Proceedings of Meeting of the Association of Military Surgeons of the United States. . njoyed fair health, except at times he sufferedwith burning pain down the right thigh and anterior portion of theleg. At about this time the great toe began to swell. This swelling would at times recede, and then swell again, until finally it remainedpermanently swollen and became very painful, after a year or two ofthis suffering, which began to be extreme in 1884, twenty-one yearsafter the receipt of the wound. By the summer of 1S86 the greattoe, which had previously remained swollen, began to
Proceedings of Meeting of the Association of Military Surgeons of the United States. . njoyed fair health, except at times he sufferedwith burning pain down the right thigh and anterior portion of theleg. At about this time the great toe began to swell. This swelling would at times recede, and then swell again, until finally it remainedpermanently swollen and became very painful, after a year or two ofthis suffering, which began to be extreme in 1884, twenty-one yearsafter the receipt of the wound. By the summer of 1S86 the greattoe, which had previously remained swollen, began to turn blue andfinally after a few months it became truly gangrenous; an amputa-tion of this member was made by a local surgeon, but the stumpnever perfectly healed. In the course of another year the end of thefoot including all the toes, became gangrenous, and an amputationat the middle of the foot was performed at the University of MichiganMedical Department, by the then Professor of Surgery. This stumpnever healed, but remained more or less open, and in it the patientstill suffered much ASSOCIATION OF MILITARY SURGEONS. 321 On August 9th, 1888, the writer was consulted by this patientas to his condition and prospect of receiving any benefit from treat-ment. The stump was at this time smelling badly and had the ap-pearance of a scirrhus or hard cancer. The patient was advised thatan amputation made well above the ankle was the only immediatemeans of relief, while possibly not of a permanent nature, at leastsuch for a time. Acquiescing in this advice, the patient was immedi-ately placed on a tonic and alterative course of treatment and hygieneand the 19th day of September, 1888, was fixed upon as the time forthe operation. This was performed by the writer at the timeappointed. The stump healed kindly and rapidly and was perfectlywell in twenty-one days and the patient able to be about. In about
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmilitar, bookyear1894
