The Leavenworth weekly times. [volume] (Leavenworth, Kan.) 1870-1880, 1875-06-24

Or. L. Iounkin, Of this city. Although it
radically differs from the opinions OF the
physicians in charge, yet, in accor-
dance with our established rule OF Civ
ing everyone free hearing, We present it
TO our readers
DR.. YoUNKIS's OPINION OF d. r. ANTHoNY's
CONDITION.
Much anxiety is manifested in the minds
OF our citizens as TO the true condition OF
Col. ID. X. Anthony, who was shot Nav
tenth last, in the right breast. Having
made an examination of the case, and hav-
ing formed my own opinion, l have'no hes
ititation in giving it to the public or offer
ing II TO the severest criticisms of my pro.
fesiional brethren.
l saw the case in ten minutes after the
shot took its effect, and while at the time
doubts were entertained of his recovery.
l was one, and perhaps the only physician
present, who expressed possible chance of
his getting up again. No physician being
Justifable in making an examination by
means OF a probe, they necessarily had 10
rely upon the symptoms in the case, in con-
nection with an external and superficial ex-
animation. Ii was readily expressed by
some that the subclavian artery WAS sever
ed, and hence death must inevitably soon
follow. ] was not so free in making up
my mind in this way, but was lead To- doubt
this diagnosis Of the case. The corlitions
that led me to conclude otherwise g,
First: The ball struck the CLAY lie or
collar bone, and having first struck this,
1t might shield or turn the ball TO one side.
Second i: The nature of the bleeding and
Its sudden Cessation did not indicate a sew
ering of the artery.
Third: felt perceptible pulse in the
arm, below the wound.
Fourth From almost, If not quite, an
impossibility for a clot OF blood, in gun
shot wound, 10 stop the force OF blood from
the heart, 20 near TO this organ, and in a
vessel as large AZ that OF the subclayian
artery.
have therefore maintained that the
blood that flowed Tor so short time came
from the srbclavian rein, instead of the
subclavian artery, or if any of il came from
the artery II must necessarily be from a
very small puncture.
Now, having quite recently examined the
case more thoroughly, l find that the pres
ent symptoms bear NE out in what | have
previously stated.
The Colonel still lives, and is in a fair
way for recovery. Upon examination yes
terday / find an unmistakable aneurislai
rdriJ, which, when explained, is a wound OF
4 contiguous artery and vein together, so
that the blood is allowed TO pass from the
artery into the vein and from thence back
TO the heart. The consequence is the vein
L. as hacnvna To-
ing a jarring sensati IN TO the touch, and
which, when examined by a good stethe-
scope, gives peculiar drumming sound,
and noise similar 10 the purring of a
cat.
The wound in the artery, however, is
but simple puncture. cut either by the
ball or a spicula OF the broken collar bone.
and is so small that a goodly portion of the
blood is compelled 10 make its circuit
through the artery into the arm. This |
determine from the perceptible pulse in the
arm, from its being we'll nourished with
blood, having the natural warmth, and no
tendency to oedema.
The symptoms declare no uncertain dag |
nosis in this case. They are the next thing |
to actual sight. and l am willing 10 risk NV |
upon what | have determined |
In this case.
DIR. Hunter, who stands at the head Of |
surgical authority, first describes this diff |
Guilty in the Med. Obs and Inquiries, Vol. |, |
page $40, but Dr. Cleghorn first gave it the |
name which denotes its popularity.
DIR. Syme, F. X. S. f. of Edinburg, who
must be taken as good authority, SAYS that
varix may occur in any part
Df the body where large artery and vein
are contiguous, and instances of it are
ound in the femoral, popliteal, carotid and
;ubclavian vessels, from wounds"
Aneurismal varix is more announcement
han dangerous, hence believe that D. X.
Anthony's chances are good.
1t is seldom necessary to do more than
'pply congresses and bandages over the
INJURED part. Sometimes surgical interior
nee may he necessary but compression is
he rule, and legation is the alternative.
E.Y.