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He divides its affections into apostema, ulcus, putredo sive corrosio, et casus. Apostema was abscess, ulcus any rather deep erosion, putredo a gangrenous condition, and casus the fall of the uvula. This is the notorious falling of the soft palate which has always been in popular medical literature at least.
This then demands an immediate operation which if performed will show a gangrenous appendix that had ruptured! This is quite common and is looked upon as proof positive that an operation was justified; in fact, the proper and only thing to be done, and it should have been done earlier! This is the opinion of the majority of the profession.
On account of numerous strictures it was found necessary to remove over two yards of the small intestine; the patient recovered without pain or trouble of any kind. In his dissertation on "Ruptures" Arnaud remarks that he cut away more than seven feet of gangrenous bowel, his patient surviving. Beehe reports recovery after the removal of 48 inches of intestine.
He was dead before anyone could touch him. Insect bite? Disease? No one knew. Another had been even less fortunate. A lionlike carnivore had leaped on him during the night and clawed him badly before one of his companions blasted the thing with a power weapon. Three days later, the wounded man was begging to be killed; one arm and one leg were gangrenous.
I have frequently seen neglected wounds amongst the Confederate soldiers similarly affected; and as far as my experience extends, these worms destroy only the dead tissues and do not injure specially the well parts. I have even heard surgeons affirm that a gangrenous wound which had been thoroughly cleansed by maggots, healed more rapidly than if it had been left to itself.
Cameron, decidedly worse, and I wash my hands of all responsibility." The old army surgeon was clearly annoyed. Mandy sat silent, weary with watching and weary with the conflict that had gone on intermittently during the past three days. The doctor was determined to have the gangrenous foot off.
The wounds of Marie Borel are shown there; Marie Borel herself had been present in the Bureau that morning to report upon her excellent health. These were gangrenous. The ends of the broken bones were seen immediately before the cure, which took place instantaneously at the shrine of Our Lady of Lourdes at Oostacker. For the rest, the room is simple enough. There are a few chairs.
A narrow, winding slough; a half tide, exposing mud surfaced with gangrenous slime; the water itself filthy and discoloured by the waste from the vats of a near-by tannery; the marsh grass on either side mottled with all the shades of a decaying orchid; a crazy, ramshackled, ancient wharf; and at the end of the wharf a small, white-painted sloop. Nothing romantic about it. No hint of adventure.
The sheets were tinged with yellow, and with that substance which is said to be characteristic of this disease, the gangrenous or black vomit. The floor exhibited similar stains. There are many who will regard my conduct as the last refinement of temerity, or of heroism. Nothing, indeed, more perplexes me than a review of my own conduct.
A much larger proportion of amputations was performed than would have been necessary if the wounds could have received earlier attention. On account of exposures, many wounds were gangrenous when the patients reached the hospital. In these cases delay was fatal, and an operation almost equally so, as tetanus often followed speedily. Where amputation was performed, eight out of ten died.
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