A Collection of Chirurgical TractsBeckett, William
Science
A Collection of Chirurgical Tracts
Beckett, William
Surgery
I do not question but you have had the Curiosity to read over a
very _remarkable Case in Surgery_, not only upon Account of the
Recommendation the Name of the Author[2] gives it, but partly because
I know you have been for a long time of opinion, That this Age wou’d
distinguish it self by the Advances that _Medicine_ has, and will
receive; I need not observe, to a Man of your Capacity, how just,
according to my Opinion, our Author has been in relating all the
Particulars of the Case he gives us the History of: Nor need I intimate
to you how peculiarly the Prescriptions were adapted to the several
alterations that were observable in that little Patient: I will only
take the freedom to make some Remarks on a considerable Circumstance,
which perhaps we shall find obstructed so methodical a Procedure, in
order for a Cure.
[2] This CASE was published by Mr _Daniel Turner_, Surgeon.
Our Author is of opinion, _That his Death was owing to the effused
Blood from some Vessel upon the_ Pia Mater, _which had been ruptured
by the Concussion or Shock of the said Vessel, from the Force of the
Blow; which Blood pent in (for want of a Discharge) had formed an
Abscess, thereby deluging the Surface of the Brain with Matter: And
this, tho’ continually draining off thro’ the Orifice in the upper
Membrane, yet some part thereof lying beyond the Elastic Power of the
said Membrane to raise up, and out of the Reach of Medicine to deterge
and mundifie, was at length imbibed by the Vessels, where missing the
Salutary Crisis, sometimes observed in the Empieme and Pleuritic Cases,
it was conveyed by the Circulation to the Heart, and at length, we are
to suppose, somehow effected the Nervous System, bringing on the fatal
Spasm._
Thus you see, _Sir_, how plain and consequential the Account of the
Child’s Death is; but even here, I hope, I shall do no Injustice to the
Author, if I inform you, I cannot perswade my self that the Matter was
imbibed by the Vessels, purely because _some part thereof lay beyond
the Elastic Power of the_ Dura Mater _to raise up, and out of the Reach
of Medicine to deterge and mundifie_, as our Author’s Words are; but
that it is reasonable to believe, that some part of it was reassumed
by the Vessels, when it could no longer discharge it self as before;
for if you will give your self the trouble of looking back to the 32d
Page, you will find, that no sooner was the _Orifice choaked up by a
caked Matter_, but the mischievous Effects of the Suppression of the
Discharge soon began to discover themselves by the Rigours the Child
was attended with; and we find our Author soon after fearful of such a
thing.
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