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On the days when his mind was most sluggish, or when he thought he experienced particular phenomena of vision, he inclined to a predominance of the original nervous lesion; while, if he felt that his limbs were affected, his feet heavy and painful, he imagined he was suffering the indirect influence of some ancestor come from outside.
The house surgeon did as directed. Angela was given specially prepared food and drink. She was fed frequently. She was made to keep perfectly quiet. "Her heart," the house surgeon reported to his superior, "I don't like that. It's weak and irregular. I think there's a slight lesion." "We can only hope for the best," said the other solemnly. "We'll try and do without ether."
Are we not justified in relieving their minds of needless fear and in showing them the way to prevent the dreadful sufferings of the secondary and tertiary stages brought on by suppressive drug treatment by means of mercury, the iodides, "606," etc.? These poisonous drugs suppress the initial lesion and diffuse the disease poison through the system.
This aperture was then enlarged until it allowed the passage of the bar in question, and the loss of substance strikingly corresponded with the lesion said to have been received by the patient. From the coronoid process of the inferior maxilla there was removed a fragment measuring about 3/4 inch in length. This fragment, in the patient's case, might have been fractured and subsequently reunited.
When the injury is in the dorsal region, there is paralysis of the legs and of the sphincters of the bladder and rectum, but power is retained in the arms and the upper intercostal muscles act, the extent of paralysis depending on the level of the lesion. In injuries to the lumbar region the legs may be partly paralysed, and the rectal and bladder sphincters may be involved.
Still, I could not hide from myself that he was a changed man since that voyage in search of health from which he had just returned. His mother talked in her humdrum way about heart disease; and his father, taking up the strain, bored us about organic lesions, till we almost wished he had a lesion himself.
The injury is usually unilateral, it occurs with almost equal frequency in breech and in vertex presentations, and the left arm is more often affected than the right. The lesion is seldom recognised at birth. The first symptom noticed is tenderness in the supra-clavicular region, the child crying when this part is touched or the arm is moved.
With regard, for instance, to congenital dislocations at the shoulder-joint, little or nothing was known save what was contained in the writings of Hippocrates, till R. M. Smith and Guerin discussed the lesion in their works. Among congenital dislocations, those of the hips are most common in fact, 90 per cent of all.
The essential lesion is the absence or deficiency of valves, so that they are incompetent and fail to support the column of blood which bears back upon them. Normally the valves in the femoral and iliac veins and in the inferior vena cava are imperfectly developed, so that in the erect posture the great saphena receives a large share of the backward pressure of the column of venous blood.
Besides the usual treatment for broken compensation in patients with this lesion, digitalis is of the greatest value, and the slowing of the heart by it, allowing the left ventricle to be more completely filled with the blood coming through the narrowed mitral opening during the diastole, is the object desired.