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Updated: June 1, 2025
I have often thought with myself that I went on too far, and that in so long a voyage I should at last run myself into some disadvantage; I perceived, and have often enough declared, that it was time to depart, and that life should be cut off in the sound and living part, according to the surgeon's rule in amputations; and that nature made him pay very strict usury who did not in due time pay the principal.
After selling the medical attendant his feet he admitted that he had purposely performed the amputations himself, starting about a year previously. He had fastened cords about his ankles, drawing them as tightly as he could bear them, and increasing the pressure every two or three days. For a fortnight his pain was extreme, but when the bones were bared his pains ceased.
There are thus, to sum up the points to which we have alluded, three sorts of scars now disfiguring Gothic architecture; wrinkles and warts upon the epidermis these are the work of time; wounds, brutal injuries, bruises, and fractures these are the work of revolution, from Luther to Mirabeau; mutilations, amputations, dislocations of the frame, "restorations," these are the Greek, Roman barbaric work of professors according to Vitruvius and Vignole.
Between these cases are lateral openings, perhaps eight feet wide and quite deep, and in these were placed the sick, besides a great long double row of them up and down through the middle of the hall. Many of them were very bad cases, wounds and amputations. Then there was a gallery running above the hall in which there were beds also.
It seemed too far from me; sometimes even farther than now. When I came in here to-night, and heard your voice I knew what it would mean to come home. We must not ask too much. Many have never known what has been given to us in these few minutes." "We must not ask too much," he repeated. She saw that he had a vivid picture of her day in that house of amputations, that the picture had stunned him.
The disclosures of the microscope are often more terrifying than the amputations of the knife; but by thus studying both myself and my contemporaries I might perhaps arrive at the solution of the problem that was troubling me that is to say, why I, with every ostensible reason in the world for being happy, was not! This, then, was to be my task.
At the Advanced Dressing Station, after the patient has had a liberal allowance of warm fluid nourishment, such as soup or tea, a full dose of anti-tetanic serum is injected. The tourniquet is removed and the wound inspected. Urgent amputations are performed. Moribund patients are detained lest they die en route.
I am very far from being an advocate for great severities towards young people, but I confess in cases like these, I think they are as necessary as amputations, where the distemper has spread so far that no cure is to be hoped for by any other means.
Joe made careful inquiries of one of the friends he had made among the road kids, and this boy told him that oftentimes these inhuman monsters continued the lye treatment for such a length of time and so fearfully corroded their helpless victim's limbs, that blood-poisoning set in and made amputations necessary to save their lives.
The utter hopelessness of the case justifies almost any means of relief, and many of the visceral operations, resections of functional organs, and extraordinary amputations that were never dreamed of in the early history of medicine are to-day not only feasible and justifiable, but even peremptorily demanded.
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