The New York herald. [volume] (New York [N.Y.]) 1840-1920, 1859-02-04

Dr. Allison decidedly in favor Of the employment OF
the nitrate Of silver in the treatment Of that cough and
irritation Of the CLOTHS, which are dependent upon the
presence Of tubercles in the lungs He says -
Much comfort benefit have been derived from uses
berces have been crude and when they have
breaking down q sse ,s and hs expulsion Of
their debris have not prevented this application from being
decidedly f4s 'Rosss fodS to King. College
0'p the iTeatmen. Of ynsea, bronchial, anS
pulmonary diseases, by topical medication, has
embodied his Cncal Lectures" recently published in
the London Medical Times and Gazette some Of his views
and recorded his experience in relation to this subject
the treatment Of these affections he employs and re-
commends the local application Of solution of nitrate of
silver haf drachm To the Of water) by means Of
probang thrust behind the epglos the Cloths
on the plan of Dr. Horace Greed, Of New York. DR..
| Todd says
could tell OF numerous instances Of coughs of the
% kind and q long duration that had resisted
four applications OF the nitrate OF silver ondon Medical
And finally Prof Bennett closes his valuable work on
the pathology and treatment OF pulmonary tuberculosis
by the following practical conclusions
rynx or arynx are mistaken for pulmonary tuberculosis
synn even ave when exists many Of the urgent
| The pharyngeal and lsryngeal com olicsions
IN with u
pulmonary Cst d nauce arresmn' the
But, Mr. President, this is not 1.-THE of the facts and
observations IN favor OF topical medication that might
altered from the profession elsewhere, this
End in Europe have spoken before the Academy of
Is employment In France altogether extensively
han in this country, and Of the efforts of such
Vapeau, Priory, De Paul and others of the Imperial
Academy, to ind some member Of the profession in
France for whom they might justly claim the honor
priority in this matter But falling in this they have
as many OF you know, In the words of NJ Trousseau
before the Paris Academy, generally awarded this ho
nor TO a member OF your own body. But how, Mr..
President has that award been by this Acadc
my, aud what consideration has topical medication
ceiyed at its handsp Its advocates stigmatzed
year after year for adopting treatment, and claim
ing to perform operations whose pratcabty and great
usefulness (aithough here denieD are now admitted
among the scientific Of the profession ia every country
Europe, now stands accused by Of your body Of
poying treatmen-this same treatment-whch he, DR..
Beaes, does not hesitate to declare " at all times at
tended with extreme peril and risk of tue patients lfe"
And more than this, sir he has accused me openly in
this Academy of having been by this treatment the i'm
mediate OF the death Of his patient" Sir, deny
thsutterly and absolutely deny IT, and here arragn
before this tribunal and that of the professional world
its author, for having uttered against Fellow of this
| Academy calumnous charge-one which he has not,
and which he cannot substantae have no desire to re-
crminate-I only seek for truth, and demand justice at
your hands But this will say in the words of the i'm
mortal Hufeand-"Wouid to God that the minds of all my
medical brethren could be forcby penetrated with the
truism as am, that he who degrades fellow prac-
titoner degrades himself and his art" cloud appause)
Sir will not recrminate for if my cause, IT the prac-
tcc which advocate cannot be sustained in truth and in
science, without sophistry Misrepresentation then let
it finish, and its author be forgotten. Applause and
Kisses
DR.. BEArEs then addressed the meeting follows
Mr. President and gentlemen, only regret that have
not come prepared with something written as my fellows
not expect to be called upon to speak again tonight after
having given my opinions frankly at the last meeting but
in consequence of the remarks of Dr. Green feel 1t due
to myself and my colleagues. as well as to the
Academy, to answer some of them. First, with
respect 70 the tubercles assert that there was not
the slightest physical sign of liberalization about
the patient. Tho cavity Of the apex OF the
lungs in opinion was not Of tuberculous character
And Dr. Green ia mistaken in saying that there was
slough found there said such thing. said 1t ap
peared, all thought though slough had separated
from that part We did pretend to lind it, did
i
before. 1t contained kind Of fluid and of false
membrane. have taken the pains since the last meeting
to read the standard authorities upon this subject and
assert that this not ubercuar cavity, described
by them. In this am confident that Dr. Mott and myself
agree, although have not asked him. 60 further and
say that every writer the subject of phthss states it
and exceptional case to find single cavity with
other signs OF tuberces SO rare that they are seldom
confined to one lung stated that would not cay that
this disease of the lungs caused by nitrate of silver
because confess my ignorance OF its effect upon the
lungs. DR.. Green has accused Of being ignorant OF
the writers Of my country have read them all,
and these doctors have not mentioned single instance in
which they speak of applications the larynx and
the lungs it is all to the arynx and trachea.
that it has been applied to the lungs in Paris; but do
not know the results The Doctor says that the nitrate Of
silver could not have caused any injury because 1t could
not have reached the lungs Why then, did he inject it?
Dr. GREEN-I have given the reasons
Dr. BEALs-Wh respect to the injury by the pr0bang,
will repeat the simple facts of the case:-rhat has
| cone thing hundred times thousand without acci-
ent, is certainly not proof that will not happen And
ere let correct another triang mistake. Neither the
atient myself said that the tube had been passed
Gown his throat the day of the accident but the patient
aid it was done few days before. He spoke of the in
strument, (by which understood the probang and he
said it had only been passed once-sx days before,
think. The patient breakfased at home went to market,
attended to his affairs, and then went to DR.. Green's,
where this operation with the sponge and probang
performed He said that the Doctor felt some obstruction
which he was forced to overcome remove; that he
Doctor that it hurt him. When / saw the patient,
he kept his throat grasped with his hand saying that
there he injured. The EXPLANATIONS of Mr. Whitney
that appeared in the papers stricken out of my
manuscript before handed ii to the reporters.
put it in because wished to make exact statement
Mr.. Whitney not only made that exclamation once but
probably forty or fifty times within eighteen hours of his
death. He said TO his sister, 81 dying man. What
horrible thing to be sent out Of the world murdered
in this manner! 1t was the testimony of man con.
scous that he dying. Here have the strongest
cuses Dr. Green Of doing it purposey. Neither DR.. Mott
nor myself wished to nculpate him. could bring evil
dence to show that did everything In my power to the
contrary Therefore his eloquent statement that
fessonal ought nure another, does not fall
upon my shoulders 10 the post norton we found lace
rated opening in the phaynx precisely in the spot where
the patient said 1t Is that evidence nO repeat
what l sad on the first day, that that lacerasion
caused all the choking and other symptoms for
three or four days. There obstruction commenced foreign
bodies were forced into the cavity which prevented the
epgottis from closing prevented deguon and respira
ton, gradually suocatng the patient That could not
have been diagnosed and had been there was no posi-
by for surgeon to have opened il under the circum
stances nor would it have helped the patient II could
have been done Every figures TO himself an abscess
with large collection Of pus filled with exraneous
substances, but especially with large masses OF
slough partly loose and partly hanging like wet tow, as
stated by Dr. Mott ask you, surgeons II an opening
would have saved the patentP Therefore, am perfectly
justified in saying that the death of the patient resulted
from that treatment.
DR. GREEN, in reply, said that he did not locate the
abscess cavity ia the lungs but distance from
them In reference to the practice of injection into the
lungs he bad not deemed necessary to cite the case of
Professor Bennett, of Elnbug who had used injection
with great advantage And they were using constantly
In Paris OF this time Trousseau had done IT, Recently
case OF incurabe Group reported in the Boston
Eauo and MI
| patient almost dead commenced tracheotomy. The child
died apparently under the operation They then poured
h'o te uach@ hal teaspoonfu of nitrate OF silver 20
grams TO the ounce Che himself only used 10 grains TO the
ounce) the child Capped coughcd and drove out piece
OF false membrane two and half inches length. They
followed up every two hours and the child recovered
NOW what would have become of that child IL the lesion
produced Inflammation and scoopng out OF the top Of the
ungF lie mad never heard of whore Injection
had produced dcctcrous effects upon the lungs though
the practce was known in this country and France II
hotng occurred that night nor had taken place within