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Updated: June 15, 2025
After this treatment the eschar occasionally remains adherent, but more frequently the fluid requires to be evacuated repeatedly, and this should be done every twelve hours, or once a day, according to the quantity of fluid formed, taking care that the eschar be not needlessly separated by allowing the fluid to accumulate underneath.
The place was covered with an eschar as large as a five-franc piece. The doctor turned pale when he saw the foot: then, making four servants hold me, and taking his knife, he lifted the eschar, and dug the mortified flesh from my foot just as one cuts the damaged part out of an apple. The pain was great, but I did not complain.
During the night he had much pain, and to-day there is much inflammation round the wounds. I applied the lunar caustic over both wounds and covered the eschar with gold-beater's skin to prevent the contact of the stocking. On the following day the eschar was found to be perfect. The pain had entirely ceased. There was a little vesication round one of the wounds.
So by coach home, and to supper, and to bed, having staid up till 12 at night writing letters to my Lord Sandwich and all my friends with him at sea, to send to-morrow by Mons. Eschar, who goes tomorrow post to the Downs to go along with the fleet to Portugall. 10th. To Whitehall, and there finding Mons.
At this time I had not begun to defend the eschar by the gold-beater's skin, and in consequence both these eschars were torn by the patient's stocking having adhered to them, and there was an oozing of fluid from the centre of each eschar on examination on the following day. I again applied the lunar caustic.
To my Lord Sandwich, whom I found at cards with Pickering; but he made an end soon: and so all alone, he told me he had a great secret to tell me, such as no flesh knew but himself, nor ought; which was this: that yesterday morning Eschar, Mr.
Eschar, makes a great com plaint against the English, that they did help the Spaniards against the French the other day; and that their Embassador do demand justice of our King, and that he do resolve to be gone for France the next week; which I, and all that I met with, are very glad of. Thence to Paternoster Row, where my Will did receive the L50 I borrowed yesterday.
Eschar spoke so much against the English and in praise of the French that made him mad, and so he went away. After a stay with them a little longer we parted and I home. 9th. To the office, where word is brought me by a son-in-law of Mr. Pierces; the purser, that his father is a dying and that he desires that I would come to him before he dies.
The peculiarity of the present case arose from neglect in evacuating the fluid effused under the eschar the day succeeding its formation, the consequence of which was that the edges of the eschar became raised all round, without however being entirely detached. Mr.
I applied the caustic in about half an hour after the accident, over the whole surface of the wounds, and protected the eschar by the gold-beater's skin. The patient was directed to keep the leg cool and exposed to the air. He took no medicine. On the succeeding day the leg was a little swelled, but the patient did not complain of any acute pain but only of a sense of stiffness.
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