Morning journal and courier., 1880-01-14
Price Four Cents. .


 painfully contracted also, and separate oper ation was found necessary to relieve it. The latter operation was performed about four months ago. This healed very rapidly, and then Tommys desire for new nose became very pronounced. Somehow he had heard of an English surgeon at Birmipgha building up nose for one of Her Majesty's subjects. and he importuned the surgeon at Bellevue day after day to try the experiment upon him. So earnest were his entreaties that at last the operation was determined upon. His courage and endurance had been thoroughly tested in the successive operations to which he had been subjected and it was felt that if the operation could be successfully performed at all it might be in this instance Accord ingly preparations were made for it and now 1t is far toward successful accomplishment.
 BUILDING THE NEW NOSE.
 About the 1st of November last six weeks before the surgical operation which laid the foundation for the nose that is now growing in Tommy's face was performed, the first step toward the end to be attained was taken. The middle finger of the left hand was frozen by being put in a freezing mixture of ice and salt. Then the nail was removed. Nitric acid was applied to destroy the matrix of the nail so that no nail would grow Dur ing all these preliminary operations Tomn1y's courage Jagged not, and his determination was as firm as ever to have the new nose built. Importunity and endurance had tri- umphed and on the afternoon of the 12th of December last, just one month previous to the reporters visit to Tommy's couch, the opera tion was performed. First of all the subject was placed under the influence of an anms- thetic. The skin was then removed from the end Of the finger to about the origin of the nall-the frozen, nailless finger already de- scribed. Two flaps were raised from the pal mate surface of the finger and silver wire armed with a needle at either end was passed thrnu0h hn T,,-DA were also raised from the face on either side of the opening of the nose aud then the end of the finger was placed in 0 pocket made in the skin where the nose formerly had been. The raw surfaces of the flaps of the finger were then stitched to the raw surfaces of the flaps of the face
 AT DEATHS DOOR,
 At this stage of the operation, owing to the palm of the hand being placed over the mouth and the trickling of blood into the windpipe. breathing was stopped. The patient became black in the face, and death was imminent. The operating surgeon, with wonderful cool ness, at once opened the Iarynx aud inserted tracheotomy tube-then the patient began breathing again, his life being saved by the judgment and skill displayed in the application of artificial respiration. The necessary rais- ing of the hand in order to perform tracheo- tony resulted in tearing some of the stitches, which were then replaced and the surgical part of the operation was complete. It only remained to bind up the wound air-tight and stationary. Linen and canvas, soaked in plaster of Paris, were then wound round and round the mans face and head, so that when the plaster dried he would be unable to move either, and his hand also is held in position by plaster of Paris bandages. Tommy was in excellent condition when the operation was performed, and he has been doing we'll ever since. He is able only to partake of fluid food, and this is given him through tube passed into his mouth through the fingers and underneath the hand But for his Iabored. stentorian breathing the observer might think him dead, so quietly does he lie and so blood less are his lips and cheeks. He is under the influence of morphine at all hours, but he is not always unconscious, and he uses his right hand and arm, which are free, to indicate his wishes.
 ToMMY's NEW NOSE.
 It is now more than a month that he has lain thus immovable, waiting for his new nose to grow from the middle finger of his left hand. Already the flaps taken from the finger have united with the flaps taken from the face. As the flaps unite the process of forming the new nose becomes more and more interesting. Nature has begun to perform her share of the work, but the supply of blood necessary to nourish the growing nasal organ must not be too little or too great. If it is too little the new nose will die, if too great new blood ves- seis will not form on Q plan sufficiently con- pSoIcHSlSe. At uISE It was necessary tlGE the digitsl arteries of the finger should keep up their supply of nourishment, but if this was maintained the blood vessels of the new nose would be only partially developed-hence it becomes incumbent upon the surgeon to de- stroy the circulation of the finger gradually that the arteries of the face shall develop suf- fcIently to nourlsh the nose ou their own &C., count. The gradual process is accomplished by tying the arteries one by one. With one of them this has been done, and so the sup ply Of nourishment from the finger is cut of already. The other artery is to be tied up later on, probably next week. When both dIgitaI arteries are tied there will still be little circulation from the finger and thisswill be allowed to continue some tine longer to assist tho vessels of the face in nourishing the nose. Finally amputation will be resorted to, aud then the work will be complete, except in so far as surgical aid may be required in mak- ing Tommy's nose thing of beauty. The amputation will be mado at the second pha. langael articulation or middle joint Of the finger. The bone of the finger will cores pond to the bridge of the nose, and the first phalangael articulation which would other wise make joint in the nose will become stiff and hardin 9 word
 The doctors at Bellevue i'll anchyIose
 Tha brave Tommy Coulter a brand new nose.
 The reporter, after visiting tho patient and seeing with his own eyes the living evidence of such remarkable surgical skill, en- deavored to get the views of the surgeons in regard to the operation. They were extremely reticent, however, but only on the ground that it would be unseemly to talk in the secu- lar journals on 8 matter so purely profes- sionai. The foregoing facts were obtained from one who was present at the operation, and for proof of it's success there is Tommy's growing nose in the first cot to the right up on entering the lower floor of the new brick building at Bellevue Hospital.