that t,as 34144,' lte. is put upon his charge. I mean to hear the ateliS.3- vQN v t inst him, for I have no doubt you all feel that are how in you judgment, not upon what repa ration shall be Made roan in -u r ed man for ogre of the basest calumnies any man earfeiiirijAain ofp,byt Whether big. Cooper is not a party unworthy of filii"sittiati6i., i~h . hats contrilntted to shorten a man' s life, and who {fiat skill and kttowledge of his profes sion, which no man has ever daN4 4 9u pt who had any skill or knoWledge himself. I have some reason to complairrof the fate that has attended my client—that when he,entered upon the threshold and sanctity of this Court, he meets the sword of the as sassin; that before he has had time to seek redress, the wound is made deeper and deeper into his side, that he is traduced, that his fortune is dissected.in the manner you heard yesterday, and now you come with minds, no doubt, prepared to hear what it 'is he complained of, and 'what it is you are ,called to, give a . verdict on. Gentlemen, lam no enemy to the periodical Press, far from it, ugh I have never flattered it, and will never do it ; though I will say the example of this proceeding has given it a triumph and an interest which it .never had before. Allow me, therefore, to enter now upon my case, and suspend, if possible, the doubts you entertain, for they can be but•doubts, whether Mr. Cooper ie. *the object which yesterday it was exhibited to you' that he was. He is a gentleman who has an honour he has reason to be proud of, a connection with Sir A. Cooper, my highly honoured and eiteellent'friend. I shOuld think it one of my greatest privileges if I could claim that connection with him which Mr. Bransby Cooper does. In early life, as soon as his profession was finally, chosen, Mr. Bransby Cooper became a pupil at the Norwich Hospital, the most distinguished, with the exception of those in London, for this operation of lithotorny. He served with diligence in that hospi tal for nearly two years. He then came to Lon don, he was admitted a pupil of Guy's Ho,pital, where he continued fora year and a half, nearly two years, when, as I hope I may toe allowed to say, and . I hope I shall offend nobody by saying it, that his merits, as well as his manners, recommended him to that notice by which he was appointed Assistant- Surgeon to a . Regiment of Artillery, and . went abroad in 1813, and was present in every battle till that of Thoulouse-.-that grand effort which was the basis of the peace in 1814. His first exhibition of coolness -was in .operating on the field of battle, Under the roar of cannons, and exposed to'dtinfer. His experience as a surgeon was known in that held where amen requires both confidenceand talent,and he had the opportunity of showing that talent which was the ground of his honourable relation's wishing him to pursue that line for which his abilities rendered hits so peculiarly eligible,. and in which if he pursued with the interest and talent he had exhibited, he had a prospect of attaining great eminence. He went to Canada and served nearly a year in the last un happy war in which we had the misfortune to engage with ottr friends in AmeriCn. When that terminated he was sent to Edinburgh, and was admitted there as a student; and there he received all the education a man could' receive as pupil. He was placed in the high situa tion of President of a Society, until he quitted it, He bad it open to him ;o phecise What lute he thought fir. He might have taken his degree, and established himself as a physic:imp-1e had the example of his illustrious uncle in his view, one of the most distinguished as well as the most prospe rous, and which he thought proper to pursue. Sir Astley Cooper was the surgeon of Guy's Hospital ; _ _ he had been the .pupil- of Mr. Cline, a man educated in the same school ; he became bound an apprentice to his uncle in 1817. During that pe riod his aSsidnity was 'unretnittinv. j haye a right to say so, trom the evidence of that excellent and honourable man, who gave his testimony yes terday, and who was intended to be insulted, who stated that his conduct was honourable to biamelf qt 4 #atilifactory to all aropncl him, Sir Astley Cooper made him his demonstrator of anatomy. Sir A. Cooper, who gave distinguished lectures there found him a valuable assistant, which led him to obtain acquaintance with all the most ab struse.parts of „the profession, and had an opportu nity, , whiqh every man does net possess i to become bye and bye of the same farce and the same success as his honourable relative. He did more than that. Sir A. Cooper, whose practice has been probably more extensive, for a number of years, than any other surgeon in the world, called by all sorts of persons to perform the most difficult operations, and whq never, no those who linow laim cmi say, qllowed the call of the pqqr tq !le disregarded, who-bestowed as much in humanity as for gain; S,ir A Cooper buyino daily and !lightly requisitions, was obliged to do that %%444 eye!) , pprsop if) llis extensive prv tic° must do, namely, have a gemp to assist him when he was called upon to one place of emer gency, that his patients might not want him in an other. Sir A. Cooper found in that nephew one of the ptte q , persoqs bassist hint and was able, according to the statements of that most eminent man, to discharge the most important duties, he himself front the impossiblijty of beingin t ap or three ?Ives at the same time, was forced to employ an assistant. gent)emen, do not suppose , such an employment p4lt by the rpsult of favour, the surgeon who 'employs an aosivant for that', purpose, for his own honour and interest, io obliged to employ a competent man. He cannot do otherwise. Consider for a moment what situa- tion Sir 4. Cooper wpf ! ld he placed in, if, on your sending for him to perform 41tricot pper4o99, 494 p nth!*him otherwis'e erip e ,o-0 at the time, con rider the • sitilatian in which he wonhi hate hcen placed, had he tent you for his substittjte ? a person whorn yOu found incompetent, or thought so. Sir A. Copper Wotild have been ruined in practice us well us in reputation. There , fore he had a right to say, not by his education only, ! Litt by i. 44 Pest' testimony which Sir Astley bore to-his neplie%44l,lleSa yii . (leeveity, , that that fitness and capacity are establisbed beyond alt dßui:it on the most substantial proof. Gentle Men, his apprentice ship expired in 1823. He had had at that time consi: dertiblp experience and:great practice. - fle . becanie ri NUrgeop awn a ! Tount, still continuing, how ever, to remier aSPWanse:.yhen hip uncle e: aired ir. What happened at tikiri !Itte : blishment, about which for tho present 'say 697 thing—highly useful, and of .the greatest 4tiv4nr tage to the 'poor; the individuals connected with which, the Governors, upon whose character no impedkitneni, wap ever made, until this scanda lous and infarnOuS' publieUtinn, ti1a.14,'54 it expedient, for the advantage of their charity, to estabrish tichool of Anatomy, as well as that 'WhICh existed , Pmtr.a a ',4 They had a right . ' to cl6' so having one sQ, hq is ti 4 dreis, - unless he defies all decency and common senso;l4coitplain.rijnie,:=S because they thought in their own hospital, with the consideration of illustrious surgeons, it would be well (1 ,? this school, who is it dares to complain Viet V i liey di* Ac;.- <:,lvertise, in the newspapers, and '114? stirtte inforriation` from the .T.F.vrt where they 121,1• letthe' Ca-filberts ape! the 'NVidiefyc o r m - giii‘rBinit dark placer( to have been tisalle . Hospital, It is not from the school of Cline, of Cooper, of - Green, no, nor even Mr. Callaway himself, that we ought to elect surgeons; no, it is from the I r i .e papero ?r; the shape o f t h e L ance t , t h at .yon opgq - cwtp..j e u in;ort4tipri eh such a point. rt is is the i.FOO'd 'lhttt i - ouA , deep into his breast,. his dignitY':lntlr WOO L disrei. garded, the immense circulation of his work has been disregarded, it hat been pond unnoiced Guy's Hospital. They have thought e ea oat 01 itLit izi)l - 1 body whom they considered r! oat 0 1 I I C 13iu • • • -14 think; and . o your. toiy )1) , t he jay' too,ttliiit 'the' 0.6 r tn'O ' ' ' use TS 0 I s ospi, not AI ese11:0 to triad' atid - ex'ectit 'baittfiey tb oil ght it rigl4 • pi. , cqrhi to`lcil4 of Cline and Cooper, lor litigeon t 4 sci}iply''t~g vacancy ill the Hospital. But he was the nephew of Sir A.stley Cooper. 'You will see by and ...bye what the libeller says on that sollect. You d o not know it yet unless - ow have p.m•spapers. He has attempted to rave tMit %tefeli 'the aaire. , ,ity to alley, that it p ‘slr4pi2i A. Con e: that Mr. Firansby . Con iel 444 find arft)ation,..With= o ut regard to his merits. Has he proved that ? PI; has proved the very reverse. You will Lubtless remember Mr. liarrison's evidence, upon which I say nothing, fur my.time is not yet come to.comment on that. I have tutted t,llz y.story of Mr. Eiramby Cooper, and the pro gress that !atlas' made 114.; one of the sergeons of Guy's Hospital, Whiell'Aas f; made him the wh im; of pity to some; but he disdains all pity; Ale appeals to this Court for Its interposition, to protect him front the malice of this Editor, and the enmity with which he has attempted to surround him. It is now time, Gen tlemen, you abould know who the defendant is. I know nothing myself of Mr. Wakely, nor should I have known him except for the occurrences of yesterday. I could only then note the extreme ignorance and folly which he poss sensed. But lam authorised, Gentlemen, now to.say that lie is as ignorant of his own profession as he is of good, taste. I speak of him only from yesterday, for I never heard of ally of his operations.. Ha is known, how ever, I believe, to the public, exclusively for publishing the Lancet, which lie tells you. he established. In doing that it was for the purpose of publishing lectures; avowing that he dots it for the purpose of - conunittiog plunder on the property of others, for the pur pose of assisting himself. What, Gentlemen, are we then to hear it said, that if Mr. Clive, or Sir Astley Cooper, or any other eminent burgeon, should compile a course of lectures, and deliver them to the pupils of his own class at the Hospital, who pay him for attendance, and remunerate him for those labours, that a partieular,paper shall rob him of all advantage, e and without his leave make them p u bli c, so as to give to all the pupils in the kingdom Who desire to. Study this art, all the advantages this gentle/non thought he had himself established ? That he shall injure hini and rob him, and gain ten times more than be does himself, who has been at all the labour of compiling such lectures, and which would make it unnecessary 'for them to at tend, because all the advantages derived from the attention of the pupil to those lectures May be gaiued by reading this work? These contributions to the Landet make it worth sor 60001. per annum. The Editor Las himself avowed that it is a work fooaded on robbery and plunder, and that he receives contributions from pupils at the Hospital, whore he calls men of honour; men who are induced to betray their honour, and who, by making contributions, furnish that which ought never. to come out but by consent of the lecturers, themselves. But he does not stop here. He goes a step further, and lam glad that .I am addressing gentlemen of education, and only wish, every person to judge rightly of this, I as k w h e th er , w h en any mar, had taken great pains to get these lectures, which he bad intended to. have published himself, what he would base endured if a pupil, who had been allowed to take important notes, was to furnish them to a gentleman, who meant afterworde to commit them to press. Can any man stiffer such a _use as this to be mad e of hi s wor k s ? suppose you ,had a written communication, what would you say, if the person whom you had entrusted with the key of your cabinet, . had, made extracts from it and sent it to the Lancet? Would you not think that man one of the basest of his kind ? And would you allow him to enter your doors again? And yet these are the contributors, these are the means by which he rolls in his carriage and laugh* at the parties. I have then, upon his own word, to say, that his work is a_scart of literary raven, which lives by plunder, end holds up its . head by the injury which it inflicts on others. Now, gentlemen, what iti it he has done to Mr. Wallaby Cooper? In order that I may explain that, I must, bye and bye, subMit .to you, um !Mond to go through a pro cess certainly new ,te Me; hot don't believe that Mr. Lainbett, whatever he may think of his own powers, or the pupil of six mouths, or the demonstrator of Mr. Sloe's sebool, same of whom are no longer pupils; don't believe that you have from them wry information whatever upon it The defendant has called but two witnesses who deserve the least credit. One is Mir. ADM:gluon Partridge, . who is a surgeon, and the :other is a ..surgeou, . and also a dealer in potatoes. (A laugh.) I should have thought that when I come to observe upon Mr. Alderman Partridge's evidence, which l 4 slt ,do without his peimiSsjon, that should have thought better of him e. if thefe 144 not been something about him that induced me to think he knew something of the defendant. I should have felt a great deal more, had I not thought that that gentleman had had the benefit of some other person's assistance in putting his questions, who might I.llWf prevented him from displaying his ignaronee, No doubt the editor and imProye together; and depend on it, whatever praiSe shall be due from Mr. Partridge to the, Lancet, he will have it ; but he must allow me to state, that it will not be any praise which the profession will look at, coming from such a publicetion. cri tical work of this sort, which roiaea a great deal of personal ribaldry with ila cepArto of imam of surgery., 11,Iihaltiry of thin descriptipti will, no doubt, have some iyeight with the minds of the vulgar, but with peo ple of team ning and of honour, it readers it more coutemptible. Every man who contributes to that work is celebrated in it. Every on e who does not is abused—and be will get cut down by the .anect., 7 ,-by the Lainberts—the Wakelys—antl tb? yityug pupils; and they will be lifted up in it - ip superiority of tlie'pupils of Mr. Cooper, Air. Travers, and all the others who are oleo of such Geutleineu, there is a certain privilege which belongs to this hid profession,_ it is something that is better felt than apainerl;-,and the map that does not feel it will not be capable of ap predating the 4rguloent address to you.. In the ordinary traffic of life, called commerce, there is a plain course of dealing of 'simple integrity, that marks the line between honesty, and the meaning of it is well understood by every man. But in the practice of a liberal profession there is,a f,.vrtain feeling of bogotir which Ilet:ords a gentleman, 4P4 which a gentleinao only coo feel ; which ren s dere it put sordid, but which gives it a character which belongs to such . a profession a cer t a i n dignity—a certain pride.which maker, a man feel that profit is a secondary (object to him,..-that fame awl repo. tation, awl imams of oddity, are its greatest rtAnunenda tiona—antl that every thing else is secondary. Either iu the profession of the lacy, or the proles,ioo equally honomiable, and, perhaps, equally useful,' or snore sir—that principle is debased—that principle is destroyed, if a man finds that it depends upon whether lie makes ciniceasions or ao tq • • the FOior of the .ancef. If he finds that it depends upon whether he makes useful cootrilmtiooa- , -that he Ofould court the author, to acquire that fame whiCh before was acquired by honourable competition and fair means; it introdoces into the profession. a means of degradation that ivoose§ liberty, and finally destroys it. What shall you say !tow of the difie rent sitoatio4 'pf imgeoxls.....if it this moment any of th4lonourable persons in that situa tiou were to tell you that all their reputation sues ac quired by such means—all th e es t eem of the pub lic may ltuocked down, and a man, •if he has pie Misfortf4!e to offend - !qr. Vl(akely, the Editor,' or some contributor to the Lancer, although 4 man may hive `that right feeling, and thoSe refined sen timents which would tit hint flir the honourable profes sion_ of a surgeon, yet still hiving offense I ihiS . person, he is t? lie held forward to the pubtie nit qnwortll 4f the •sitpa tion Wll'iCb s. h i old if in "the law, us in every .• " 4 • '• 014.. e where persons are ernployed . in doing that whieh'eu ahles them' to'kbfish their PeCuliar'effoits-Lif they were not to alio); ih'o• fai r eostuiefiti4 in a Court Of Justice to determine who Is the Javowie which tlui POlic should ettiploy ; b u t that it should be given before hand by suppression and false representation, would not that des troy the honour of the bar ; and would it not tend to degrade still move tIA honourable profession, if among themselves persona' were'to'befound capable of malting reports of their owb? Socha thing cannot befound In thd p'zrofeSsion to which I belong. 'But it has an 'example' in :the' profession of rildektve are treating to.alay; for you hate 110. is'afa to` bg getrig bit eight gob-leas a month, anti depend upon it Mr. *Lianberii gnue wifi'detiend much more upon the fame he gets in that publication than he will get from any other Honourable Member of that profession. Such a course it is that degrades a profession _such a course it is, that from my very heart and soul I *nth such a pcofsssicn mild net be so tainted, I return now tettlektimediiitatalijeultoifthe'faperationithichfilr.uCooper • v 1 i i tiPgib ri l*P 110 Is r(0 . 7 1 ,`f bOWei'lifte dfl o r .. He has pelformad many operations for the stonern my at Guy's Hospital. His successful operations have not been reported,—l do not mean to say that with respect to others of greater experience, or .who have performed greater numbers of such an operation,--I do not mean to contend foe . au 'instant that ne , a. greater.. spun eniinp'butcl spi4tk ofttlilrAranaby 6orier, Who/ fronalhis has"perfortned' many of •thc operations most difficult anti coinpliei;ted;.- 7 " thia 'oper4tiiin 'of 'the one ;! li e s pecially. ;; , Now, I shall endeavour to stat e to y o u teas • .• eticutarty vitt /011 are pet to under stand that I am giving you a lecture, Or St.., more of the anatomy of the case than the course of this proceedi4 rnal:en• it necessary I should be aware &don, there W4s' 11' tame iahert tiiis Vapprpc":k aa tiott whs attended Withlahriostt certain loss of /ire : I'V& improved' tqrgery of Modern' `times has much improved tide consequences_ et ih 4 4 . ; di aster, so thalthe number of those who die, in comparison with those who are saved, is very few to what it formerly was. &believe it is generally considered now that the number dying is about two in 15—that is, one to seven and a half. For wetly, they very rarely escaped. At one tune, a l num _ hers were as Qua to four or fire, now it is one to seven and p. 4alf dizordeir apinetinico attacks inf an t s , an d i n float furn i k - V '4i4s - 041 y Many are of that tender age that the stone May hc fq tracted almost to a certainty without hazard. With others the danger increases; but I believe that Mr. B. Cooper has performed the operation on perhaps one of the oldest men that ever suffered it—a person whose age was b 7. The operation is never performed on Ws adult till he himself feels that the pain he suffers, or the apprehension of 1 the loss of life is greater than the risk of the tiperatiOn e. Every man must jud ge o f th at b y hi s own f eel i ngs ; something in the apparatus more terrible than ire the 01 ) '" ration itself—soinethiug that operates on the wind being the subject of it; and it is nothing but the extreineel'7 or the apprehension of l oss o f life,, or under the hope , being relieved from it, that gives a party courage to go b ' mit to it. You may suppose, therefore, .that no euree' a was ever called upon to operate unless under extreroirY g i where the patient says._" I cannot live, I must die elid e ; it ; the urgency is . so great that I call upon yoU fur ineteer relief. All judgment is at an enel--you, must perform th e operetieu or I must die." What course is left but to per farm' the operation? Now be it un d ers t oo d t h at the pitetial'a; practice of different surgeons in some slight degree veri' b . but they are e ll em pl o y e d f or t h e sante en d . It i s no t province here to describe and remark upon the merits of the different echoole e You have heard that the Frea" ; hardly use any of the instruments that we do . . We u 55 the instruineuts . that we thiuk best, and those whieh.e re calculated togiVe the leasepain and uneasiness to the , The filet operation, however, is to ascertain the easiatill , of the stone. This is done by introducing throng; the urethra a sound—a small rod of steel ; this intrad" ct through the tender passage finds its way into the bladill Then by turnin g it a b out a li tt l e, i f it encounters a hg` substance, striking it with the instrument, theoperator heO f the sound of it, and ascertains the existcnee of stone. Tltat being done, then conies the operation. For the purpose of P . p operation—wh en I state to you the practice, you will 0 ' derstand me as stating it subject to any errors that n'e be corrected by and bye—the patient is tied down in a" simplest manner, an incision is then made is the perineto l between the scrotum and anus. The finger is introduced in to the bladder, and it very often h appens that where it is the @tee' is thrown out in a moment without any other instrument' In children th e p ar t s y ou are to operate upon do not 10 , froth the surface, and are easily reached by the In proportion as the person becomes adult, the parts ell' and therefore it is necessary, particularly, is adults, ill instruments s h ou ld b e b a d recourse to. No man .811°° ever attempt to attend • aneoperatien of this kied.seitloo' , having a number of.instrunteritsmith _He.weuld t ie most presumptuous. if be did. The eye u‘the oParat°‘ does not enable idea to see. in what situation the steno ti placed—it is ell touch And leel-,cousequently a variety ° I instruments must be necessary ; and every w." - A who attends as a surgeon knells ,that be is botal to have all th e instruments that are used in the school surgery in whic,h, be has been taught. The first operati° ° is then t o i n t ro d uce aga i n i nto t h e urethra this ,nun s or staff. .Air. Kaye, a most eminent surgeon of Hospital, has- been himself the inventor 'of the staff• - ' Ho, considers it highly useful.. Some use it, some do sot That is mere matter What he calls b° e staff is a_straight stick, not eurved, with a point. Of, urethra is a long can .which passes throug h ` what is called- the prosteree•:. gland, before it ea:. ter*. Abe . bladder, the prostate gland i . .. has a .communicationevith other parts of - animal lif e trim' I need not allude to. But it is o p ene d into:the bladder.'- the ,Okpastoing the *tall. you p ene t ra t e th e o p en i ng . into 1 prostate gland,'and inserted into the -bladder.f i e s :end h.s a curve iu it which is passed in front, and lbeesrL l 7.o the legs of the patient;: and the toe of the curve is,. that Wile I the operator ieuoduce* his .knife it toucher; the puior, the curve. When the.point. pf , the knif e i s i n t h e stall'' Alien knows he is in the tette direction of the urethra—' 4o he there. can get the eterostate, e gland, and by ,bringi • the staff forward, and altering. its position a little, 11 gets into ,tho bladder. Sir lunge- Scarlett then. an to explain the mode of Operating at some lore, If the forceps canno t fi n d t h e stone then the 'sound is ins° duce& through the. ,opeolog, and it ita, common prissti* ° ,. if the stone vaimot.be felt, to try etoundeoe des eeeet f o rce' The stone - may be enfolded in the bladder, or go si that it may be extremely difficult .ta get. at it. Than operator has recourse to the seoopewhich is an instramt like a tea spoon in its s h a p e . .With t hi s an erea - tiou it meat t the stone, and thereby cause, it to fall, so that maybe got at by the f orce p s . N ow , i t sometimes- hp.prs - that there are cases in whi c h th e mos t s kilf u l operato r baffled in his exertiorreto_reacla the stone, or to find out tr poaitian of it, and where the Cause why its situ ` ton Can't' last be asceetained has been only dieoovor e ,, e upon a post Inortem examinati on . A surgeon may ": Convinced that the stone may be lodged emne wher e e , . but still in a position wh ere h e cannot reac h it hy_er 4 .l l nary means. In that case other means must be relm", e t t e le to, and - a second incision m a y b ecome aeoesetsrP is the usual course of the operation, but I will come n il,. to the operation in T./ration, which was performed by It Bransby clooper. . 'I he man had been sent up from a pi: rich in Sussex. Now there were eminent surgeons 91 Brighton, and it was therefore only foie to asereme the case was one of great difficulty, ter the *pariah' Wee"' not have gone to the expeorie of sending him to L9'" don to be OperAted upon. However, he was sear! the Hospital, and Mr. Bransby Cooper saw him. thoughhe was a stoat man, with a hectic oempletio l ' Mr. Bransby Cooper, ascertained that his kidneys Waite' a disordered state, and that it was necessary to, p, o eteeP e. the operation until this disorder sat titiztted. It was 41:d cordingly postponed, until the agony be suffered rendic` te the opereti e n no hanger preps; to be delayed, until iu isb; o . it must be performed or the patient must die. 31r. CO made an incision, anti there was an immediate flot7 et , ttrine.- e -not a gush—for under such circtunstauaea tin ceold, ever take place, owing to the collapsing of the p; j • He then inserted his finger;but could only rea c h the p r ee tate gland, and could not rea c h th e bl a dd er . Thi s be er;e Alf at the time. Feeling how ever , b y hi s fi nger in the WO gland, that the wound was in the right direction be PI the forceps in to s ee if h e h a d reached the bladder. 1,17.e.' was most easily Iso be ascertained by the forceps, fig. Tee forceps being slieped like a pair of se4benre, could esaili , expanded withio th e Wale:. *IA if t h e Atone was is ordinary eiteaeion, would easily lay hold of it; but thee' peps could- not be expanded in a solid substance like prostate gland. Mr. Cooper, however, could not find t .e , stone; be had no idea e v en w h ere it . was . Th e fi rs t 0 1 , was, that the previous indications- were tallaciees e I. l l e that there was no stone - at all, and *A'. depot ye very anNiona l es e n y Helton might naturally u a , techO'ctiulStaleedie He then had the option to cal!. flay instrtuneate ell round th e Gl a dd er , to f ee l f or 17 atone, which would have reMilired force tit plaice a sec ° , incision ; he chose the iatter i and calling for Sir coopee'e kpife hp 04.1.14ge4 the wound, and then et4 a , l ;. tried the forceps, but without sue e n s . H e t h en thotili." , he would ascektain with th e soun d if i n d ee d t h ere le e stone, an d then, upon withdrawing the sound the point of that instrument struck the Ilene. VIII Inee that the etotte lad, as it eyete, upon the upper part jhmu, 119ilaccordipgiy it becime necessary to resort to bent torcepps which, by means of its curva t ure , m'u c touchthe slope bring it doWn.. The bin; however, could not tugtih Chia scour, and what their to be dope The only mode was to make a wound be tbe prostate gland, large_enough for the forchps CO t, intrOatic;d through it. Mr. Cooper then used the CIO but not the blunt gorget. •It was false to say that ti used the blunt gorget. He us e d th e cutting genet W e me) • is like a prolong e d scoo p, an d w hi c h h as two advatatert, •; first,,that of making th e woun d su ffi c i ent l y large; 'tea secondly, the Advantage of not being able to emake ic e large, for it cannot mike a wound beyondd - a specific !.10 Attording • to"all the I+s 1,1 mill la n te k'*o'up.4'l4ige erPligh . taiiihnit th e strit! i g gi il kireeps, while the abdomen. is pressed down; catch the stone. 'Phis was the course adopted, o o r succeeded. It is perfectly, true that Mr. Cooper did_ et y, that he could not imagine what was the diffier i of the case, but • when be bud discovered the e. o lHe may, 17,e had used 'ehe inuei ed eta . 1 . ( trOnipt naeanc cli Atertioinitni 'The sane *as: ' f` . ' • Ilattlat as i...werp epee etlie -the Pubis: o f; was no protruding end for the forceps to ley kohl :oi ly therefore the form of the stone and its position ! c e ep accounted for its not b e i ng caug ht by the far t ce What passed eubs eques tly? • Th a t w hi c h place after such n, treeretie, Feed rich isAitteltikic old to be cnivied jutoieffeietii4-i4toiti 3norttirn exetnine.tionoe jireherVation of the eiarta. In:the:emir= ee: thst,opel l e ,= Ira Calliway had himself and 't [r. 4litted he men of likill)"thiLiisi w ager CAP. be wound, to see if h e cou ld reach the bladder, bum p y could not do so. It was an utter falsehood w', that acv Aril tray wet!. He would call Mr. „ a ss la an w d ay, ol w it l i i l o nu ss io •o u t B dd ex te a l g l' g t e tr inn tha t t o it say ttra war cpti4eg she ieeciy, geßtleepre, ti f t 7 g ee Weist `.l witi.tese it, !!: for cutinsitY, put, his to IntO the wound., and could tot reach . the bladder, Z ee s not'sibq . •• s tba a t 1 4;$ 1 ed Tie fliOth of the Pell" , " . * • ' fa g th'e perineum was not deep, het hid eat'd . t not deep in proportion to the size of the man. The in the bladder precisely corresponded with theo', the wound, except so far as a sznall slip of no importeueel.P_ical e t : ig prostate gland, had not bit the v e ry spot of the oriP i,d. woend. There was a cellular inenibi aye betweeu the u 7. der and the rectuih, whi , !h was 'very ea , ' , ,ty j:,. 1 0 14 4 1 . an breach bail ea4en., :AO v,a # , l ),etk il l ' a ili4,f The i.vi4neyi ?!ieine, : il," add that ,eepiiee _7 1 ,„ an have contribnted t o th e men w itboPt 4'4 " having been perform e d a t a ll. Hodeekin rue" • „- eee an ti observation that this membrane sus easi.Y a ble, yet it wits ee Mr. Hudg perf,etly sound. At !Wall jaw ,. turned his back, L a mb e rt took up the I's' tt d " there is en opening between the bladder au(l7cliv reaura; r iroiti t 11 4 it ot eteti they 14(1 W i ,of ape a Aftu u !POrtB itej ( '1„ 41, :* 41 01 %d e enaiA )rt, ! ,1 41.44, Lht kblisl a 144 w r ,„ ge, : 41 1;atl 'ladr, ,`!ileer 4 , 1 ;..` wgA It' 'ARA Kilda Pup recti 4 Ppek kj "late, Final; „ ;g ym , : 4 ge ? t, th :44 l acti r 004 zy ` a r