Injury in fact

“ My immediate recovery from the effects of an injury caused by an accident, an injury that neither medicine nor surgery could reach, was the falling apple that led me to the discovery how to be well myself, and how to make others so. ”

“ Yet I saw as many instances of fractured limbs, hernia, and other accidents there, as I ever saw on the earth; for when they fall from great heights, or miscarry in the feats of activity which they ambitiously attempt, it inflicts the same injury upon them, as a fall nearer the ground does upon us. ”

“ However, that every objective permanent injury results in substantial loss of a bodily function does not follow. An easy example is a completely healed fracture without any objective evidence of permanent substantial impairment. ”

“ I refer to the pain produced in the body by injury, as in cutting, tearing, concussion, compression, pinching, the stresses and strains produced by inflammation, the lesions of disease, and all the pains known as physical discomforts. Is the pain in the tooth a quality or a property? Is pain in the head a quality or a property? Is the pain from a bullet wound a quality or a property? We have already seen that all other pleasures and pains are derivative in the individual and in the race, and appear from the point of view. Is this true of physical pain? ”

“ Definitions.—Surgically a wound means a solution of continuity and refers to every such lesion produced by external violence or developing spontaneously. The medico-legal acceptation of the term is much broader and includes any injury or lesion caused by mechanical or chemical means. Vibert [601] quotes Foderé as defining a wound medico-legally as, “Every lesion of the human body by a violent cause of which the results are, singly or combined, concussion, contusion, puncture, incision, tear, burn, twist, fracture, luxation, etc. ”

“ If there is any man amongst you whom I have injured, I desire of him most earnestly to tell me the wrong I have done, that I may repair it before I die. I am quite certain that I have never done any one an intentional injury ”

“ You had no bones broken, but the injury to your muscles and ligaments was sufficient to kill a man only ordinarily strong, while the blows affecting your kidneys, liver and other internal organs were in themselves, without the bruising of all your surface, enough to cause death. ”

“ That is to say, suppose the æthereal body capable of receiving an injury, an injury in one part of it would correspond to an injury in a man’s past; an injury in another part,—that which the material body was traversing,—would correspond to an injury to the man at the present moment; injury to the æthereal body at another part, would correspond to injury coming to the man at some future time. ”

“ Still, the man of big swelling words is not always up in the clouds. If called to a case of accident, he examines the injury, and may inform the family in quite a simple and dignified manner that their father was thrown sidewise from his carriage breaking his leg and putting his ankle out of joint, but if he writes out the case for his medical journal, he gets up straightway on his stilts and says, “The patient was projected transversely from his vehicle, fracturing the tibia and fibula and luxating the tibio-tarsal articulation.” ”

“ WOUNDS.—A wound is a condition produced by a forcible cutting, contusing, or tearing of the tissues of the body, and includes, in its larger sense, bruises, sprains, dislocations, and breaks or fractures of bones. As ordinarily used, a wound is an injury produced by forcible separation of the skin or mucous membrane, with more or less injury to the underlying parts. ”

“ Of those who are wounded in the parts about the bone, or in the bone itself, by a fall, he who falls from a very high place upon a very hard and blunt object is in most danger of sustaining a fracture and contusion of the bone, and of having it depressed from its natural position; whereas he that falls upon more level ground, and upon a softer object, is likely to suffer less injury in the bone, or it may not be injured at all. ”

“ Further, as a result of altered conditions left by injuries which in themselves have not proved fatal, and from the immediate effects of which the person has recovered, fatal complications may follow, e.g. a person may have received an abdominal wound which after healing may become the seat of hernia which may strangulate; or an injury to the spinal cord, which may cause death at a late date from bedsores and exhaustion. ”

“ Fractures.—If there are any evidences of fractures, the situation of the bones involved should be noted, and whether they are accompanied by contusions of the soft parts. Fractures which are inflicted during life are always accompanied by much more extravasation of blood, more injury to the soft parts, and more evidences of reaction than those occurring after death. ”

“ Depressed fractures either result from injury received during the birth of the child—whether from forceps delivery or from the pressure exerted on the head by a contracted pelvis—or from blows received shortly after birth. ”

“ But it is necessary, if the wound has occurred at the sutures, and the weapon has impinged on the bone or the parts about it, to pay attention and find out what injury the bone has sustained. For a person wounded to the same, or a much smaller, extent, and by weapons of the same size and quality, and even much less, will sustain a much greater injury, provided he has received the blow at the sutures, than if it was elsewhere. And many of these require trepanning, but you must not apply the trepan to the sutures themselves, but on the adjoining bone. ”

“ When a limb is broken—the bones shattered, the flesh torn, the blood-vessels severed, the nerves lacerated, what can the surgeon or doctor do to repair the injury? A little outside mechanical work. He ligates, he stitches, he plasters, he fixes the parts in apparatus so they will remain motionless in the natural position. He can do no more. ”

“ The PRACTICE of forgiving injuries. The terms employed indicate clearly enough that the injuries which man suffers from his fellow are trifling in amount, especially in comparison of each man’s guilt in the sight of God. There is a meaning in the vast and startling difference between ten thousand talents and a hundred pence. Even when the injury is the greatest that human beings are capable of inflicting on the one side, and enduring on the other; even when an enemy has killed the body and ceased then, because he has no more that he can do, it is still a measurable thing. ”

“ Pain is given us as a warning against extreme injury; that by our complaint or suffering, the surgeon’s mind may be on its guard. For the body is so far in disorder when it is chilled by this apathetic spell, that it may sink under fatal injuries, although they may be endured by the mind unconscious of its peril or its state. As a very curious antitype to these cases, it is stated in a medical gazette, that a young lady fell down in an hysterical fit and was insensible for two days. As a puffy swelling arose, she was trephined, but there was no disease of the brain. ”

“ SERIOUS PHYSICAL INJURY.— The term “serious physical injury” means an injury that— `` (A) is life threatening; `` (B) results in permanent impairment of a body function or permanent damage to a body structure; or `` (C) necessitates medical or surgical intervention to preclude permanent impairment of a body function or permanent damage to a body structure. ́ ́.
Sec. 3. Covered Countermeasure Process. ”

“ The wounds which seem like real wounds, the color of the skin, the contraction of the face, the attitude, the expression,—each thing is terribly real. If you touched the body, you would expect to feel the tremor of the limbs and the warmth of the blood. ”

“ If one must suffer, he may assuage his pain by bearing it bravely. The over-tending of a wound may produce worst consequences. Exposure to the air, frequent ablutions, occasional frictions, create healing processes, reduce sensitiveness, and restore somewhat of the old life and vigor. ”

“ He assumes that the injury, which results from a sacrifice of the truth for the good of the sick, comes upon him who practices the deception, and that in doing it, “he generously relinquishes every consideration referable only to himself.” But the considerations that I have presented show, that the injury is very far from being thus confined. Often the very person intended to be benefited is injured, perhaps deeply, in some cases even fatally. ”

“ With every drop of your blood.
Fear not. When back you steal,
Broken and weary, to me,
With oil and wine I will surely heal
Each bruise and hurt that your senses feel,
As I take you on my knee. ”

“ Yet others, with deep, gaping wounds, in which inflammation had already set in, were delirious from their pain, and implored that they might be put out of their misery, and with drawn faces twisted themselves into indescribable positions in their supreme agony. ”

“ In this way one may be propelled several feet, and many varieties of surgical injury may be caused. Rarely the force of the contraction is such as of itself to rupture muscles or tendons, and it might even fracture bones or dislocate joints already predisposed. ”

“ In injuries to the person, those marks which denote injuries regarded by mankind in general as differing in magnitude; the size, for example, or position, of a wound; in injuries to reputation, the words used, and the occasion when, and so forth, are the only means of distinction which can be employed. ”

“ Let us suppose that a human body is wounded—that is, cut or torn by some outside agency. The tissues, lymphatic and blood vessels, glands, muscles, nerves, and sometimes even the bone, is severed, and the continuity interrupted. The wound bleeds, gapes and causes pain. The nerves carry the message to the brain, calling loudly for immediate help, and the Instinctive Mind sends messages here and there in the body, calling out a sufficient force of repair workmen, who are hurried to the scene of danger. ”

“ A wound may be defined as a 'breach of continuity in the structures of the body, whether external or internal, suddenly occasioned by mechanical violence.' The law does not define 'a wound,' but the true skin must be broken. Wounds are dangerous from shock, hæmorrhage, from the supervention of crysipelas or pyæmia, and from malum regimen on the part of the patient or surgeon. Is the wound dangerous to life? ”

“ You know that you can produce wounds upon the body of the hypnotised patient, in a state of trance. By suggestion lesions are made, burns are caused, inflammation and pain appear by the mere suggestion of a wound. ”

“ Accidental wounds are generally caused by a fall or a crush, and the fact of their accidental character is generally established by the circumstances of the event. Certain accidental wounds present characteristics which allow the true nature of the wounds to be determined. ”

“ Concussion, complicated by the symptoms of compression, 298. followed by mania, 300. Illustrative of the after-effects of concussion, 301. Fatal paralysis, caused by compression of the brain, 307. Illustrative of the different forms of paralysis following compression or irritation of the brain, 309. Fracture of the skull without depression, 311. Fracture of the skull, with injury to the middle meningeal artery, 315. Fracture of the base of the cranium, 317. Fracture of the inner table of the skull, without injury to the outer plate of bone, 322. ”

“ It is only during the amputation of a limb, or the probing of a wound, that a sharp cry of pain is sometimes wrung from the sufferer, who generally turns aside his head, as if ashamed of such unsoldierly weakness. ”

“ If a fracture, then, occur in the head, it is discovered by the sharpness, weight, hardness, or violent force of the body which struck it, and by the symptoms which supervene upon the person who has been struck, such as vertigo, loss of speech, and sudden prostration, more particularly if it be a fracture with depression, or contusion, or expression, or the internally-arched fracture, owing to the compression of the brain. ”

“ A Simple Wound is that which only opens the Flesh, and hath no other concomitant Circumstances; but a Complicated Wound, on the contrary, is that which is attended with grievous Symptoms, as Hæmorrhages, Fractures of Bones, Dislocation, Lameness, and others of the like Nature.
What is a dangerous and mortal Wound?
A dangerous Wound is that which is complicated the Accidents whereof are dreadful: As when an Artery is open'd or prick'd, when a Nerve or Tendon is cut, or when the Wound is near a Joynt and accompanied with a Dislocation or Fracture. ”

“ "Wisely was it written: 'Let him that desireth oblivion confer benefits—but the memory of an injury endureth for ever.' I forget neither benefits nor injuries." ”

“ In anger the eyes are fiery and the pupils contracted; in modesty the cheeks are suffused with blushes; in fear, and under a sense of infamy and of shame, the face is pale, but the ears burn as if for the evil they heard or were to hear; in lust how quickly is the member distended with blood and erected! But, above all, and this is of the highest interest to the medical practitioner,—how speedily is pain relieved or removed by the detraction of blood, the application of cupping-glasses, or the compression of the artery which leads to a part? ”

“ The lesions or injuries of the body which form so prominent a part of disease vary in kind, degree and situation, depending upon the character of the injurious agent, the duration of its action and the character of the tissue affected. The most obvious injuries are those produced by violence. By a cut, blood vessels are severed, the relations of tissues disturbed, and at the gaping edges of the wound the tissue usually protected by the skin is exposed to the air, resulting in destruction of the cells contained in a thin layer of the surface. ”

“ We conceive in a much more lively and distinct manner the pain which proceeds from an external cause, than we do that which arises from an internal disorder. I can scarce form an idea of the agonies of my neighbour when he is tortured with the gout, or the stone; but I have the clearest conception of what he must suffer from an incision, a wound, or a fracture. The chief cause, however, why such objects produce such violent effects upon us, is their novelty. ”