156 Dissection of a Remarkable Tumor. 



be given, with the view of exciting gentle vomiting, to 

 detach or remove the obstruction. Both these medi- 

 cines were tried, but without any apparent advantage ; 

 on the contrary, the child appeared weak and languid, 

 for some time after the emetic, however gentle its effects ; 

 and it generally, to use the mother's language, became 

 black in the face during the operation of the emetic, 

 which alarmed her exceedingly. 



On the occurrence of such unusual symptoms, I was 

 induced to change my opinion, and suppose there either 

 was a pressure on the trachea from adipose deposita, as 

 in the case mentioned by Dr. Zimmerman, or, that 

 some local morbid condition of parts, perhaps coeval 

 with the child's existence, was now beginning to mani- 

 fest itself. The former appeared the most probable, as 

 the child was very fat, and, I can with much confidence 

 say, a more complete picture of health, or an infant 

 countenance more interesting, I have seldom beheld. 

 Thus impressed, I advised the discontinuance of all me- 

 dicines, at least for the present, excepting occasional 

 purgatives, with the view to alter the child's habit. 

 The vaccine action commenced and terminated favoura- 

 bly; several patients were successfully affected from a 

 fine pustule on its arm. 



As I did not suppose my regular attendance neces- 

 sary, I did not visit the child for a week or ten days, 

 during which some officious person advised the pa- 

 rents to call in additional aid, and, lest his own purse 

 might be made liable, he recommended advice to be 

 procured from the Pennsylvania hospital, and one of the 



