. Virginia medical semi-monthly . believes in signs and omens. Until recently she has been for a long time aninmate of the Wythe county poor house. Shehas no prysical disability, but because of herfrequent confinements, a surly disposition andan inherent laziness, she has not been able toget a positon as servant or, having secured one,to reain it. Consequently, she has been a pub-lic charge for a number of years. Some eight to •Read before the Southwest Virginia Medical Society,Marlon, Va., May 27-28. 1909. ten years ago she contracted syphlis from whichshe seems to have entirely recovered. Sh
. Virginia medical semi-monthly . believes in signs and omens. Until recently she has been for a long time aninmate of the Wythe county poor house. Shehas no prysical disability, but because of herfrequent confinements, a surly disposition andan inherent laziness, she has not been able toget a positon as servant or, having secured one,to reain it. Consequently, she has been a pub-lic charge for a number of years. Some eight to •Read before the Southwest Virginia Medical Society,Marlon, Va., May 27-28. 1909. ten years ago she contracted syphlis from whichshe seems to have entirely recovered. She hashad seven children, with probably as many dif-ferent fathers. There are four boys and threegirls, and their ages range from 16 years to 9months. The first four children have no unus-ual histories. The fifth child, a girl, had a ris-ing in her head, and is now deaf and dumb. Thesixth child, a boy, was born with an exaggeratedcase of talipes equino-varus of each foot—infact, the most extreme case which I have I hand you for your inspection a photographtaken when he was nearly two years old. At thattime he was a hopeless cripple. In his effortsto stand erect by pulling himself up by a chairor other pieces of furniture the external malleolihad become inflamed and each was covered witha sore about the size of a half dollar. The boywas born in June, 1898, and I operated uponhim in May, 1900. Each tendo Achilles was sev-ered subcutaneously, and then the inner aspectof each foot was incised down to the bones andthe tendons and plantar fascia divided. Thefeet were then forcibly manipulated and putinto a position of extreme abduction. They wereheld in this position, a piece of sterilized rubberplaced over the wound, the foot wrapped insterile gauze and a plaster of Paris bandage ap-plied and left on for several weeks. When, how-ever, the bandages were removed, it wasfound that in spite of the extreme-force used inmanipulating the feet, the deformity still per-sist
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
