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Updated: June 26, 2025
There are, further, the suture wires in the knee-caps; Sir Morgan Bennet, having looked up the notes of the operation, informs me that he introduced three suture wires into the left patella and two into the right; which is what the skiagraph shows. Lastly, the deceased had an old Pott's fracture on the left side.
You can see them all quite plainly in the skiagraph. The lower left lateral incisor had a very small gold filling, which you can see as a nearly circular white dot. In addition to these, a filling of tin amalgam had been inserted while the deceased was abroad, in the second left upper bicuspid, the rather gray spot that we have already noticed.
Stones in various organs, such as the kidney, will be accessible to examination so soon as our methods have improved sufficiently for us to skiagraph through the thicker parts of the trunk.
Even after the hand has been dressed, it is possible, through the dressing, to skiagraph it, and determine the presence or absence of any such fragments of glass. Possibly before long we shall be able to determine also the presence or absence of solid foreign bodies in the larynx or windpipe.
That the flesh or soft parts are not wholly permeable to the rays is well shown in the skiagraph i.e., a "shadow picture" of a foot.
To illustrate the latter first, even one thickness of bone is difficult to penetrate, so that the attempt to skiagraph the opening which had been made in a skull of a living person by a trephine entirely failed, since the bone upon the opposite side of the skull formed so dense an obstacle that not the slightest indication of the trephine opening appeared.
Every now and then, patients, especially children, get into the windpipe jack-stones, small tin toys, nails, pins, needles, etc., foreign bodies which may menace life very seriously. To locate them exactly is very difficult. The X rays may here be a great help. An attempt has been made by Rowland and Waggett. to skiagraph such foreign bodies, with encouraging results.
You can see them all quite plainly in the skiagraph. The left lower lateral incisor had a very small gold filling, which you can see as a nearly circular white dot. In addition to these, a filling of tin amalgam had been inserted while the deceased was abroad, in the second left upper bicuspid, the rather grey spot that we have already noticed.
Efforts, therefore, to skiagraph the heart, the lungs, the liver, and stomach, and all the pelvic organs, probably will be fruitless to a greater or less extent until our methods are improved. While a stone in a bladder outside the body would undoubtedly be perceptible, in the body the bones of the pelvis prevent any successful picture being taken.
It will be impossible for me to even attempt to skiagraph all that took place on board the Germania from the time we left Naples of sunny Italy till we arrived in the docks of Brooklyn, eleven and one-half days' voyage with only a short stop at Gibraltar, that fortified rock for which Great Britain is ready to play all her power just to maintain that dry and ungraceful rock, but, the key of two seas, and in Azores Islands to exchange mail, our journey was a never to be forgotten continual holiday.
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