Rush Medical College - Pulse Yearbook (Chicago, IL)

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llbr ft Semis Surgical linic fl, A Q HE clinic conducted on Tuesday afternoon from two to Z g ?OL11-,l and upon.Thuisday fiom two to six, is the gieatest surgical clinic 1ii the woild. 1 .5 Its preeminence lies, first, in Dr. Senn as an accu- . rate diagnostician and conscientious though brilliant operator: second, in Professor Senn as a profound Xdvp scholar, a careful pathologist, an enthusiastic and orig- Cff inal investigator and voluminous author: third, in his power not only of comprehending the whole realm of medicine and surgery, and of retaining it at his instant command, but of possessing a practical insight into the wants of students, and the ability to drive home the essentials with a rare forcefulness of manner and directness and Huency of speech: fourth, the superiority of the clinic is also dependent upon the great amount and variety of its clinical material, with every attendant advantage of one of the best of modern hospitals and a large supply of out-patients. Few are the surgical lesions, even of rare interest, that are not exhibited from this inexhaustible clinical reservoir. The excellence of the clinic is much enhanced by the efficiency of the corps of assistant physicians and nurses, who perform their several duties with precision. The preparation and aseptic manipulation of sponges, drainage tubes and other paraphernalia: the very admirable handling and care of all instrumentsg all these procedures move like clock-worlc, the mainspring and regulator of which are in one individual at the center of activity. Cleanliness, in the strict modern sense, the watchword in this arena, is a lesson never to be forgotten by those who observe the method by which it is attained, and the clinical results which are its just reward. The first hour is usually devoted to the presentation of the patients operated upon during the previous week or so. This is a most valuable sequel to the preceding clinic, and is a practical demonstration of results. The so-called consulting staff of students, appointed from the senior class to exhibit certain patients before the class, is at first thought to be sincerely pitied, as its members pass one by one under the combined gaze of some fourteen hundred eyes and the Ere of Dr. 5enn's rigid cross-examination: but the immense opportunity which it affords the Professor of impressing important facts is only equaled by the certainty that no student who has undergone the ordeal will ever forget the points brought out. Finally, a feature worthy of special mention is the running description, precise and deliberate, of every step in each operation, be it ever so intricate or serious. Though there is ample opportunity to see what is done, one has only to listen and to jot down the many practical points in pathology, diag- nosis, prognosis or operative procedure which are the fruit of indefatigable labor, long experience and mature thought. DR. A. M. Conwix. 45

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be CBQnecoIogicaI Iinic rl A HIS clinic was inaugurated by Dr. Etheridge in ' 1889, when he was elected to the chair of 9 24 V Gynecology, and since that time has formed a IK, g '59 A I distinctive feature of the teaching in that great P branch of healing. Properly speaking, it is a Gynecological Surgical Clinic. and in it every year are performed almost every surgical procedure for the relief of diseases peculiar to woman. A prominent feature of the clinic is the large number of laparotomies, which is the largest of any clinic in America, comprising every operation on the uterus and append- ages from Czesarian section to simple hysterorraphy. Scarcely a clinic goes by without an abdominal section, and several clinics have seen three, While on occasions the time has been too short to operate on the waiting fourth. Lacerated perinei and cervices, carcinomata, hstulze, prolapsus uteri, endometritis, metritis, receive their proper operative treatment, and many minor operations are demonstrated, the knowledge of which is indispensable to the general practitioner. Not only the operations, but the antiseptic preparations, are thoroughly and exhaustively discussed, the history of each case pre- sented, and all the technique of dressing, the treatment of post- operation complications and sequelae, the removal of sutures, and subsequent precautionary measures are described and explained. DR. L. C. NVEEKs. +7