Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . is that devised by Dr. James R. Chad-wick of Boston, and sold by Codman & Shurtleff of that city for forty- GYNECOLOGICAL EXAMINATION. 31 five dollars. The accompanying cuts sufficiently explain its construc-tion. It does not possess the lateral and longitudinal obliquity, the formerof which is of inestimable vahie in enabling the physician to dispense withthe services of a nurse to hold the speculum; the lateral pitc
Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . is that devised by Dr. James R. Chad-wick of Boston, and sold by Codman & Shurtleff of that city for forty- GYNECOLOGICAL EXAMINATION. 31 five dollars. The accompanying cuts sufficiently explain its construc-tion. It does not possess the lateral and longitudinal obliquity, the formerof which is of inestimable vahie in enabling the physician to dispense withthe services of a nurse to hold the speculum; the lateral pitch tips the vis-cera so far forward and downward that, on retracting the perineum withthe speculum, and admitting air into the vagina, the anterior vaginal wallis so ballooned out as to render a depressor unnecessary; the physiciantherefore has his right hand free for other work. The objection has been made against these tables that their appearanceis alarming and repulsive to the patient, who hesitates to mount on a tablewhich looks to many of them like what one of my patients delights in callingit, a rack. Besides, it is objected that they are not as neat looking as. Pig. 15.—Francis1 examining-table. an adjustable chair, and show what they are intended for. As regardsthe latter objection, it may be answered that the office of a physician isnot a ladys boudoir; and as for a ladys refusing to mount the table, Ihave never found more than a momentary hesitation on being confrontedwith it behind the screen, with which most gynecologists hide their instru-ments of torture; and I am quite confident that no woman, however re-fined or capricious, will care whether it is a table or a chair on which shehas to place herself, at the request of her trusted physician, when once shehas made up her mind to an examination. Of course, the physician can domuch by his manner (as already stated) to mitigate the unpleasantness ofthe ordeal. For operations an ordinary flat table of the size first
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
