INJURY OP THE FACE. 49 



nostril, the blood being quite florid, and escaping 

 in a full stream, when another medical gentleman 

 was sent for. The bleeding continued, moi*e or 

 less, from one until four o'clock p.m., when it 

 ceased ; but recurred every eight or ten days until 

 April of the same year. Since then there has 

 been little or no haemorrhage. 



During the whole of the foregoing period the 

 patient suffered from severe headaches, sometimes 

 complained of dimness of vision in the right eye, 

 and occasionally of pain in that organ. The sense 

 of smell was completely lost ; his appetite varied, 

 sometimes being very good, at other times ex- 

 tremely bad; he subsisted almost entirely on 

 fluids ; altogether his general health became 

 seriously impaired. 



In May, 1855, he came to reside in St. John's, 

 and consulted several medical gentlemen, but ob- 

 tained no relief. In August following, the pain 

 in the face became much more intense than it had 

 been since the occurrence of the accident. An 

 abscess formed in the right cheek, and a copious 

 discharge of purulent and sanious matter, together 

 with more powder and rust, followed ; after which 

 the pain only occurred occasionally. 



He applied to me for advice on Tuesday, the 

 17th June, 1856, stating that his face had been 

 injured nearly eight years previously by the blast- 

 ing of gunpowder, and made no mention of a gun 

 having burst in his hands until after the operation 



B 



