Being anxious to obtain additional evidence with respect to the
production of Meningitis in children by protracted suckling, rather from
the experience of others than my own, I shall feel greatly obliged to
any practitioners who will favour me (free of postage) with either facts
or cases tending to corroborate the truth of the doctrine contained in
the preceding pages; and should I be enabled publicly to avail myself of
such communications, it is, perhaps, unnecessary to say, I shall not
neglect the opportunity of expressing my acknowledgments to their
respective authors. The intelligence and liberality characterising the
members of the medical profession generally, preclude all apprehension
on my part that the above appeal will be made in vain.
NOTES
Note A (page 1).
A dark-green substance of variable consistence, contained in the bowels
of infants at birth.
B (page 4).
I beg leave to observe that I make these statements with some confidence
as the result of personal inquiries instituted a few years ago among the
patients of two of the Lying-in Establishments of this metropolis.
C (page 8).
Since the above was written, a friend who lectures on Chemistry in the
metropolis has kindly promised me his valuable assistance in making the
experiments here suggested.
D (page 10).
In two cases where suckling was protracted to _three years_, the
subjects of this baneful practice did not equal in size an ordinary
child of half their age. One of them became idiotic, and afterwards died
of Hydrencephalus, under my care; the other was affected with Tabes
Mesenterica,--the result I did not witness--but believe the disease
terminated fatally.
E (page 25).
Vide Medical and Physical Journal for August 1827.
F (page 25).
That is, any period beyond nine or ten months.
G (page 25).
_Meningitis_,--I use this term as being more pathologically correct than
_Cephalitis_, which I formerly adopted.
H (page 26).
See the above conditional sense in which I employ this term.
I (page 26).
It is a curious fact, which I believe has not been noticed by any other
writer, that female children labouring under attacks of Meningitis are
sometimes affected with leucorrhœal discharges. I have met with
several cases of this description: the children also of women subject to
leucorrhœa will often, at an early age, be found affected with the
same disease. Hence it would appear that leucorrhœa is occasionally
hereditary.
K (page 37).
It is unquestionable, notwithstanding the scepticism of some
practitioners on the subject, (whose opinions are entitled to
deference,) that _recovery may take place, under appropriate treatment,
in cases of Meningitis, even after effusion has unequivocally occurred_.
Preceding authors have noticed this fact, which I can confirm by my own
experience. Practitioners cannot be too frequently reminded of it, and
warned not to despair of success even in the last stage of
Hydrencephalus.
L (page 42).
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