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The family doctor looked anxious and puzzled; a great surgeon was called in, and the two shook their heads together in very portentous style. It was a case of caries, they said, and Austin mustn't hunt sheep any more.
In the morning, they waded into the marsh, the friar with his breviary in his hood, to keep it dry, and hacked among the caries till they had gathered enough to make another raft, on which, profiting by La Salle's experience, they safely crossed, and rejoined him.
Tuberculous infiltration of the marrow in the surface cancelli breaks up the spongy framework of the bone into minute irregular fragments, so that it disintegrates or crumbles away caries. When there is an absence of caseation and suppuration, the condition is called caries sicca.
I modeled the nose up on the spot, for it was as plastic as clay, but the broken bone became carious, and, after enduring for two years the fear of having my head eaten off by caries, and having resigned the chance of having it shot off in the revolution, I decided to let my brother operate.
As Horace told you, caries of the bone has begun. At her age the bones are so tender." The operation was performed at the beginning of March, 1828.
In the present state of our knowledge, insufficient as it is, this explanation is the most. plausible. It is even more difficult to come to a satisfactory conclusion with regard to European examples of the practice we have been describing. Trepanation was certainly practised in the treatment of certain diseases of the bone, such as osteitis or caries.
To complete her misery, caries of the right knee-cap supervened, a gnawing disease, the shooting pains of which caused her to cry aloud. Her poor body, to which dressings were continually being applied, became one great sore, which was irritated by the warmth of her bed, by her prolonged sojourn between sheets whose friction ended by breaking her skin.
But if, as there seems no reason to doubt, these delicate nervous processes traverse the tusk by means of the numerous tubes already described, if attacked by caries the pain occasioned to the elephant would be excruciating. As to maintaining a stud of elephants for the purposes to which they are now assigned in Ceylon, there may be a question on the score of prudence and economy.
In acute arthritis, all the structures of the joint are involved; the articular cartilage is invaded by granulation tissue derived from the synovial membrane, and from the marrow of the subjacent bone; it presents a worm-eaten or ulcerated appearance, or it may undergo necrosis and separate, exposing the subjacent bone and leading to disintegration of the osseous trabeculæ caries.
Hence it appears that caries, when no longer labouring as heretofore under the irritation of decomposing matter, ceases to be an opprobrium of surgery, and recovers like other inflammatory affections.
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