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Updated: May 6, 2025
Eldredge presented a hopeless consumptive, who as a child of five had swallowed an umbrella ferrule while whistling through it, and who expelled it in a fit of coughing twenty-three years after. Eve of Nashville mentions a boy who placed a fourpenny nail in a spool to make a whistle, and, by a violent inspiration, drew the nail deep into the left bronchus. It was removed by tracheotomy.
Then he turned up in Sussex with a little girl, who had been saved from diphtheria by tracheotomy, and some unknown quack. There was a scar to prove it. The tender parent pointed it out triumphantly, and railed at the regular practitioners of medicine.
Such operations as tracheotomy, tonsillotomy, bronchotomy, staphylotomy, etc., were performed by him, and he even advocated and described puncture of the abdominal cavity, giving careful directions as to the location in which such punctures should be made. He advocated amputation of the breast for the cure of cancer, and described extirpation of the uterus.
At times the angina causes such swelling in the throat that the breathing is interfered with completely. For this Arculanus' master, Rhazes, advised tracheotomy. Arculanus himself, however, apparently hesitated about that. It is not surprising, then, to find that Arculanus is very explicit in his treatment of affections of the uvula.
At the present time the physicians would use the laryngoscope and look and see what the trouble was. The one thing which saves a patient in this disease is a timely tracheotomy. No one would think of antimony, calomel, or bleeding now. The point is to let in the air, and not to let out the blood.
He advises tracheotomy whenever there is great difficulty of respiration, and describes how it should be done. After the dyspnea has passed the edges of the wound should be brought together with sutures. It is not surprising, then, to find that the treatment of fractures and luxations is eminently practical, and, indeed, on any subject that he touches he throws practical light.
Her brother had written to her twice since the beginning of Lucy's illness; but when she sent her telegram, all remembrance of her sister-in-law had vanished from Louie's mind Lucy might never have existed; and whether she was alive or dead mattered nothing. When Dora came, she found the child speechless, and near the end. Tracheotomy had been performed, but its failure was already clear.
Give upon the tongue, or in drink, half-drachm doses of nitrate of potassa, every three or four hours, until relief is obtained. If suffocation threatens, the operation of tracheotomy is the only resort. Cloths saturated with cold water, wrapped around the neck so as to cover the larynx, frequently afford relief. A purgative will also be found useful.
Whatever the procedure chosen for the operation, preliminary tracheotomy is a prerequisite. It should be made well below the isthmus of the thyroid gland, and from three to fifteen days before the laryngectomy. This affords time for the lungs to become accustomed to the new manner of breathing, and the trachea becomes fixed to the anterior wall of the neck.
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