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Few men are ever called upon by untoward circumstance to know the sensations caused by rattlesnake bite, knife gashes, impromptu cauterization, and, topping the whole, the peculiar torture of congested veins and swollen muscles which comes from a tourniquet.
No good comes from the use of blistering ointments immediately after cauterization. The actual cautery is a means of producing all necessary inflammation and it should be so employed that sufficient reactionary inflammation succeeds such firing. The use of a vesicating ointment subsequent to cauterization invites infection because of the dust that is retained in contact with the wound.
Seat the patient upon a stool in a bright light while an assistant holds the head; after the tongue has been firmly depressed by means of a speculum let the assistant hold this speculum in place. With the left hand then insert an instrument, a stilus, by which the uvula is pulled forward, and then remove the end of it by means of a heated knife or some other process of cauterization.
Alexander was a strong opponent of drastic remedies of all kinds. He did not believe in strong purgatives, nor in profuse and sudden blood-lettings. He opposed arteriotomy for this reason, and refused to employ extensive cauterization. His diagnosis is thorough and careful.
A suspicious appearance, that indescribable something which all understand and none can define, was sufficient reason that society should take a man by the collar. "Where do you live? How do you get your living?" And if he could not answer, harsh penalties awaited him. Iron and fire were in the code: the law practised the cauterization of vagrancy.
The mortality of genuine hydrophobia is from 30 to 80 per cent, influenced by efficient and early cauterization and scientific treatment. There is little doubt that many of the cases reported as hydrophobia are merely examples of general systemic infection from a local focus of sepsis, made possible by some primitive and uncleanly treatment of the original wound.
Of death he spoke gently as "our sister death;" and when, during his illness, his physician was obliged to cauterize him with a red-hot iron, he blessed the iron, speaking of it as "our brother fire," and submitted to the cauterization, or moxa, without a murmur or sign of pain.
When spavin is bilateral and lameness is likewise affecting both members, prognosis is at once unfavorable. Such cases are often benefited by cauterization but only one leg at a time should be treated. This operation has its indications, however, and may be recommended in chronic lameness where no extensive exostosis exists which may mechanically interfere with function.
Sometimes, however, twenty-four hours after a simple incision, not followed by cauterization, these productions acquire an almost incredible size. It seemed, in M. Rigot's case, to be impossible to conquer the evil, and the patient was destroyed. A Newfoundland dog had long been subject to mangy eruptions on the back and in the feet.
He then surrounded the limb with the live coals or charcoal, which was replenished until the leg was literally burnt off. The cauterization thus applied completely checked the hemorrhage, and he was able in a day or two to hobble down to the Sound, with the aid of a long stout stick, although he was more than a week on the road." But he was a fastidious native.
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