Chicago School of Medicine and Surgery - Medicos Yearbook (Chicago, IL)

Page 180 text:

l I Page 176 LITERATURE The Stuhenfs Bilemma CWith apologies to Hamletb To study or not to study, that is the question, Whether 'tis nobler in the mind to suffer The hours of conscientious study Or pursue the delights of pleasure, And by opposing-end them. i To work, to read, No more, and by a decision we hope to end The waste of midnight oil and a thousand cares Which study demands. 'Tis a consummation Devoutly to be wished. To lie, to cheat, 'Twill doubtless help a little, ay there's the' rubg For what of the future To one who shifts this mortal toil? We must give pause, there's the respect That makes the uncertainty of a life of ease. For who will steal and cheat and waste his hours When the opportunity is his. The many failures from countless sins Will come and go and come again And fill his soul with great remorse To give place to the success that might have been Had he devoted more hours to study Instead of wasting these precious hours In useless occupations, Which bring weariness to the soul and deny dreamless sleep Our most esteemed-ye men of wisdom, hear, Such careless ways breed lives that may spoil Your neighbor's child. There was a time-now passed- You were careless of the outcome. Answer me This night, as you will have to answer when you stand Naked and alone before the great white Throne of God: Can you defend, or will you try Your habits for study while in school. T w. R. c.

Page 179 text:

.zauz-q..f.1 .ffff--.-ar..-, - . , -- i LITERATURE Brought to the operating table under favorable conditions we still have the danger of the anesthetic upcpnghe circulatory, respiratory and renal systems and with an unfavorable case the outlook is gloomy in ee . Some months ago I began the use of novocain and suprarenin locally. For this I claim no priority, merely a report of what I have been able to accomplish in a satisfactory manner to myself and patient. Up to the present time I have succesfully used it in twenty-seven cases. l use a solution of 0.5 to I per cent and Where a cystotomy is done only the tissue is injected. In removing the gland I use the parasacral injection and inject about 4C c. c. in either side as well as the supra-pubic tissue. In one case I used a 5 per cent alypin solution in the bladder, but cannot say it was of any benefit. By this method I have never found it necessary to inject the gland itself through the supra-pubic Wound as some advise. A Control ofthe hemorrhage at the time of the operation is best controlled by the placing of a l-Iagner bag. Post-operative hemorrhage is most frequently due to the presence of blood clots in the bladder, blocking the tube and causing the patient to attempt their expulsion by contracting the bladder. 'lhis is guarded against by closely watching the tube and removing any clots that may form. Bleeding from the incisions in the anterior bladder wall will occasionally be met with and should be controlled by ligatures. Suppuration of one oi both testicles is not uncommonly encountered, particu- larly in badly infected bladders, and is a factor in the mortality rate. Of late I have been attempting to prevent this by placing a ligature around the vas deferens as the first step in the operation. This is easily and quickly accomplished under local novocian injection and is of no consequence from the patient's standpoint. The post-operative treatment of the bladder and of the patient is very important. The bladder should be irrigated once or twice daily depending upon the severity of the bladder infection. Fon this I prefer the solution of the oxycyanide of mercury. The patient should be gotten out of bed as soon as the tube is removed and while in bed should only be in the recumbent position during sleeping hours. lVIy conclusions from the standpoint of reducing the mortality in these cases are: First: That supra-pubic cystotomy is to be preferred to repeated catheterization or the self-retaining catheter. Second: That supra-pubic cystotomy and prostatectomy can successlully and safely be done under local injections of novocain-suprarenin solution. Third: That in the employment of conclusion one and two in the hands of competent operators the mortality will be reduced to a minimum. Pagr 175 zrm:r:-wzvxfz. a -

Page 181 text:

.15 ',-.S ln ,,.I.- ,..- -4,v.-we--Q 'WF Y---l- - I LITERATURE X' Mfrs 0305, 9 I kallli' li RSE TKKFYOUR FE. T DFP , NAI-RAIL WE PKVIENT ,- .. MIGHT GET AW: -VL-f4,Jie...f:-N -fx fr 1 E ffh, fm- Q? xii? 2157 TET NUS 1' - '27,-.X I E, -X. 7 annulfs il-Blaswt igirh I know a little bird, And I think you know it too, i ForrI'm sure youlve seen it many times Since you have been to school. Now this little bird Is such a condescending thing With itls characteristic attitude And cane beneath it's wing. He may herald votes for women And with penant proudly stand Or with gun chase greasers Through the burning desert sand But now this little bird Has changed his habit oer True to his class he wears a gown And a cap does his head adore His b ll may be long, his knees big, His name you never heard But you have got to hand it to oseph For his Flu Flu mascot bird f K Youns F by EL NDES A BRBQQTTES 2-L ,LL 3'l.P: WRC GY-I MEJqQo BUST Page I77 CC 77 7 7- 7 ff, 582 an W, M 'E li tg 0 . 0 oo X OR ,': 0 H if Q .21-3 oi 'ii if D 6 I xff :-' f ,x - Q ,-, N I W if ..51,,A3-iff xc' Q -' E5 - 'N-'HSE