Vos remarks that he remembers a case he had when
dressing for Mr. Holden at St. Bartholomew's Hospital: "A man who
had been intemperate was rolling a sod of grass, and got some
grit into his left palm. It inflamed; he put on hot cow-dung
poultices by the advice of some country friends. He was admitted
with a dreadfully swollen hand. It was opened, but the
phlegmonous process spread up to the shoulder, and it was opened
in many places, and at last, under chloroform, the limb was
amputated below the joint. The stump sloughed, and pus pointing
at the back of the neck, an opening was again made. He became in
such a weak state that chloroform could not be administered, and
one morning he had such a dread of more incisions that, saying to
us all standing round his bed, 'I can bear it no more, I must now
die,' he actually did die in a few minutes in our presence. His
was the last arm that Mr. Holden ever amputated at St.
Bartholomew's."
CHAPTER XVIII.
HISTORIC EPIDEMICS.
A short history of the principal epidemics, including as it does
the description of anomalous diseases, many of which are now
extinct, and the valuable knowledge which finally led to their
extinction, the extraordinary mortalities which these epidemics
caused, and many other associate points of interest would seem
fitting to close the observations gathered in this volume.
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