The report of the ordinary and resident medical officers and the annual report of the Inspector and Director, of the Public Hospital, for 1864, with the reply of the ordinary medical officers thereto : the letter of Alexander Fiddes ... and his correspondence with the governor, and the executive committee on the subject of his resignation and retirement from the Hospital : the letter of L.Q. Bowerbank ... in reply to Dr. Fiddes, and Dr. Fiddes' reply to same : also, the evidence adduced at the coroner's inquest, held on Richard Bailey, lately an inmate of the Public Hospital.

  • Kingston Public Hospital (Jamaica)
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: The report of the ordinary and resident medical officers and the annual report of the Inspector and Director, of the Public Hospital, for 1864, with the reply of the ordinary medical officers thereto : the letter of Alexander Fiddes ... and his correspondence with the governor, and the executive committee on the subject of his resignation and retirement from the Hospital : the letter of L.Q. Bowerbank ... in reply to Dr. Fiddes, and Dr. Fiddes' reply to same : also, the evidence adduced at the coroner's inquest, held on Richard Bailey, lately an inmate of the Public Hospital. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    53/78
    fJ L rations on the urinary organs. I mean passing the catheters and •ting the organs for oridinary disease. My professional services 3 not always been confined to a Lunatic Asylum , and I have tised as a Surgeon. I have stated already in respect to the glands le penis that it was somewhat bifid, and suffering from mal-for- ion, I think a No. 12 catheter might pass because the stricture : lit be spasmodic, and yet abnormally dilated. I could not tell ■ ther a No. 12 would readily pass into the deceased, but I think ould. I could not have discovered whether there was a stricture i ot, beyond the morbid state of the urethra near the glands by pass- aa No. 2 catheter- Question by a Juror—Would you state your manner of action, you taken the place of Dr. Anderson in the hospital relati\ e to manner in which the patient had been treated by your pre- lessor ? Answer.—I should have first called for the Case Book; failing ’hat, I should have ascertained as much of the history from the ent himself, and not being satisfied here, I should have requested Medical Officer, who would have been identified, or acquainted ; i the case, and who was at that time officially connected with the ; dtution, if the statement made by a dresser, who would be sup- eid to be familiar with the treatment pursued, had been of such a ii ne as would be at all inconsistent with the description of the dis- and the remarks embodied in the man’s ticket, and the treatment ch had been pursued, I would have preferred the opinion of the ise Surgeon to that of the dresser. I perceive by the ticket, the deceased was suffering from complete “occlusion of ; meatus urinarius.” Not finding complete occlusion of the meatus i iarius, I should either conclude that there was some other condi- i rendering his stay in the hospital necessary for treatment, or else, b the condition of the disease under which the man was admitted, been sufficiently alleviated or removed. From having been in- i Qed that an operation had been performed for occlusion of the i tus urinarius, I should have considered it quite proper to use a meter or a bougie. Question by Mr Lyon, a Juror.—From the circumstance of the of the broken catheter being in the urethra and bladder for eight i nne days, would it not naturally cause irritation and inflamma- i; and, under the circumstances, do you not think, that from the apathy and proximity of the bladder and the kidneys, it might e enhanced the disease ? Answer.—Not necessarily so, if those kidneys had not been at ! h an advanced state of chronic disease. Given as certain know- Lge that the kidneys were in an advanced state of disease, the pre- ’e of a broken catheter in the urethra would have been the means i iggravating the tendency to the disease in such a broken-down -stitution I cannot give any opinion as to the healthiness of the ; pital and its site, because I am unacquainted with them By a Juror.—Is it possible for the broken portion of the catheter : have receded from the urethra into the bladder, and then return •ts original position in the urethra 1 Answer.—I do not think, from the anatomical condition of this i i’s bladder, its small size, very contracted state, and thickened