The times. [volume] (Richmond, Va.) 1890-1903, 1892-02-25

y Hi will do anything to iurtheT MS own
;,.arns,o lilo said emphatlcally; ,n
ins ss,tI;,I iii never be President. think
c III" c,axalands chances will not be az
tan,ed nv the silver question. II VIII sou, ~,
;,self i hardly think any canulua.e snls
wear will come out straight LOT 'no coi''s' u
silver.
a., account OK similar occurrence IN
,'1h,,"nd tho following from the World will
hs read with great interest here:
In the ampitheatre of the New York Hos
uital DIR. Robert r. Weir last week, removed
an enormous brain tumor from the head OF
pole forty-two years old. A number OF dis
tinruished physicians and surgeons and SOW
oral hundred students witnessed the opera
ton. one of the most difficult known to sur
gerry.
While ether was being administered to the
patient DR.. Weir thus addressed the audi
eDce:
In this country surgery OF the brain 10 at
present almost unknown. Few ventures are
made TO remove tumor from that part OF
the body although il is known that ueath -
certain 10 come t. the patient proihPey ~ a
horrible form if lett alone, ana tneio 10 h'
least chance Of cure from an operation III
Europe it is different SeNerm casc9 Iu'o
been operated on there with success OF late,
Professor Victor Horsley. IN Engianu' alu
Bilroth in Vienna have proved 10 my Saeis
faction that with careful antlseptc plecau-
tons IL is 40 safe TO remove tuihVi Ilo'i i...i
brain az from the abdomen. nN'e -,
doubt that this patient IS a suHeiei III,
tumor of the brain. Yet II IS not aDso'u'0'J
certain that such Is the case. IL.
The patlent was now ready for the Khile'
and after few moments consultation pc
tween Professor Weir and the specihiiS's Oh
the fret row of seats the cutting was CON-
menced. The patients head nad been slaE i'ad
The lines and brain centres lying Wluin H"u
been traced with ink on the scalp from CARE
full measurement. .:;
The SURGEON made a semi-circular incision
about three inches in diameter III the heshy
parts living over the base OF the skuH. no
flesh was then laid back revealing the wall Oh
the skull few scratches were mace on us
pllstening surface 10 give the teeth OF the
trephinc chance to take hold, ana a clrculhr
section of the bone about the size OF s"'Si
dollar was removed
Asa branch of one Of the arteries had been
injured by the operation. dangerous hem
orrhage had set in. and for time the sur
geons and specialists were unable 10 seize lho
bleeding vessel This was finally accom-
nhshed however. and the bleeding arrested;
Another disk of bone was then removed
inst above the first, and the bridge between
the two holes removed by means OF Iorceps,
TINS making the opening In the base 81 tue
skull about three inches long by TWO in0Ho'
wide ,i,, bod
The most difficult part of the operation nnu
now 6een reached exploring OF the era
niol cavtv and discovery of the tumOr. LILO
Darts within the skull, the conyolutons OF
tho brain arose into the bOny opening tense
and non pusating. The tissues were deeper
in color than usual and harder to the touch.
This tissue was now divided for two-thirds
the extent of the bone opening. As THIS was
done the parts beneath protruded. IL was
seen at once that a portion OF the protrudlng
tissue was not normal brain substance. IL
was in fact part of the expected tumor,
which was too large to escape through the
openinc. u was of deep liver color ana
much like liver in structure IL WAS enVei-
oned in the folds of partially transparent
sac. with larger vessels entering II from inc
dura and brain substance to which IL was AZ
With a director and with the edge of n
spoon-handle, thin. yellowish layer OF Dralh
tissue was separated from its outer side.
In the same manner the tumOr was zoos
ened on ali sides without damagetO the brain.
The deep and chief attachment Of the tumor
could not be reached without still further en-
larping the opening in the skull. ms was
done and the surgeons attempted IN VAIN 10
reach the base of the tumor without injury 10
the brain, one of the most vital centres or
which lay Immediately beside the tumor. 10
let the knife slip one-sXteenth OF an men
meant death TO the patient.
10 remove the tumor safely it had to be
taken away in pieces. Ia this manner 1t was
at last ali removed. but not without dan
gerous hemorrhage. The cavity from which
the tumor was removed was explored by inc
aid of a small surgical electric hBnl anu tno
bleeding was stopped.
The wounds were then properly dressed and
the patient removed to begin the real battle
for life
After the operation Professor Weir was al
most overcome the strain on his nerves hay-
ing been tremendous