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It needless sav the convulsioHK ooutinued with unabated violence, and no hopes were entertained the patient's recovery. In the excitement the moment, however, a rush was made for another physician, and just here E was ushered in, and the case at once thesis consultant was submitted care, which I reluctantly accepted, condition that they would drop the former attendant and satisfied with any result. On examination found the pulse what are the best essay writing services frequent, full and tense uneonsciousness, the patient not having yet recognized her children when in a few secondu ghostwriting service another terrible convulsion ensued, which I had the opportunity witnessing, and which was repeated several times in rapid succession, and exceedingly feared that death would result before anything could done, the respiration being exceedingly difficult and almost impossible, the bronchi literally obstructed with viaei In this state things, not knowing liuw much blood had been lost at the delivery, I at first hesitated about bleeding from the arm, but at once sent for some leeches, which I knew purchase psychology research paper were handy with the view abstract blood locally from the temples.

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But in view the alarming nature the case, following conviction that there was too great a pressure upon the blood vessels, especially the head or base the brain, and the consequent imminent danger patient, I sprung lancet upon a vein, with the view watching the effect upon the pulse and other symptoma, and if unfavorable. Stop immediately. Before the leeches arrived I had drawn one quart blood from the arm in a full, heavy stream, and with what effect ? Why, during the operation, even, the pulse became softer, less frequent, and lost its extreme tension the breathing was easier and more tranquil, and indeed all the symptoms were modified. Finally, the spasms relaxed, and fortunately no other convulsions occurred thereafter. I afterwards applied the leeches the temples, and the third day after delivery consciousness returned anfi recognition her children.

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To the great surprise all no further trouble was encountered, and the woman made a good and rapid recovery, and happy in taking care her little duplicate charges. I have attended the same woman again in a subsequent confinement, but took the precaution bleed her a week or two previous the event, Case December, was called see Mr. H, ten miles distant, in the night. Found him suffering i need help writing a thesis from oblique inguinal hernia, with large tumor in scrotum. I first put the patient his back, with hips elevated and legs flexed relax abdominal muscles, and tried taxis, which failed.

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I then bled freely from the arm, and administered chloroform ansBSthesia, and in about an hour I succeeded in help in writing phd thesis reducing the hernia taxis, and thereby avoiding operation, the great Case Was called, February, see Mrs.

aged in confinement, primipara, a very strong, healthy, robust young German woman, who spoke no English. A German midwife was in attendance, who became frightened account what she called cramps manifesting themselves.

A digital examination, per vaginam, distinguished uteri dilated the diameter only an inch and a quarter, thick and tense, pains strong, and head presenting, but no progress, except in the way dilatation, which was slow. In a few minutes a severe convulsion ensued, I found I had a case labor complicated with puerperal eclamsia, deal with. Not having lancet with I immediately went for oflice, which was but a short distance, and return that convulsion was over, and no repetition had yet occurred.

At once however, for two reasons, facilitate dilatation uteri, and hasten delivery and prevent the convulsions, I opened a vein and drew about a quart blood from the arm, in the hope that I would have no further trouble. For about an hour and a half, everything went well, the uteri dilating more rapidly, and the pains, all the time strong, became more regular when unexpectedly another convulsion occurred, which was very protracted, and the patient, getting her tongue between her teeth, wounded badly. Again I repeated the operation phlebotomy during the convulsion, allowing the blood flow until the spasms relaxed and the struggles ceased, being governed more the effect than the quantity blood taken, which, however, was about another quart, besides, the bed was thoroughly sprinkled the struggling the patient. After bandaging the arm, examination, I found uteri dilated sufficiently, and at once applied long forceps and completed the delivery in a few minutes. Everything was all right, and the child large and lively. Next day I found patient in a good condition, feeling well and rejoicing in possession her hard earned treasure.

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