The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1885-1921, 1885-06-15

Stimulating rather moro the character OF q
I localized pain Ia the head. rather than =
+ general headache set in, the location being
{ re erred to the side OF the head. or 70 the
/ region OF the ear.
0.-Only one side was afeeted2 A.
! Only one side.
/ O.-What was the character OF that
( pain Alt was an acute. aching pain,
( very severe IN its character. for which ap-
/ propriate treatment being given. Includ
! ing rest il subsiGed in day or two. only
/ TO rscur again after three or four days. I
/ may say in regard TO the treatment that It
/ consisted OF ieschlng the application of
/ seyeral leeChes TO and about the ear. and
/ irrigation by warm water. with purEaJIves
! and rest After a number Of days / say,
| il became Tecurrcnt-
O-SeVeTeR A.-ScveTe: 4 little more
| exaggerated than The first time. and under
/ a similar process of treatment IL subsidized
| again. | think about four times this con-
| dition appeared-t times 1t appeared
| and disappeared, but upon the fourth time
| it was in a much more aggravated fora
| going from bad TO worse. when II was de-
| terminsd that an operation upon the ear
would be necessary. DR.. Lane, at that
time
Q.-One moment What effect did this
trouble. and particularly this pain in ths
ear, seem to have upon the defendant
At generally Frustrated him, made him
| exceedingly irritable and excitable; ner
Yous.
Q.-You say Dr. Lane was consulted
about an opeTatiOnl Abr Lane at that
time was ust cOnVaiesciBg from a severe
spell OF sickness himself: was not able to
| leave his residence. and upon determining
that an operation was necessary, the
young man was placed in a carriage and
| in company with his father. | took him TO
DR.. Lanes residence. He was there
| placed under chic. oform. and DIR. Lane
| proceeded to perform the operation max
| ing free incision into the depth OF the
1 -. l.
operation was followed by mark I'd relief
| satisfactory relief. in fact for a number of
| days. After the lapse OF four or five days,
| or six, somewhere in that neighbOrhoJd,
| the pain again REQUIRED IN an aggravated
or intensified form.
FROM BAD TO WORSE.
Q.--The pain was more severe than it
had ever beenl Is that what you meanl
A.-MOre severe than it ever had been.
1t went from bad to worse. Dr. Lane was
still unable to leave his residence. Ad-
dirional counsel were called in; the young
man became delirious, talked of producing
| self destruction; talked of blowing his
brains out So intense was the pain that
it was uncomfortable. The first Consulta-
tion resulted in a delay of any operative
procedure. Upon tho next day. however.
an operation being determined upon,
counsel was called again. the young man
was placed under chloroform in his own
residence and proceeded to perform the
operation by making deep free incision
in the ear. opening or puncturing the ear
drum. which opens into the middle ear or
middle cavity Of the ear, permitting the
escape of pus from that cavity. at the
same time performing another operation
on the tissues on the outside, behind the
ear, cutting down through and boring
through the external plate OF the bone,
opening into what is called the mastoid
cells. cRncellous or cellular structure be-
hind the ear, which is also connected with
the middle ear, and permitting the escape
OF puS from that cavity. This wound was
kept open by means of seton or drainage
tube, and injections were made from the
one opening upon the other, or, at least
which passed from tho one to the other.
Q.-What connection has this bone
which you cut in behind the ear with the
Bkull2 Alt forms part of the skull.
$50 that in cutting into there you cut
into the skulli Al cut into the skull
Q.-What relation does the middle ear
that you speak of bear t. the brainl A.
1t bears a very intimate rela tion to the
brain. being separated from it by an ex-
ceedingly thin layer OF bony matter. In
fact, in few cases the bOny layer has
been found entirely absent, there being
only the Intervention of membraneous
$50 that you were very close to the
brain in performing this operation! A.
Yes sir.
GLOW much matter escaped AL
understand, matter escaped from the ear
and also from the wound behind the ear.
A.--Probably all together somewhere from
half teasponful to a teaspoonful.
Q.-What was the effect of that opera
ton upon the patient! Alt afforded
very marked relief-relief which con
tinued; that is, he continued to improve
after this operation. the Improvement
running through a number OF months
marked by occasional Increase of pain
and increase OF discharge OF matter.
Q.-The pain, then. did not entirely
cease as l understand Add not en-
tirely cease; it was greatly + ssened. and.
as L stated, with an occasional irregular
recurrence.
Q.-WAs he under your treatment all
the timer A.--All the time.
0.--Was the wound kept openl Alt
N.-How long did that wound remain
open, doctor, from the time it first
made in this operationl A.-The external
wound was kept open probably three
months. in the neigh6orhood OF that time;
the wound in the inside of the ear was
probably six months before it was entirely
closed. or closed permanently.
(Which wound was kept open three
months Z A.-The external wound, the
one over the mast id recess behind the
ear, where there was so much swelling
Q.-And the wound in the ear was kept
open how longl A.-That WAS probably
in the neighborhood OF live or SIX months;
six months Def re entirely healed.
HEARING IMPAIRED.
Q.-Was there or was there not any I'm
pairment Of hearing. as the result of these
operAtionsa 'A.-1here was Impairment
OF hearing as the result OF the disease.
Q.-Has that impairment of hearing con-
tinued TO the present time, do you knoW2
Alt has; at least it had the last time 1
examined him.
Q.-And you attribute it, as understand !
you, to the diseased condition OF the ear |
A-Yes, sir.
Q.-Haye you examined him recently as |
to that! A.-Yes sir; a couple of weeks !
or SO. found then that the hearing dis
lance was about one fourth that of the |
normal ear.
Q.-Was the patient kept here all the |
time. do you know. doctor Alto was !
not tina is to say. he WAS not kept here !
until April, 1881. lie was becoming ex- |
ceedingly restless in COuseg uenCe of bis |
confinement. When he had sufficiently !
improved 70 permit of his going out or |
doors t0 ride III the fresh mir he was Ill |
TeCtei TO do so. 1t was found, however, /
tina the cold clustering winds ana the /
iolting of the buggy over the c'bbIestone5 |
brought en- exuCeFbatlOnS or aggravated [
attacks Of pain. II was then recommended |
that he leave the city for time TO went /
to Apto1. 1t was proposed by his father 10 |
send him to the Islands but he 90 eCted 10 |
going there. but instead went to his |
fathers ranch at Aptos, where / accom- /
panied him.
Q.-You thought it necessary to go with
him. did you! Al did. on account OF |
his condition. He remained there between
one and two weeks. spent few days
with him there, and found him progressing
favorabIy when 1 left him and returned TO
my home and business. A few 0ays after
my return / received a letter from him, IN
which he stated that he waS still improV-
ing: the weather was pleasant and no spent
all the middle OF the day ont Of doors.
About two or three days after the receipt
Of this letter he surprised me by coming
into the office and stating that on the pre-
ceding day he had recurrence Of the pain,
which alarmed him to such an extent that
he thought it prudent to get back to the
CITY as quick as possible. He then pro
posed. as he had pro- osed. however. once
before to go on a tour of travel. He was
earnestly recommended by his attendants
not TO engage, or to attempt TO engag-, in /
any kind OF labor for at least the period OF
twelve months. He then stated that il !
would be impossible for him to content
himself here under such condition OF en-
forced idleness. Ills father proposed that J
he go TO the Islands, to which he objected.
He proposed, instead, that he make