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<br />" <br /> <br />182 REPORT OF AN EXPEDITION DOWN THE <br /> <br />by Mr. Ker~', who wished me to try the wostern remedy; that is to say, to 'get <br />dmnk. This remedy I had often heard of, and, determined to try ita efficacy, I <br />commenced drinking whiskey. By the time I reached the pueblo I had drank <br />about half a pinl. During all this time I continued sucking the wound; then <br />taking some ammonia internally, I scarilicd thc linger, holding it in a basin of <br />warm water, which allowed it to bleed frcely. Already the glands in the axilla <br />were getting sore and painful. I commenccd drinking brandy ; alth~ same time <br />held my finger ina cup of ammonia. It tOO]l a quart of fourth-prool brandy', <br />bcsides the whiskey, to produce intoxication, which only lasted some four or live <br />hours. Dl1I'ing this state I ~'Olnited free I}'. Soon after coming to my senses, I <br />removed the ligature, uod applied a large pOlllliee of flaxseed,meal. I repeated <br />the ammonia internally, and took some III11SS "!I,h'g. and exl, collocynlh cl>mp. as a <br />cathartic. In the evening the glands ill the axilla were quite painful; so w~ <br />also the linge.' ; took J,"lv. tlovel'i, grs. x. <br />TllIlI'sduy, ISlh.-Passed a restless night, without sleep, allhough haviug taken <br />during tho night,'"lv. ol'ii. grs. iv. This morning the pain in the linger is in- <br />tense; a well-marked line of inllarnmation extcnds along the arm to the axilla; <br />had tho entire arm and hand painted with tinetuw of iodine, omI the poultiee <br />renewed; eOllllncnced laking )'OlllSsi io,/i.1i as an alterative. The pills not <br />having operated, tuok 111lh.. Sddlilz, which hadthc ,lesired ell'cel. Diet, boiled <br />rlee. SeHraltimes, on my nllernpling 10 walk a feIY }',uds, I would be seized <br />illlnlcdiately wilh nausea and \'omitillg. This eonlillued for several days. Took <br />utlwd-tillle 1'"11'. dOI,,,'i, grs. x. The nrm allll hand I have resling 011 all illclined <br />piano, 'wllich anilTds eonsidernhlc relief.. '. i, <br />Friday, 1~1I11.-1 resl.od pretty 1\'011 last night; but this ll10rningmy arm, halld, <br />and Ihe glands in the axilln. are much swollen and vorypainful. Repeated the <br />lincture of iodine. Diet, boiled lluina. Took, on retiring, PlIla,. ,/oven, grs. x. <br />Surllnloy, 20/11.-Pnssed a tolerab]e night, but illY bnckis gelling \'ery sore, as <br />~he blankets on the slone floor make rat],er a Imrd bcd. This 'morning the' pain <br />Is \'111]' great, and Ihe swelling exlends down the len side to the hips; rene~ed <br />the tincture of iodine.; removed ti,e skin from "ff the linger; it discharged <br />freely n walery, sangllinoons /lui,l, witllOntsmell ; tlm nail is becoming loose. The <br />hroad rud \ille following the course of the lymphatics is now lilled with yellow <br />serum. The poiut where the f.'1I1g eutered, fi)r the spuce of three-eights of an <br />inch, is of a ,Iark-hrown eo]or. This ol'enillg ILt Led-time took ma" hy,lrg., grs. <br />v; Pilla,. ,101''''';, grs. x. Continued pOlu,,,ii iodicli. Diet the same. <br />~allclay, ~lsI.-l'as"ed a restless night, Ihe hand being lilled with serum, and <br />lJ1uch troubled with cholic; took magnesia c,lId aud 5pls. lIIonlha piped'u. My <br />bowols not boing opened, took Pille, Scicllil', and was relieved. <br />.Uollduy, 22d.-Passed a comforlable nighl, the swelling having leltmy side <br />and nnn ; IIlII lillle remains ill the hand. Conlinued l'olr",sii iOllidi. Low diet; <br />I call 1I0\\' walk 11 few Yllr,ls without nall""a, and am ahle 10 sit up tlte most of <br />lIw '\"y. Dicl, Illllltoil brol.It aliI] furilln. <br />Tu,'s,/uy, 2:liI:-lllwoke Ihi" morlling r.,elillg n1lll;!. improved, tlte swelling nnd <br />1"111 !.avl~lg lell, WII.It tlte exceptir)ll of tI.e fing-er, the lirst nnd second joints of <br />".llId, tlo nol prc,ent n !.ealtlty appearance, the palmar surface having much the <br /> <br /> <br />ZURI AND COLORADO RIVERS. <br /> <br />183 <br /> <br />. "appearance of gangrime; but the discharge is thin and watery. I can detect no <br />smell. The granulations do not present a healthy appearance; they are rougl~, <br />Ilnd mllny of them look as if they were sprinkled with yellow ochre. The na.l <br />is quite loose. Continued poldasii iodidi. Diet, mntton broth, with a little of <br />tbe meat. .' , <br />Wedne;day, 24Ih.- This day we commenced our march; after going six miles, <br />encamped. I placed my hand in 'a sling, and it was with the greatest dillie.ulty <br />I could manage the mule with one hand, being ratber weak, and the amma1 <br />rather obstinate. The sun was very hot; this, with the jolting, caused me to <br />I <br />suffer considerable pain. <br />I removed the nail; from this time the finger gradnally improve"'. Continued <br />the poullice until the last of October, whllll I applied cerale silllJlle:r. In the <br />mean time there WIlS a 1arge slough, which gradually came away and left the <br />last phalanx exposed in tIVO places. The granulations required ~ecasionally th.e <br />application or'the nitrate of silver. Continued with my hand 111 a sling until <br />about the middle of November. <br />A new nail com;nenced growing, and a small sinus remained in the end of the <br />finger, upon the introduction of a probe into which the bone could be felt 'Iuite <br />rough. A discharge from this kept until about the 7th of February, when I <br />removed the exfoliation of the end of the last phnlanx I showing evidently that <br />the fang had entered the periosteum. Soon afier this the sinus ~l~sed, leavi~g <br />it in 11 deformed state, anchylosis having taken 1.]ace in the first JOIl1l. 'Phe Cl~- <br />eulation is very imperfect, one of the arteries bein~ destroyed, which renders It <br />very susceptible to cold. . The insertion of the Ilexor muscle is o]so destroyed. <br />During the time we wero at Zuni, and on our march, up to the 91h of October, <br />there was but Jillle complaining of any kind, excepting nn occnsional diorrhrea. <br />From the 91h of October to the 1st of November, whilst we were all or about <br />the San Francisco ~ounlaill, quite a number of cnses of intermittent and billious <br />remittent fevers occurred' this, however, lasted but 0: short time, and yielded <br />',' ., <br />readily to treatment. . . <br />au Sunday, October 12, Enematio Valdez was struck in the heud by a stone <br />thrown by another Mexicnn during a dispute. "''\Then I wns called, Ite had nil the <br />symptoms of cqncussion of the brain, for which I treated him. , all the follow- <br />ing day he was quite rational, and on the succeeding was wnlkmg about camp <br />apparently well and in good spirits. On the morning of ~he ]5th, we moved <br />camp nbout twe!l'e miles; he rode a mule; the 'slln \Vas qUite warm; ma,le no <br />complaint after gelling into camp. <br />On the momingof the ]6th I was called to see him; the thermometer then <br />.tood at 200; found him perfeclly insensible ond cold, hal'ing symptoms of com- <br />prCSilioJ1 of the brain. After rolling him in blanlleta and placing him near~he <br />61e, I bled him and applied the necessary remedies, which appeared to rehevc <br />him immediately. On the 17th he wns apparenlly much better, and answered <br />~he 'lucstions l'utto him, but complained much of his head.. 011 lhe follo.wing <br />day he W09 agnin insensilJle and sinking fast, which he conllllneJ 10 do until the <br />/lloming of the 20th, when he died. <br /> <br />I ..:i.;..~-;-: !I1w.,;!!.".,...~,". <br /> <br />):~bJW;..~1 .:i.~~ :1... ~~ <br /> <br />.j.'.oiJ., <br /> <br />J i".?,:l~' <br />.;".'....'.:...;.'.:..~.!it <br />!'~l~ <br />.\ .~ 'J'l~ <br />',fl_ <br />..\ :I.~.'; <br /> <br />.,:1 '::,~( <br />'I ' It~1 <br />\ ,i:~i~ <br />:..l i!'l;~ <br />.; dh~ <br />'.\ IL(,j'~ <br />I 11'11' <br />.\ !i.,t:.;f..i! <br />, h,.J~ <br />......1.1, 'Iif~~.: <br />I\.}II'~' <br />,~. !1;~i <br />"1'1111.:1 <br />c (j! <br />".J !l:~:Jn. . <br />.~ 1~1'iYl <br />'i' J~~ <br />!I,'~11 <br />. 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