TREATMENT OF SEA-SICKNESS
Authors: J. M. Sharpe
Journal: BMJ (1905)

r in o attack of indigestion set in.Next day he had much pain and tenderness in the gastro-hepatic region, accompanied by slight jaundice and retching, Collapse set in, and he died on July 20th.There was evidently chronic disease of the liver, possibly malignant.CASE CXXVIII.Hospital patient, sent by Dr. Lloyd Williams, Stone, Staffordshire.Vesioal calculus removed by litholapaxy two years previously Catheter employed for three years.Residual urine 21 OZ., foul, alkaline, con- taining much pus; specific gravity 1012.On September 28th, 1904, I removed the prostate, which weighed 3i OZ.The operation was easily accomplished and well borne, but the patient died uraemic on October sth.The kidneys were found extensively diseased. CASE CXXXVIII.Gentleman, aged 72, brought by Dr. F. W. Wright, South Godstone.Was in great distress from over-distended bladder, with extreme frequency of micturition.Would not employ a catheter.Suffering from an enormous naso-pharyngeal growth, blocking both nostrils, which had recurred after repeated removal and general catarrh of the air passages.On October 318t, I904, I removed the prostate, weighing 3i oz., easily and rapidly.There was scarcely any bleeding or shock, and in the evening his condition was quite satisfactory.Early next morning, however, the breathing became rapid and laboured, and there was inability to cough up the accumulation of miucus in the bronchi.The bronchial symptoms.increasing rapidly, the patient died that even- ing of heart failure.Though chloroform was employed, the bronchitis would seem to have been induced by the anaesthetic facilitating the accumulation of mucus in the bronchi in a patient the subject of chronic catarrh with naso-pheryDgeal growth. CASE CLI.Gentleman, aged 70, seen with Dr. W. Y. Orr; of Putney.Prostatic symptoips had existed for six years, culmipating in retention of urine November 28th, 1904; catheter passed with difficulty, and about a quart of urine with blood drawn off.On December 5th, Mr. Watson Cheyne being present, I removed the prostate, which weighed 4A-OZ., with great eae in flive minutes, with scarcely any bleeding.The patient was ex- tremely restless and excited the whole day aftor the operation.Urine very freely secreted for two days, but was of pale colour and devoid of the usual odour.Then it became scanty, and the patient died uraemic on December 8th.There was no autopsy, but doubtless the kidneys were diseased from the backward pressure of the urine for years. CASE CLXX.Hospital patient, aged 69, sent by Dr. S. G. Blackman, Portsmouth.Cathether employed for fifteen years; entirely dependent thereon for two years.Frequent attacks of cystitis and bleeding.Urine contained much pus, but patient seemed in very fair health and a favourable subject for operatiou.On March 8th I enucleated the prostate easily *nd rapidly-in five minutes; there was practically no bleeding or shock.Beyond some retching after operation progress was satisfactory for forty-eight hours, but on the evening of March ioth severe vomiting set in, followed by collapse, and the patient died early next morning.No autopsy was allowed.REFERE3NCES.