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"Look here, Terry, my boy! You be careful! They've been mighty good to us but do you remember the anesthesia? If you do any mischief in this virgin land, beware of the vengeance of the Maiden Aunts! Come, be a man! It won't be forever."
As has been mentioned in the chapter on diagnostic principles, if the condition is so painful that the subject does not relax the parts and crepitation is masked, local anesthesia is necessary. An anesthetic solution of cocain or novocain may be applied to the metacarpal or metatarsal nerves and an entirely satisfactory examination is then possible.
There was a new breeze, spicily cool. Miss Hoag breathed out, "Ain't this something grand?" "Giddy-ap!" cried the Baron, slappity-slappity at the great boulder of the Granite Jaw's head. "Giddy-ap!" They plowed forward, a group out of Phantasmagoria as motley a threesome as ever strode this side of the Land of Anesthesia. "How do you like it at Mrs. Bostum's boarding-house, Mr. Jastrow?
Hopf?" she repeated, then smiling to herself as people will when they are leaving the borderline of anesthesia, she repeated the name, "Hopf?" "Yes," persisted Kennedy. "There is no Dr. Hopf," she added. "Tell me did did they " "No Dr. Hopf?" Kennedy insisted. She had lapsed again into half insensibility. He rose and faced us, speaking rapidly.
In the human, as in the animal, the degree of acidity parallels the depth of inhalation anesthesia. Within a few seconds after beginning nitrous oxid anesthesia the acidity of the blood is increased. This rapid acidulation is synchronous with almost instantaneous unconsciousness and increased respiration.
The stage of excitation in anesthesia is insanity. The only difference between what is conventionally called insanity and the fleeting insanity of the sick and the injured is that of time. We may conclude, therefore, what must be the brain-picture of the person who is permanently insane.
This is shown by the muscular response to external stimuli made by the normal person in sleep; by the occasional activation of motor patterns which may break through into consciousness causing dreams; and finally by the responses of the motor mechanism made to the injuring stimuli of an operation on a patient under inhalation anesthesia only.
At the age of thirty-one the pains had subsided, leaving him completely disabled. All the joints except the fingers and toes had become ankylosed, and from nonusage the muscles had atrophied. There were no dislocations, anesthesia, or bedsores, and the viscera were normal; there were apparently no gouty deposits, as an examination of the urine was negative.
Since the nerve-currents in animals under anesthesia are not demonstrable by any apparatus at our command, and since anesthesia produces acidity, then we may infer that acidity reduces the difference in potential.
All around and about her, inexorable as anesthesia, horrid as the hush of tomb or public library, lurked the painfully unmistakable sense of institutional restraint. Mournfully to her ear from some remote kitcheny region of pots and pans a browsing spoon tinkled forth from time to time with soft-muffled resonance.
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