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Updated: May 15, 2025
Put on the usual compresses; this time using oakum instead of folded cloths. Feb. 24th, 9:30 A. M., pulse 108, temp. 101. Did not wash out the upper or left hand part of the pouch on the back, for fear of disturbing adhesions that are taking place. Washed out the lower part and injected vasaline.
Pa and Ma went into their room, and I guess they anointed themselves with vasaline, and Pond's extract, and I went and got into my bed, cause it was cold out in the hall, and the cat had warmed my bed as well as it had warmed Pa.
Pa and Ma went into their room, and I guess they annointed themselves with vasaline, and Pond's extract, and I went and got into my bed, cause it was cold out in the hall, and the cat had warmed my bed as well as it had warmed Pa.
There is a great amount of pus being discharged from the large sinus on the back, not so much from the small one. Patient had a chill last night. After the usual washing out of the sinuses with the carbolic solution, I inject both of them in with liquid vasaline. This I do, a well as the washing out, by means of a No. 10 catheter, attached to the end of a Davidson's syringe.
He still takes beef tea twice a day, and eggs and other food twice a day, making four meals a day; also, continues the quinine and whisky. Feb. 21st, 9:30 A. M., pulse 98, temp. 101. Feels more comfortable. Discharge of pus much less than yesterday. Wash out the sinuses and inject liquid vasaline. Feb. 23d, 9:30 A. M., pulse 98, temp. 101. Complains of being "very sick." Speaks English but poorly.
At the end of six days from this last critical period, the temperature again went up to 103.5, and the pulse and condition of the patient indicated great danger of death from exhaustion the result of the formation of so much pus. This was avoided by preventing the excessive formation of pus by washing out the sinus with liquid vasaline.
Made an opening in the lower part of the pouch to the left of the pubis for better drainage, as the patient usually lies on the right side. Laxative has operated. After washing out both sinuses with a five per cent. solution of carbolic acid, I inject the smaller sinus with liquid vasaline. Feb. 20th, 9 A. M., pulse 112, temp. 103.5.
Feb. 29th, 9:30, A. M., pulse 104, temp. 100. The sacks, or sinuses, have been washed out regularly every day, and dressed with vasaline. This case presents several features of interest.
Considerable discharge of laudable pus, but not so much as before the use of the liquid vasaline. There is one point near the left hand side of the large sinus on the back, where the walls are adherent. I wash them out with a five per cent. solution of carbolic acid in water, and again inject the liquid vasaline.
Thus you see I was carrying out the theory mentioned in the first part of this paper: that of supplying the system with all the flesh producing food the stomach would digest, and using whisky and quinia to prevent disassimilation or waste; also vasaline locally for a similar reason.
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