It will be observed in referring to the history of this case, that till
the time this man became a stone-miner, and carried on his operations
with the aid of gunpowder, he had no symptom of the disease of which he
died, and it is evident that the disease, if commenced at all, had made
little or no progress till after his return from Penston colliery to
Pencaitland, and after he had inhaled the residuum of gunpowder
combustion, therefore the disorganization of the pulmonary structure was
to all appearance effected between the summer of 1836 and December 1838,
showing decidedly the very irritating character of gunpowder smoke upon
the delicate tissue of the air-passages.
CASE 9. J. D., aged 37, at his death, April 1844. He was a well formed
man, with a fully developed chest. At so early an age as seven years, he
engaged in the labour of the coal-pit at Preston-Hall, Mid-Lothian, and
he continued to prosecute that employment for a period of 15 years, when
he was obliged to relinquish the work on account of an affection of the
chest, being, as he termed it, "touched in the breath." During the
subsequent 15 years of his life, he had never once entered a coal-pit,
nor had he any connexion with coal-works, but earned his bread by the
trade of a travelling merchant. He had suffered much in his wanderings,
from his breathing,[15] for more than two years continuously, while loss
of appetite, and thoracic irritation, had rendered his physical frame as
weak as that of a child.
When I first saw this man, which was about a month before his death, he
laboured under rending cough, with a scanty tough mucous
expectoration--oppressive dyspnoea, ascites, general anasarca,
occasional giddiness, and throbbing headach on motion, or on assuming
the standing position. His countenance was of a light blue or slate
colour, and his upper and lower extremities had much the same
appearance. His lips, eyelids, ears, and nose, were swollen and livid,
and his eye-balls effused, and apparently projecting from the sockets.
His sight was impaired and hazy. There was continued feeling of cold,
with occasional rigors, and difficulty in keeping the extremities warm.
There was considerable exhaustion upon the slightest exertion. The half
reclining posture was the only one in which he was comfortable. The
pulse was exceedingly slow, not above 36 in the minute, it was small,
and often imperceptible at the wrist. There was considerable weight and
feeling of oppressive fulness in the region of the heart, which was dull
on percussion. On applying the ear to the chest, little or no rale
whatever was discernible, and the action of the heart was almost
inaudible. He had a sensation as of great weight in the head, and
difficulty in raising it. Ho suffered from restless nights, short
hurried breathing, with a feeling and dread of suffocation, evident
fulness and enlargement in the region of liver, and inability to turn to
the right side.
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