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An Interesting Afternoon In Dr. Carrow's Clinic

An Interesting Afternoon In Dr. Carrow's Clinic image
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The Univcrsity of Michigan allopathic hospital is almosl first in tlie list of American hospitals in the amount of ophthalmic and aural clinical work done. The Will's hospital, in Philadelphia, and a hospital in Baltimore, stand perhaps a little higheriu the list as regards number of operations, hut each of theu employ at least a half-dozen oplitlial mologists, while in the üniversity o: Michigan there is but one professor o ophthalmology. Dr. Flemming Carrow whose repntation as an operator in eye ear and nose diseases has gone all over the country. The Üniversity hospital has a peculiar reputation for successful operations in eye diseaaes, especially in cases of cataract. That this is trae is shown by the fact that durittg last year there were 102 operations for cataract made by Dr. Carrow in the regular hospital, an average oí practically two a week. Operations of all kinds amounted to something over 800 in number in eye diseases alone. It is but justly hie to the skill and art of Dr. Carrow to eay that only iwo cases operated upon by him last year failed to relieve the subiecte ated upon. Tliis is onty about two per cent. And when t a realized what au amount of suffering has been relieved by the skill of the knife, how many men have boon changed trom a condïtion ol helpless dependence to one of practical independence, and Erom a life which is a continua! bürden to one of Ereedom and liopp, it can then be understood how paltry are the salaries of a few thousand dollars which these men receive who are alile to give such relief to those to whoin practical blindness lias come. The Courier paid a visitto the Thursday afternoon clinic of Dr. Carrow this week, to get an idea of the work tliat is done, which could be presented to its readers. Tliere are two eye, ear and uose clinics a week, one on Monday and one on Thursday, from 1 :30 to 3 o'clock. Practically they last all the afternoon. for the number who come to avail them. selves of the advantages offered is so great that when the clinic hour is over Dr. Carrow has an overflow meeting in his private room. The number the clinic each day varíes from twenty to forty, and when it is understood that out of this number three or foUr always come for operations,. and many more for examinations requiring a considerable length of time, it can be seen how difficult is the task that one man has in taking care of the whole number. At last Thursday's clinic tliere were over twenty persous present for treatinent. Previous to the hour for operations the senior medies, who erOwded the front rows of tlie amphitheatre seats, relieved the monotonv of the straight-back benches provided for them and got the waiting snbjects in agood frame of mind for the trial ahead oí them, by passing sorae unfortuiuito students in tlie front rows, up the steep benches to the top. The man selected to undergo this involuntary gymnastic feat is never apprised of the fate in store for him, and the first tliing out of the way that he is aware of is the fact that bis head and heels have changed places and he is cracking his head and shina on the ragged edges of soine of the objectionable seats that have heen broken down until they resemble battered rows of benches sometimes on exhibition in old country school houses. But this fuu was soon over. Dr. Carrow entered with his assistants and the medies grew still, while the faces of those about to be operated upon blanched in terror at tlie supposed pain in store for them. "Where is John Stoner?" quickly c'alled the professor, looking around at hia patients. "Herelam!" was the ready answer of an old man who was there for an operation for cataract. J Ie Btepped uut in front of the aniphitheatre and the eye was critically ined, first by Dr. (Jan-uw and then by the class who looked down froni the steep ampitheatre. The left eye was almost entirely blind, the riglit was rapidly growing worse. The latter was not ripe for operation and tlie exporienced operator chose the left. John Stoner, who ia an old lake captain froin Monroe, was sent out of the room to be placed on the operating table and liis eye ansesthetized with cocaine, wliile another operation was performed. This operation was a nucleation, an easy operation compared with that for cataract, being less delicate. ïhe unfortunate subject was a Mr. Hyde, of Durand, who while cutting trees had had a piece of steel from a wedge driven iuto his eyes, where it was tirmly imbedded and the sight was gone. The subject was rolled in on an operating table completely unconscious from chloroform. Dr. Rice, Dr. C'arrow, performed the operation, while the patiënt, entirely oblivious to what was going on, snored loudly in his artificial sleep. With quick touches of the instrumente the doctor severed the membranea and museles uutil finally only the optie nerve remained attached. pair of scissors was inserted under the hall and a sudden snap told that the eye was released. In the tneantime Dr. Carrow had been Iecturing to the class, giving the rarious steps iu the operation. The operation was necessarily performed to save the sight of the other eye. In the eyeball was found a piece of steel as large as the end of one's little finger. Tlie operation was dono in four minutes and the patiënt was out of the room and soon in his ward and soious. ïhen the cataract patiënt was rollet in, and Dr. Carrow begun the more del icate operation. First a slit across tli cornea, a smallpiece of the iris removed a lense spoon inserted and the opaqu crystalline lense, the cause of all tli trouble, was out. Then the eye had to be washed out. "I can see better already," said the captain, growing encouraged. "Of course you can," replied the doctor. How many fingers there?" shaking two before the eye, before totally blind. "Two," came the quick answer. "Wbat finger is that.7" said the doctor again, shaking his thumb. " Your thumb," came the answer, and the old captain was growing enthusiastic. But he was rolled out and placed in his ward, to remain with both eyes closed for four days. At the end of that time he will be allowed to open his eyes, and in twelve days at the most, he will have a pair of glasseson, and will be in Monroe witb at least one good eye. Those were all the operations for Chursday. There were a score of exatninations to be made still, and only a half bour of the cliuic hour remained. A little girl of sevèn years came next. She had lest the eyesight of her leff eye it birth. There vis no hope of n iief. This gave Dr. Carrow an opportunity of sayiug a few things he wanted to about bungling obstetricians. There are too many of them in the country. Many blind eyes are due to lack of atfention during the first weeks of the infant's life. To remedy faults along this line, the state medical society has decided to get I legislation, by which any case of inflammation or trouble of any kind in an iafant's eye, that is not reported toa physician, will make the parent or guardián guilty of a crime. To see that this legislation is carried through, Dr. Carrow has been made chairinan of a coininittee with Drs. Campbell and Gilman, of Detroit, as associates, to vvork it through the legislatura at its uext session. Tlie next subject aunounced that he had " scum overhis eyes." " A new disease," remarked tlie doctor, as the man was led forward for examination. Then carne a dozen more. Some had throat diseases, soine liad eyes that wereaskew, and some had defective ears. It was three o'clock and all were removed from the clinic ainphitheatre to Dr. Carrow's private i hjjt room. Yesterdsy morning, through the courtesy of Dr. Carrow, the Courier was takeu through the hospital wards as he visited his cases. The man whose eye had been nucleated t)ie previous day lay flat on his back, and was given the cheering information that he could go home with a new eye in three weeks at the furthest. The old captain who had uudergoue the cataract operation, was doing nicely, and was as happy as a clam. There were ten cases of cataract then in the hospital, all in different stages, sonie all ready to be discharged. The state affords great opportunities in this line for those who are poor and unfortunate, and while the clinics are always crowded, the kiixl-hearted physicians are always glad to ralieve every case they eau.


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Ann Arbor Courier