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There was no doubt that her pain was severe, but in conclusion, the old doctor did doubt decidedly the presence of gall-stones. He believed it to be duodenal colic. "I don't wish to give you a hypodermic," he told her. "I know it will relieve you quickly to-night, but it will set you back several days.
I am quite willing to pay fees in advance," said La Cibot; "it is one way of making sure of my money." Fraisier nodded. "How are you getting on?" he repeated. "I saw Poulain yesterday; you are hurrying your invalid along, it seems.... One more scene such as yesterday's, and gall-stones will form. Be gentle with him, my dear Mme. Cibot, do not lay up remorse for yourself. Life is not too long."
Tcherinov has sent me no answer, and from what I read in the papers and what you write me now I can draw no conclusion. Ulcers in the stomach and intestines would give different indications: they are not present, or there have been a few bleeding wounds caused by gall-stones which have passed and lacerated the walls. There is no cancer either.
Appendicitis is of longer duration, if it is a severe attack, lasting from two to four weeks, but after the first few days the patient is comfortable, under a no-food, let-alone treatment. Operation is not necessary. In cases of gall-stones, accompanied by jaundice and colic, it is not necessary to operate. Fasting and bathing will bring the body back to normal in a short time.
Cholecystotomy for the relief of the distention of the gall-bladder from obstruction of the common or cystic duct and for the removal of gall-stones was first performed in 1867 by Bobbs of Indianapolis, but it is to Marion Sims, in 1878, that perfection of the operation is due. It has been gradually improved and developed, until today it is a most successful operation.
The calculi in this case consisted chiefly of phosphate of magnesium and ammonium. Cordier of Kansas City, Mo., successfully removed a renal calculus weighing over three ounces from a woman of forty-two. The accompanying illustration shows the actual size of the calculus. At the University College Hospital, London, there are exhibited 485 gall-stones that were found postmortem in a gall-bladder.
And promise me that you won't delay a minute if I send for you for my gall-stones. If they get started, I die a thousand deaths." "I shall come at once, you may be sure, but tell the nurse to put those gall-stones to bed at ten p. m., because you and I are too old to be spreeing around during sleeping hours." But Mrs. Judson couldn't find a ghost of a smile for this pleasantry.
Tait reports 54 cases with 52 perfect recoveries. Cholyecystectomy, or excision of the gall-bladder, was first practiced in 1880 by Langenbuch of Berlin, and is used in cases in which gall-stones are repeatedly forming. Ashhurst's statistics show only four deaths in 28 cases. At St.
"Silence gives consent," Fraisier continued. "Let me have it to-morrow morning." "Oh! I am quite willing to pay fees in advance," said La Cibot; "it is one way of making sure of my money." Fraisier nodded. "How are you getting on?" he repeated. "I saw Poulain yesterday; you are hurrying your invalid along, it seems. . . . One more scene such as yesterday's, and gall-stones will form.
Then, too, for the emptying of the pregnant uterus, for the evacuation of the intestine and of the urinary bladder as normal acts, and for the overcoming of obstructions in these tracts, pain compels the required muscular actions, For passing gall-stones and urinary calculi, urgent motor stimuli are awakened by pain.
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