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The fact already stated, that a form of moist gangrene, resembling hospital gangrene, was quite common in this foul atmosphere, in cases of dysentery, both with and without the existence of the disease upon the entire surface, not only demonstrates the dependence of the disease upon the state of the constitution, but proves in the clearest manner that neither the contact of the poisonous matter of gangrene, nor the direct action of the poisonous atmosphere upon the ulcerated surfaces is necessary to the development of the disease.
The groans of the sick around us were gradually hushing, as the abatement of the terrible heat let all but the worst cases sink into a brief slumber, from which they awoke before midnight to renew their outcries. But those in the Gangrene wards seemed to be denied even this scanty blessing. Apparently they never slept, for their shrieks never ceased.
I told her she could rest while I applied rag and turpentine to the plague spot on my canvas, and she went off to smoke a cigarette and look over the illustrations in the Courrier Francais. I did not know whether it was something in the turpentine or a defect in the canvas, but the more I scrubbed the more that gangrene seemed to spread.
So, her cool smooth hand resting lightly over his, where it lay on the sheets, she listened to the home-sick man until it was time to give another sufferer his swallow of lemonade. Later she put on a gingham overgown, sprinkled it and her hands with camphor, and went into the outer wards where the isolated patients lay where hospital gangrene and erysipelas were the horrors.
Treatment. The general treatment of embolic gangrene is the same as that for the senile form. Success has followed opening the artery and removing the embolus. The artery is exposed at the seat of impaction and, having been clamped above and below, a longitudinal opening is made and the clot carefully extracted with the aid of forceps; it is sometimes unexpectedly long (one recorded from the femoral artery measured nearly 34
On account of the anæsthetic action of carbolic acid, the onset of the process is painless, and the patient does not realise his danger. A line of demarcation soon forms, but the dead part separates very slowly. #Gangrene from Frost-bite.# It is difficult to draw the line between the third degree of chilblain and the milder forms of true frost-bite; the difference is merely one of degree.
C. made the autopsy of a man who died suddenly, sick only forty-eight hours; had oedema of the thigh, and gangrene extending from a little above the ankle into the cavity of the abdomen." Dr. C. wounded himself, very slightly, in the right hand during the autopsy. The hand was quite painful the night following, during his attendance on the patient No. 1.
In the Field Ambulance or Casualty Clearing Station further measures are employed for the relief of shock, and urgent operations are performed, such as amputation for gangrene, tracheotomy for dyspnœa, or laparotomy for perforated or lacerated intestine.
As to the council of state, the limited powers of that body, under the administration of the Cardinal, had formed one of the principal complaints against that minister. The justice and finance councils were sinks of iniquity. The most barefaced depravity reigned supreme. A gangrene had spread through the whole government. The public functionaries were notoriously and outrageously venal.
And then they told him stories of people who had all been cured by other remedies than his. Then by way of consolation they added: "You give way too much! Get up! You coddle yourself like a king! All the same, old chap, you don't smell nice!" Gangrene, in fact, was spreading more and more. Bovary himself turned sick at it. He came every hour, every moment.
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