Bransford Lewis

A METHOD OF AMELIORATING RENAL COLIC: REPORT OF AN ILLUSTRATIVE CASE

Few who have practiced in genito-urinary surgery for any length of time have escaped the soul-harrowing descriptions of the tortures of renal colic, as given by sufferers from that condition. It will, therefore, be needless to present any apology for rehearsing an experience that occurred to me during the recent winter, if the plan of action adopted at that time serves others as well as it did me. In effect, it promptly and readily cleared up a situation that was rapidly becoming serious, if not dangerous; and postponed for a more eligible time an operation that, if done earlier, might have brought calamity to the patient, instead of the relief that it finally occasioned. A brief history of the case follows: History. —A. D., an unmarried woman, aged 25, nurse, previously strong and healthy, began in the fall of 1907 to suffer from severe pain in the right side of the

PRACTICAL CYSTOSCOPY: ITS SCOPE AND LIMITATIONS.: WITH A REVIEW OF THE PROMINENT CYSTOSCOPES OF THE PRESENT DAY.

The cystoscope has been so thoroughly identified with the progress made in genitourinary surgery during the past decade that it is not without good reason that the chief measure of that progress has been ascribed to this instrument. Without going into the history of the subject, it may be said that practical, useful, modern cystoscopy had its beginning in the period of 1875-78, when Nitze presented his early models of cystoscopes. While the stamp of this parent stock is still evident in the instruments of the present day, there has been gratifying evolution from the heavy, complicated and cumbersome instruments of large caliber, hot lamps and unreliable cooling apparatus of that time, to the light and graceful ones, of wonderful precision and wide application, of to-day; instruments provided with brilliant lamps that do not burn, and with means for maintaining a clear field for observation and work. Ureteral catheterization, in

THE PRINCIPLES THAT SHOULD GUIDE US IN THE RATIONAL TREATMENT OF GONORRHŒA.: Read before the Mississippi Valley Medical Association, September, 1889.

If we were to reckon progress in medicine by stages, we could select no more apt a term for designating the present one than that of the Stage of Bacteriology. Bacteriology has assumed such an important role in all that relates to medicine or surgery, that our attention is drawn to it in the consideration of almost every subject in medical or surgical science. And yet, dropping from this lofty plane of thought, which tempts us into the field of glittering generalities, and limiting ourselves to the more practical question at hand, let us inquire, what has this all-absorbing and comprehensive study and knowledge of bacteriology done for assistance in the treatment of gonorrhœa? Has the hope of aborting, of quelling, of exterminating the disease by a treatment based on the discovery, study and acquaintance with the life history of that sturdy villain, the gonococcus, been realized? Have the methods

TRACHEOTOMY IN MORPHINE POISONING.: Read before the St. Louis Medical Society, March 21, 1888.

About four months ago, I read in the Medical Review , a short account of the resuscitation of a physician of Vienna, from opium narcosis by means of tracheotomy and forced respiration with a bellows. It seemed to me to be a rational and feasible procedure, and I determined to try it, should the opportunity present itself. On the afternoon of March 11, 1888, a young man was brought to the City Hospital in an unconscious condition. It was reported that about an hour previously, in ending up a debauch, he had taken an ounce of laudanum with suicidal intent. His condition then was bad; cyanosis was marked, the pulse was proportionally weak; and respiration, already shallow, was rendered difficult by the accumulating mucus in the trachea. The pupils were minutely contracted and immobile; extremities cold. The treatment usually carried out in the hospital in such cases was adopted; one-hundredth of