The northern galaxy. [volume] (Middlebury, Vt.) 1844-1848, 1845-10-07
Fer the Northern GALAXY.
MEDICAL.

MEDlCAL.
Addison County Medical Society con-
vened at Middlebury, on the Z3th ui,. Inc
meeting was very fully attended ana was oil
much interest TO the profession and Inc COM
muniIy. =.
The President and Vice President being
absent, DR.. J. Rice was called 10 the chair.
DR.. E. ID. Warner reported case OF ulcer
alton OF the Esophagus or meat-piPe subse-
quent to a severe and protracted case oil tyPh-
old fever. The patient, somewhat advan-
ced in life, gradually lost the power oil swal-
lowing. The least particle Of any iood IN
stantly produced a paroxysm OF coughing;
which amounted almost 10 straDgulalion. lie
finally died from inanition.
Post mortem examination revealed an ul-
cerated excavation about equl distant be-
tween the chin and lowest portion OF the neck,
in the meat-pipe and extending downwards
and terminating by perloratlon OF inc wihd
pipeInear the commencement oil us Diiurca-
lion and passage into the lungs. NO lnuma-
lion had ever been given that this organic
lesion had been caused by any irritantor cor
| rosive substance.
DR.. Allen remarked that the case ifnot
unique, was extremely rare That he had
known instances of death resulting from the
1
or a solution of Potash, thereby inducing "a
growing up or contraction oil the esophagus,
&c. but the passage between the esophagus
and the trachea formed by the gradual pro-
cess of diseased action was, so far as he had
seen, unprecedented. 1t must have been a
source of extreme distress TO the unfortunate
sufferer, as the morsel which he attempted 10
swallow must have passed into the irachea,
and by that meansproduced the severe cough
ing and suffocation witnessed.
He had been consulted in six or eight ca
ses in which this species oil partial strangula-
ton had been caused by the accidental intro
duclion ola foreign substance into the trach-
ca and bronchia. The first instance which
he saw occurred more than twenty five years
SINCE A child had gotten into the trachea a
kernel Of corn. II remained in that situation
several days, during which time several par
oxysms OF partial sufocation occurred, but
the substance was elected, when all difficulty
terminated. In another instance, a child had
gotten into the trachea a piece Of the pith oil
a corn stalk; this was in a few days sponta-
neously rejected. Another, child got into
this passage Coffee bean, and he visited a
young Lady who had passed piece ofmeat
into the wind pipe. Each Of these produced
temporarily intense suffering, but obtained
relief by the election of the foreign substance
without the operation Of tracheotomy.
But The last and most interesting case he
had seen was child, a year or two of age,
patient OF his friend, Dr. L. Bass. This child
had dropped into the wind pipe the brass zip
of an umbrella. At first it produced severe
paroxysms Of coughing and sullocalion. The
tip however, subsidized into bronchial tube
on the left side of the chest. It's location
could easily be distinguished by the distinct
and circumscribed whistle it produced du-
ring inspiration or expiration. 1t descended
as low as 10 the second or third rib. II re-
NAMED in this situation from the 10th of No
vembsr, 1914, ill the sth OF September, 1915
when lis Mother found the tip in the bed
where the child had slept. Some short time
preceding this event, it had experienced sew
eral paroxysms of strangulation and cough
ing. During the winter his respiration had
been laborious, and he had emaciated, but
when the weather became warm he recruited
and enjoyed tolerable health. During the
night in which the substance was elected he
had several severe fits of strangulation, and
at one time there was report like pop-gun
Since this event his health has become re-
stored. The brass tip is considerably oxyda
ted and appears Of dark color. 1t measures
seven-tenhs of an inch in length, is globulal
at one extremity and hollow at the other, be
ing an oval the shortest diameter of which
is two, and the longest three-tenths OF an inch
The subject of this case was child of Mr.
Bennett, OF Middebury.
The reliefin this instance, at least, must bt
regarded as accidental and fortunate, anC
vet not more SO than some other published
cases in which iracheotomy has been perform
ed and the foreign substance luckily caugh
aud removed with vaunted renown TO the op
orator. A case Of this description occurred
some fifteen years since, in Northern New
York, and, recently similar instance ha!
happened. The report of each may be foun(
in the American Journal of Medical Science
in the latter case probe was fortunately
passed through the trachea, into piece Of /;
pipe stem which was lodged in one Of The
bronchia, and on Withdrawing the PROBE the
stem came also.
DR.. C. Billiard, in compliance with an ap
pointment, read an Essay on the prevalen
levers of this region. He confined his re
marks mostly to what he had seen and expe
rienced. A considerable portion of his essay
was devoted 10 The Importance Of rightly nam
4 ing diseases, especially fevers. Typhous fe
yer, he remarked, was reported 10 have beer
a common disease. He had never seen G
case and he had conversed with some Of the
oldest and most experienced physicians If
this part Of the Country, and he had found
none who had seen case for the last twenty
years. The whole OF DR.. Billiards. essay was
characterized by sound sense and careful
practical observation. II was received will
, attention. and, it is believed, met the cordia
appreciation of all present.
Ii having been reported that DR.. Ives, o
WhitiRg, had had considerable experience
and good success in the treatment Of the Can
ker rash, or Rosala Pdristhmitica, was re
! quested TO favor the Society with statemen
Of his experience and success.
DR.. Ives remarked that since he had adop
ted his peculiar method OF treating this dis
ease, he had prescribed for over one hundred
and fifty patients. and that he had lost Blu
two, and these became his patients under We
, nv adverse circumstances. He had, therefore
, the utmost confidence in his plan. This wa
very simple and uniform. He commenced
by the administration Of an emetic of Sangui
maria, (sanguinaria cdnadensis.) This he pre-
pared by taking a teaspooniul Of the finel!
powdered blood root and putting it into one
third of "a teacuplul OF warm water-of thi
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