The Detroit times. [volume] (Detroit, Mich.) 1903-1920, 1915-05-27
DR.. w. B. COley, of New
York, Opens ID. c. Nj.
Clinic
INJURY TO LIMB
CAUSE OF TUMOR
DR.. Balm Amputates
Finger While Pa
tient Looks On

Is known, and which often ends
either In the amputstion OF the arm
or leg affected or the death OF the
afflicted person, sometimes In both.
was discussed by Or. William y.
Coley. OF New YORK. Americas lead
ing expert in this disease. in the
| opening clinic OF the annual series
OF the alumni association OF the De.
troit College OF Medicine and Sur
gerry. in Harper hospital. Wednesday
morning.
DR. Coley Is professor OF clinical
surgery IN Cornell university medi-
cal school; attending surgeon to the
General Memorial hospital for the
treatment OF cancer and allied dis
eases; attending surgeon TO the Hos.
| pital for Ruptured and Crippled;
| chairman OF the committee OF the
| Huntington cancer research fund
| OF the General Memorial hospital: a
fellow OF the American Medical as
sociation. OF the Southern Surgical
association and thu American Col.
lege OF Surgeons
Tall. well.built. with a massive.
well-shaped head. thickly covered
with brown hair. which IL beginning
TO silver. DIR. Coley talked OF his
subject NTH the greatest assurance
--an assurance that was not mitigat-
I'd by the fact that he admitted
many mistakes In practice. But the
mistakes certainly added TO his
knowledge OF the subject. and made
him an authority whose opinion Is
sought by surgeons and diagnosti-
clans In all parts OF the country.
"Sarcoma Is often so difficult Of
diagnosis that Tor hong time uyis
frosted ss lSssn tisui by the fatn.
lily physician. said Or. ToYsss ODD
third TO one-hah or the cases are
caused by antecedent injury $500
He. instanced the case OF boy
who was kicked above the knee
Though the leg was amputated, the
Zip >joint became affected. and the
I'd died eight weeks after the oper
-lon
Exploratory operations are re
-nrded as dangerous by some
errzcons." said Or, Coley 'Fhev
Oh VAT cells OF the tumOr are H.
bir b. freed and get into other
rr % the system and cause
ara '1sis used TO believe in
"e io'atory operations, but OF late
years / have changed my views. I
use them in some eases. but do not
make them my general practice"
Dr Coley advised against relying
100 such on NEGATIVE pathological
r-; ort instancing case OF tumor
- tho cyelid which, under treatment
by dcrmatologist. necessitated two
perGtions. one for the removal OF
he eve and the second for still
further cleaning OF the orbital cav
ity
Many cases yield to toxin. Or
Cooley told OF football player who
was kicked in the thigh. Toxin
was used and his leg was saved In
another case. that OF woman n
years old. who hurt her knee from
fall when dancing. DR.. Coley ad-
vised amputation. but her parents
refused The Joint was wobbly, thf
synovial membrane affected. DIR
Cooley tried the toxin treatm ant re
duced the sarcoma. and will prob.
ably save tho limb. though Il may
be years before danger Ia over. In
still another case OF sarcoma OF the
thigh-bone, Dr. Coley advised against
op sration, and used toxin instead
After three years OF treatment, com.
plicated by the fact that the patient
left the hospital for a period and
submitted TO treatment by her fam.
lily physician, who was not very IN
miiar with the use OF toxin, the
woman recovered
Another case cited by Or. Coley
was that Of woman who was
thrown from a carriage, causing an
injury 10 her knee. The microscope
showed no evidence OF sarcoma. Two
years later. there was an increase In
the size Of the growth on the knee
Still there was no evidence OF sar
coma. A tumor developed in the
side of the incision made for the
exploratory operation. and thong
the leg was amputated. the patien
died In six months
This proved TO me-" said Dr. co
ley, that there Is no means oi
showing. correctly and absolutely.
the real situation by an early dag
nosis."
The clinics were opened by Dr
10. q. Jennings. who discussed en-
largements OF the liver He brough,
In one patient. among others. who
was heavy drinker. His heart
said DR. Jennings. was affected By
alcohol until venous stasis was pro
duced. which brought about stasls
congestion OF blood In the liver
HE hasn't had drink In thre
weeks, for We don't serve grog f.
this hospital" said DR.. JennlnC