|This is a story which I believe. Of course, this is not my personal experience; but it has been repeated by so many men, who should have witnessed the incident, with such wonderful accuracy that I cannot but believe it. The thing happened ... Read more of The Examination Paper at Scary Stories.ca|| Informational|
Medical ArticlesMind In Disease
Often a person, because of physical failure, becomes possessed...
Finding Your Ideal Dietary
Anyone that is genuinely interested in having the best possib...
Treat as under Fever, Gastric, and Fever. In addition, great c...
Ulcers Case Xxix
The peculiarity of the present case arose from neglect in eva...
To Prevent Typhoid Fever
When exposed, as in nursing the sick, take _Baptisia_ 2d, and...
A Summing Up
GIVE up resentment, give up unhealthy resistance. ...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
will often cure malignant ulcers both of the breast and uteru...
Diverticulum Of The Esophagus
Diverticula may, and usually do, consist in a pouching by her...
Acidity Of The Stomach
Often caused by unwholesome food, bad or deficient teeth, or b...
Potatoes boiled and beaten up with buttermilk, spread out in t...
Dr Jerome Kidder's Electro-magnetic Machine
On opening the machine-box, as it comes from the manufacturer...
Wounds Bleeding Of
After sending for a surgeon the first thing to be looked at in...
The Royal Touch
Malcolm. Well; more anon.--Comes the king forth, I pray ...
The Progress Of Disease: Irritation, Enervation, Toxemia
Disease routinely lies at the end of a three-part chain that ...
This troublesome disease is also known as St. Anthony's Fire, ...
Contraindications To Direct Laryngoscopy
There are no absolute contraindications to direct laryngosco...
Treatment Of Cicatricial Stenosis
A careful direct endoscopic examination is essential before ...
Symptoms And Signs Of Cardiac Disturbance
It is now recognized that any infection can cause weakness an...
Auricular Fibrillation Diagnosis
If the pulse is intermittent and there is apparently a heart ...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
While the usually thin, watery esophageal and
gastric secretions, if free from food, are readily aspirated through a
drainage canal, the secretions of the bronchi are often thick and
mucilaginous and aspirated with difficulty. Further-more, bronchial
secretions as a rule are not collected in pools, but are distributed
over the walls of the larger bronchi and continuously well up from
smaller bronchi during cough. The aspirating bronchoscopes should be
used whenever their very slight additional area of cross-section is
unobjectionable. In most cases, however, the most advantageous way to
remove bronchial secretion has been found to be by introducing a gauze
swab on a long sponge carrier (Fig. 14), so that the sponge extends
beyond the distal end of the bronchoscope, causing cough. Then
withdrawal of the sponge carrier will remove all of the secretion in
the tube just as the plunger in a pump will lift all of the water
above it. By this maneuver the walls of the bronchus are wiped free
from secretions, and the lamp itself is cleansed.
[FIG. 14.--Sponge carrier with long collar for carrying the small
sponges shown in Fig. 15. The collar screws down as in the Coolidge
cotton carrier. About a dozen of these are needed and they should all
be small enough to go through the 4 mm. (diameter) bronchoscope and
long enough to reach through the 53 cm. (length) esophagoscope, so
that one set will do for all tubes. The schema shows method of
sponging. The carrier C, armed with the sponge, S, when rotated as
shown by the dart, D, wipes the field, P, at the same time wiping the
lamp, L. The lamp does not need ever to be withdrawn for cleaning
during bronchoscopy. It is protected in a recess so that it does not
catch in the sponges.]
[FIG 15.--Exact size to which the bandage-gauze is cut to make
endoscopic sponges. Each rectangle is the size for the tubal diameter
given. The dimensions of the respective rectangles are not given
because it is easier for the nurse or any one to cut a cardboard
pattern of each size directly from this drawing. The gauze rectangles
are folded up endwise as shown at A, then once in the middle as at B,
then strung one dozen on a safety pin. In America gauze bandages run
about 16 threads to the centimeter. Different material might require a
slightly different size and the pattern could be made to suit.]
 The gauze sponges are made by the instrument nurse as directed in
Fig. 15, and are strung on safety pins, wrapped in paper, the size
indicated by a figure on the wrapper, and then sterilized in an
autoclave. The sterile packages are opened only as needed. These
bronchoscopic sponges are also made by Johnston and Johnston, of New
Brunswick, N. J. and are sold in the shops.
Previous: Aspirating Tubes