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Johnson talked of the proportions of charcoal and salt-petre in making gunpowder, of granulating it, and of giving it a gloss . He made a very good figure upon these topicks. He said to me afterwards, that 'he had talked ostentatiously . We reposed ourselves a little in Mr. Ferne's house. He had every thing in neat order as in England; and a tolerable collection of books.
The separation of the slough produced by the charring of the tissues is sometimes attended with secondary bleeding. Hæmostatics or Styptics. The local application of hæmostatics is seldom to be recommended. In the treatment of epistaxis or bleeding from the nose, of hæmorrhage from the socket of a tooth, and sometimes from ulcerating or granulating surfaces, however, they may be useful.
Aortic disease, on the other hand, from the very fact of their strenuous life and occupations, is nearly three times more frequent in men than in women. If a chronic endocarditis has followed an acute condition, some slight permanent papillomas or warty growths may he left from the healed granulating or ulcerated surfaces.
Reverdin's method consists in planting out pieces of skin not bigger than a pin-head over a granulating surface. It is seldom employed. Grafts of the Cutis Vera. Grafts consisting of the entire thickness of the true skin were specially advocated by Wolff and are often associated with his name.
Skin grafting of granulating surfaces is chiefly employed to promote healing in the large defects of skin caused by severe burns; the grafting is carried out when the surface is covered by a uniform layer of healthy granulations and before the inevitable contraction of scar tissue makes itself manifest.
If a perfectly healthy granulating sore be well washed and covered with a plate of clean metal, such as block tin, fitting its surface pretty accurately, and overlapping the surrounding skin an inch or so in every direction and retained in position by adhesive plaster and a bandage, it will be found, on removing it after twenty-four or forty-eight hours, that little or nothing that can be called pus is present, merely a little transparent fluid, while at the same time there is an entire absence of the unpleasant odour invariably perceived when water dressing is changed.
Vanmeter of Colorado describes a boy of fourteen with a severe extensive burn; a portion beneath the chin and lower jaw, and the right arm from the elbow to the fingers, formed a granulating surface which would not heal, and grafting was resorted to.
First, you heave your cane into the centrifugals and grind out the juice; then run it through the evaporating pan to extract the fiber; then through the bone-filter to remove the alcohol; then through the clarifying tanks to discharge the molasses; then through the granulating pipe to condense it; then through the vacuum pan to extract the vacuum. It is now ready for market.
During the healing of these granulating ulcers there may be thickening of the part or shrinking of the tissue, and the valve may become shortened by adhesion to the wall, or the cusps of the valve may adhere together so that the valve becomes permanently unable to open properly or to close properly, or to do either.
Even the fluid from a blister, in virtue of the isolated cells of the rete Malpighii which it contains, is capable of starting epithelial growth on a granulating surface. Hairs and nails may be completely regenerated if a sufficient amount of the hair follicles or of the nail matrix has escaped destruction.
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