There is a vast variety of ailments associated with what is ca...
Simple remedies such as we advocate are found of immense servi...
The Effort Of Digestion
Digestion is a huge, unappreciated task, unappreciated becaus...
Ulcers Case Xxii
J. Copeland, blacksmith, aged 38, came to me with many deep ...
How the Eye is Made. Next in importance after the smell and t...
Highly Inflamed Throat Croup
If the _throat_ is in a highly inflamed condition, repeated p...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
Is a disease springing from disordered digestion, and caused s...
See Child-bearing. ...
See Rash. ...
Enough has already been said of the value and limitations of ...
Tuberculosis Of The Tracheobronchial Tree
The bronchoscopic study of tuberculosis is very interesting,...
This may be felt either because the breath is actually hot, or...
Pulse Testing For Allergies
Coca's Pulse Tests are extraordinarily useful and simple tool...
Felon - Whitlow
For this disease, in the early stage, when the sensation is t...
The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity
The median line of the body is occupied by the centres of the...
These are of two kinds, the one purely imaginary, the other wh...
Sometimes mere internal inflammation is mistaken for this dise...
Tests Of Heart Strength
If both systolic and diastolic blood pressure are taken, and ...
is valuable as a _palliative_ upon cancerous tumors. As a _cu...
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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