The Memphis appeal. [volume] (Memphis, Tenn.) 1886-1890, 1888-10-17

operation than tracheotomy.
- Inc protocols, which it is proved tina
frois. Gerhardt and Won Bergman sen
into the Haus Ministerium, would ais,
furnish interesting reading and woulC
snow what really were the views of thes,
gentlemen before was summoned {,
| Berlin. "
The first report of Prof. Virchow woulC
also be highly instructive.
can only hope that these document,
ana other matters bearing on this histori
cal case will some day be made public.
j. az least, have no reason to fear tn,
full light OF day. NJ. NJ.
NO. ~ HARLEY STREET, Oct. 10, 1883.
CALLED TO BERLIN.
This brings us TO the opening OF the
treatise.
SECTION l.-Historical reception by the Crown
Frlnce on the evening Of Wednesday, May Is issT
AS was about TO retire to rest, after A
day OF hard professional work, received
q message requesting me to proceed TO
Berlin to see His Imperial Highness the
next morning, and reached Berlin on Fri
day, May 20 being met by DR.. Wcgner.
We drove at once 10 the Kronprinz
Palais.
i had scarcely time to change nv trav.
cling clothes before the Hoimaychal.
Count Radoinski, came TO conduct me to
the Crown Prince, who received me most
graclously, apOlogizing with the charming
ooO"ome which endcarcd him TO all who
Knew him for all the trouble which his
throat was causing to other people, and in
particular Tor the long and iatiguing Jour.
ney which il had cntailed on me.
INTRODUCTION TO MY COLLEAGUES.
Ihereupon was taken to another room.
where ! found the following physicians
and surgeons assembled Professors Ger
hardt, Won Bergman and Tobold: DIR. Won
iAuer physician in ordinary 10 the aged
Emperor and Medical Director General in
the German army; DIR. Wagner whom |
nave already mentioned, and DR.. Schrader,
another military surgeon, who occasionally
acte as DR. Wagner's deputy in attend-
ing the imperial family.
with Professor Gerhardt | was already
personally acquainted, and he was known
TO me professionally rs q physician who.
in the midst Of his labors in other depart.
ments OF medical science, had found Time
10 give some attention to diseases Of the
throat
Professor Won Bergman had heard Of
IN connection with the Scryian and Russo
Turkish wars, and ! knew that lie had
been called from 81. Petersburg To take
the char OF urgery at Berlin, after il had
been declined 10y Professor b llrOlh, OF
Vienna, and Professor Nolkmann, of
Halle, TO whom II had previously been
offered
| had never however seen him mem
toned in laryngo.ogicll literature. save ~
a somewhat unfortunate operator in few
cases Of cXtirpation OF the larynx.
Professor IobOld's name had at one time
been familiar 10 me as that OF one of the
earliest throat physicians in Germany; but
IN the development Of the specially lac
had dropped almost entirely ont Of notice
aud had grown TO be little more than a
nomins unbro 10 the present generation OF
REASON FOR SURPRISE.
/ confess that felt sons surprise that
among those with whom | was invited 10
take counsel in case Of such importance
there was not at least one OF the leading
German specialists In throat diseases
Every lgryugOluyist could without din.
ANNNt' NfhNNhl NUN All NflNNlNIlN " IlI
reputation IL not confined Ia their own
country. Their absence here seemed 90
me - significant that ! rather hastily con.
cludcd that the august patient must b.
suffering from some obscure disease oi
which The laryuggal affection was only an
accidental complication. W,gncr and
Gcrhardt gave me history oi the case
and | then examined the Crown Prince
The question OF the diagnosis by Dr..
Mackenzie then continues
TitE WRIST CUNuIrAriov.
When had made my examination the
other doctors aud Withdrew 100 the orii-
nury way 30 discuss the matter. Profess.
1r Gcrhnrlt AMI Tubold gave a positive /
opinion that the disease was generous,
and Professor won Bergman. though cX- |
pressing himself more gulriclly, sub5tan. |
tally avrccd with them.
Al three were unanimous IN thinking |
that emitting operation from the outside |
would be nccg-s ry i9r the removal OF the |
growth
The precise nature %, the surgical pro.
'Cduro that would De- required was mover. |
however, discussed in my presence In |
.uct. our consultation mover reached ibc |
stage at which th0i question would have |
come up iUr consideration.
When it came To mv turn 30 speak I |
aid that there was nothing Characteristic |
n the appearance oi tAG growth and that |
. was quite impossible 90 give definite |
opinion as 20 Dos nature without moro I.
examination.
= GRAVE ovuisI0N.
pointed oli hat the opinion expressed /
ly my colleagues had been come 90 on .
what seemed 90 mr Co be- insufficient
grounds, anI ih1i they bad omitted thc /
most essential and at The umc time the |
most obvious means ul arriving 90 q cor. /
rect diagnosis. Tho iir, tl.uE 90 De done |
WIS to pick ont piece oi tb' growth |
through the natural passage, and have % /
examined miyruscppIriliy 10y uu expert, |
Professor GpThlrlt said II would br dili- |
.ult, II not impossible. 90 DO this 900 ur- |
rount Of the awkward situation Of The |
growth, aud Professor IobUil expressed o. |
similar opinion.
while freely admitting that thr opera /
lion in this case presented exceptional .
! said that | Thought 10 could .
be- done, and that at ans rate 10 should Uc |
attempted. ] then turned b. Professor |
icrhlrlt aud said 90 hint
"Will YOU tyg'
lie replied
81 cannot operate with the iucpps.'
next asked Professor Tub0ld il hc
would make Tie attempt, bat hu Hlsp doc
clinpd, saying. 81 no longer operate
These replies increased tuc surprise
which ! already iyIt AL ease OF such q
nature having been iniruaed to tuc hands
ll these nrutlnmpu EDf IA fhr.lI sU#g.HIa Z
lst Who cannot use the sicthoscDpD s IkU
q carpenter who cannot handle q saw.
LuL NM. uuun LLLu.