The evening times. [volume] (Grand Forks, N.D.) 1906-1914, 1908-09-22

an infant born fifteen days ago, has
been accomplished successfully in
Mount Sinai hospital, and is the first
operations of its kind of which there
Is record in Europe or America.
All the circumstances attendant up
on this delicate feat in surgery. are
regarded by surgeons as OF peculiar
interest.
Last Friday. a male child. then
eleven days old, whose father and
mother are Nathan and Rebecca
Goldberg, was brought to the hospi-
tai.
Apparently the baby was dying. He
was suffering from hemorrhages,
which had continued from the day of
his birth. He weighed five pounds.
The father carried him from his
home on a pillow.
The hemorrhagic condition in an in
fant of that age was so uncommon,
that nearly all the surgical staff,
were eager to make a study of the
case.
A specimen of the blood was exam
ined, and found to contain only forty
five per cent. of haemoglobin, one Of
the constituents of the red corpuscle,
which carries oxygen through the cir
culation. Death was regarded as in
evitablc.
One Chance for Life.
One Of the surgeons suggested that
there was one chance in ten thous-
and Of saving the child-by trans
fusion-and this was communicated
to the father, who Immediately ex-
pressed willingness to furnish as
much of his blood as might be need
ed
Preparations were made at once for
the transference of blood from father
to babe.
An unexpected difficulty arose. The
child's veins were mere threads, and
the extensive mechanical equipment
of the hospital did not contain an in
strument small enough to make an in
sertion.
The medium of communication used
In TRANSMISSION is called a cannula,
and is a pipe with stop-cock that
joins together the person who yields
the blood and the person who re-
ceives 1t. The arterial circulation of
the giver forces the blood through
the veinous system OF the receiver,
driving it into the heart, and thence
into the arteries.
/ The usual and almost invariable
method Of transmission is from the
arm Of one to the arm of the other.
Baby Goldberg did not have a vein
in his arm large enough to see with
magnifying glass. SO it was decided
that an incision should be made in
his femoral vein, which runs close by
the femoral artery in the leg.
Two operating tables were drawn
together, and the child, scarcely
breathing and pallid as chalk, was
placed alongside of his father, who
had been put under the influence of
ether.
The smallest cannula in the surgi-
cal collection was then adjusted. Or
dinarily this could have been done in
side OF ten minutes, but under the ex-
traordinary conditions 1t took more
than an hour, and demanded the
greatest delicacy of handling.
The Flow Begins.
For thirty minutes it did not seem
possible that connection could be
made between the two circulatory
systems, but 1t was accomplished at
last, and the flow began from the un-
conscious father to the wailing babe.
The change in the puny patient was
marvellous, and the doctors crowded
around the tables to watch the re-
suit. With each pulsation of the
mans heart the complexion Of the
child changed. From a CHASTITY white
1t began to glow to a paint pink, then
deeper, then red, and finally a BLUSH
scarlet.
The surgeon in charge, keeping a
record of both pulses, directed his as
sistant to shut off the flow at the
expiration of thirty minutes. 1t was
estimated that in that time a quart OF
blood had flowed from the arteries OF
the father into the veins of the child
The supply and receiving pipes were
properly closed, the baby was put in
charge OF two trained nurses, and the
father was sent to his home.
The child was watched day and
night with the profoundest interest
On the second day after the opera
ton the hemorrhages ceased entirely
An examination of the blood showed
that the haer1oglobin was nearly nor
NAL.
From the deathly pale color the ba-
by had when brought in last Friday
he had changed yesterday to rosy
healthy hue, and was sleeping peace.
fully. There is every indication, say
the doctors, that he will live and
thrive.
CHURCHMAN DEAD
James Carmichael, Lord Bishop ol
| Montreal, Passes Away.
/ Moa$..oal Can$ % H,ha Rax.