WORK for the better progress of the human race is most effect...
See Fever, Typhoid. ...
The Guidance Of The Body
THE literature relating to the care of the human body...
The pleura is the tender double web, or membrane, which lines ...
Treatment Of Scarlatina Simplex Or Simple Scarlet-fever
_Scarlatina simplex_, or _simple scarlet-fever_ (9), without ...
Curing With Enemas
It is not wise to continue regular colonics or enemas once a ...
An ulcer is an "eating sore": that is, a sore containing matte...
Often in the case of delicate infants or children, the bones o...
Deformities Of The Urinary Bladder The Operations Of Sounding For Stone Of Catheterism And Of Puncturing The Bladder Above The Pubes
The urinary bladder presents two kinds of deformity--viz., co...
Inflammation Of The Bowels - Enteritis
This consists in inflammation of the muscular and peritoneal ...
What Is Constipation?
Most people think they are not constipated because they have ...
Delicacy of touch and manipulation are an absolute necessity...
See Hearing. ...
Is the process whereby the digested food is carried into the b...
Position For Bronchoscopy And Esophagoscopy
The dorsally recumbent patient is so placed that the head an...
The surface of the body should be kept clean, as far as possi...
Much more than is readily believed depends on the state of the...
A subacute or a chronic infective endocarditis should be trea...
Mitral Stenosis: Mitral Narrowing
This particular valvular defect occurs more frequently in wom...
When the conducting cords are of equal length, as commonly th...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
If the operator has no refractive error he will need
two pairs of plane protective spectacles with very large eyes. If
ametropic, corrective lenses are necessary, and duplicate spectacles
must be in charge of a nurse. For presbyopia two pairs of spectacles
for 40 cm. distance and 65 cm. distance must be at hand. Hook temple
frames should be used so that they can be easily changed and adjusted
by the nurse when the lenses become spattered. The spectacle nurse has
ready at all times the extra spectacles, cleaned and warmed in a pan
of heated water so that they will not be fogged by the patient's
breath, and she changes them without delay as often as they become
soiled. The operator should work with both eyes open and with his
right eye at the tube mouth. The operating room should be somewhat
darkened so as to facilitate the ignoring of the image in the left
eye; any lighting should be at the operator's back, and should be
insufficient to cause reflections from the inner surface of his
[FIG. 40.--The author's endoscopic bougies. The end consists of a
flexible silk woven tip attached securely to a steel shank. Sizes 8 to
30 French catheter scale. A metallic form of this bougie is useful in
the trachea; but is not so safe for esophageal use.]
[FIG. 41.--The author's laryngeal bougie for the dilatation of
cicatricial laryngeal stenosis. Made in 10 sizes. The shaded triangle
shows the cross-section at the widest part.]
[FIG. 42.--The author's bronchoscopic and esophagoscopic table.]
 Endoscopic Table.--Any operating table may be used, but the
work is facilitated if a special table can be had which allows the
placing of the patient in all required positions. The table
illustrated in fig. 42 is so arranged that when the false top is drawn
forward on the railroad, the head piece drops and the patient is
placed in the correct (Boyce) position for esophagoscopy or
bronchoscopy, i.e., with the head and shoulders extending over the end
of the table. By means of the wheel the plane of the table may
be altered to any desired angle of inclination or height of head.
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