, 1873-07-27

her on tho 16th The powders wero Continued they
were Judged % necessary to al13y . palm; in; ,no+ ~ n,
tenderness vet over the chest and In the shoulders
rected tho contnuance u the bromide of potass and
carbolc acid solution. Saw her again In tho eyoning
only .anatchcs Of Hleep" ~ she exprosaos It, Has
not taton the powders since ycatorday. Directed tho
T. iiaf III teaspoonful every two hours awake
Continue tho bromide and carbolle acid solution.
She only took ono dose VI tho paregortc.
In tue evening aho begged for something to relieve
tho pain which had become much moro decided, espe-
cally the nba and hardy move bed.
and stropin 1.S5 grain. sha went to sleep II about
morning. a1ter which sho was roateaa-slopt between
jan. 17.-Forni Ter in the morning absolutely help
swolsn- hot W s moist moist-tongae mo!st5palso
mal iu quality: Directed the following:
H. IT. Colchicl. ". ].
totaas. W Oarb. ors y.
posasa. cit......". "...'.........''.""''.. Or. ".
az. camp. u1. y.
H. Il. SOL Taio one tablespoonful every Two hours
This prescription was continued during tue dsy;
She was little Tightly whom left alone, 1nt recovered
tbo sa,ne Has not slept during tho dsy-la fact not
lection Of morph. 1-5 g. and atropin 1-76 gr..
Jan. Is, morning-Li1nba leas painful and tender
md eoosr cts thn last sop Setwoon a1 and ssves
hours unlur tho influence Of tho injection OF
rhine and aropin' directed the cochicum mixture
P.M.-Bowela have moved freely during tho day,
cop!ous watess sac,aEaes- better can use them
quito well -compluns OF pain most In right shoulder-
is very weary apd wants aoep. Discontinued colrhic
mixture aud gaye, oetwocn md p. m.. . hypodor-
JAM o orninaFounS ." her free from nn In
joutsmhad slopt several hours during the night but
", but answering intoligently when spoken to-puso
about 1ou Directed tho following:
H. IosaeH acct. ".
Potass Uromid. d.. II.
spts: Mt. Dn!o.. OF. J.
H. 4 so Take one ta1lsspccntui every two Is: noufs
i. M.-skln quite moist, but hot,-pulse moro
frequent, 1lb per mlnute regular Suspected cardiac
troaGle-fouud heart sou,l,is normal in quallty-no
nrttc,lar nin except n right Shoulder nnl this not
snverc. Discontinued diurotlc, and ordered tie fol-
Il. Sat. TT. Rad: Aconlto dr..
Morph: sulph. ................"...'.".g gt. y.
H. f. sol, Taie one eaapoonfui every Two hours "
Saw her three timea during tlia day. She slept dur-
Ing tho afternoon md evening only fow minutes at q
ino and then would start up suddenly. saying some
lhtug irrelevant, but upon being spoken TO- becoming
% Jan. %, morning-pulso co. aott moderately full,
regular rhythm. hr. 8. says that after my visit lsat
nght the puso went up to 1So nsr sy m IT,; % sa
Tongue moiat. Little or no pain anywhere. Stomach
toleEatea milk.
8p. m.-puso 81, regular, soft, moderately full.
Skin moist md coUi but nut cold apparently normal III
It's quates. Has had pain during tho dny. Dur
ing the last twenty hours las had continuous quet
sleep. Has been taking during tho day hsftcaspoon-
ful doses Of tho nconito and morphine mixture.
For the purpose OF procuring sleep, directed the
following:
Il. Chloral HydEato. DR..
9Yr. ....-,..-..-.-............f OF. y.
Glycouno. oz. j.
II. Il. sol. s.. Doso one Tablespoonful. ''''. - '
OF this mixture, one tablespoonful Wna ordered to
be giycn every hour I'LL Alo slept She took but one
dosy, mud boon after becano Wildly del1rious.
At 10 n. tn., or about that time, saw her aRa!n.
Tho plllso waa then 104, and somewhat irregular,
small, weak-brcathiug oppressive, pantinB-votnited
fluid matterB apparently milk aud muous, Immediate
ly after ca,no In-she Wns 1opol out of bod-d not
seem 10 lavo any pain. In answer to questions, CONS
planned only Of nausea aud oppression at epgasfFms
bhe had been now tweDtyfonr houra without contin-
noue Sleep aud gayo, for tho purpose Of producing
Il. hypodermto Injection Of morphine, gr. l.6 md
atropin, gr. LTD Bho wont to sleop IN about oghs
minutea-tho pulse BECAME moro TeBulnr at 1n1 per
Misunderstanding oasier but not freq and full-tlo
operature Of tho skln seemed to 10 normal, ana ID
pcither dry nor excessively most. --...
AHA. NJ OF the 2lat Waa Rent for and upon arrtY.
coRtinilouYy from tie time left-that between aud
eansed to breathe Hha lad nourahlnent ~ tho atom
sch would tolerate It, During the laat day or two milk
nB grateful and Bho took much OF 1t os she liked.
Throughout hur slcknoss, tho was Worse 1t night.
No, Aixtsenth atrcet, Feb. ], 1873.