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four hours after the operation, notwithstanding the pretty free use 

 of opium. The second was comfortable for half an hour, and then 

 an indomitable pain came on, which lasted thirty-six hours; during 

 which period the patient scarcely slept a moment, but uttered 

 almost incessant cries, and tossed himself to and fro, with a pulse 

 a great part of the time upwards of 150 in the minute. These 

 symptoms at length gradually subsided, and the poor fellow, like the 

 other, finally recovered. If these uncommon symptoms were not 

 attributable to the ether, I should not know how to explain them. 

 Other amputations, however, one of the arm and several of the 

 fingers, were not followed by similar suiferings. 



In a case of dislocated hip, in a stout Irishman, after bleeding, 

 the warm bath, with antimony, and the tension of the pullies for 

 about an hour, the inhalation of ether put the man asleep in about 

 three minutes, and the hip came in place immediately. In the case 

 of an athletic German, with a displaced shoulder of four days' 

 standing, the ether and the pullies were tried without any other 

 means, and in about half an hour the reduction was effected. This 

 man breathed a great deal of ether, but could not be put asleep by 

 it ; he was conscious and able to converse all the while, and although 

 the tension was very great, he experienced no pain during the whole 

 operation. 



The chloroform I have used in twenty-two operations. In all the 

 cases the patient either felt very slight pain, or none at all. In a 

 small proportion of the cases, consciousness remained through the 

 operation. Every patient, I think, expressed entire satisfaction 

 with its effects. I have employed it in amputations of the upper and 

 lower large limbs, as well as the fingers and toes; in the application 

 of the actual cautery in vesico-vaginal fistula — in operations for 

 phymosis and paraphymosis — for urinary and anal fistulse — excision 

 of tumours, in aplastic operations upon the face and neck, and in 

 one case of lithotomy. In the case of vesico-vaginal fistula, the 

 actual cautery was repeatedly applied with the same results, viz. 

 full consciousness, but no pain. The plastic operation for bad de- 

 formity, was necessarily prolonged ; but there was next to no pain, 

 though consciousness existed a considerable part of the time. In an 

 amputation of the thigh, the patient, a young man, slept through 

 the operation, and, by estimation for eight or ten minutes after with 

 a good pulse and natural respiration. On the application of volatile 

 alkali to his nose, he awoke, and was perfectly comfortable through 

 the day, and slept well the following night. 



