Treble damages

“ Trephining has been considered as indicated when there is a fracture of a portion of the skull, from a fall or blow with a blunt instrument, in order to elevate the depressed portion; in some cases of concussion, where there is reason to believe that the inner table of the skull is fractured at the opposite side of the head, and is producing irritation of the brain ”

“ In some instances, as in direct fracture of the roof of the orbit from above, the exit should not be touched.
The flap having been raised, if the wound be a small perforation, a 1/2-inch trephine crown may be taken from one side; but it is rare for the opening to be so small that the tip of a pair of Hoffman's forceps cannot be inserted. The trephine is more often useful in cases of non-penetrating gutter fractures where space is needed for exploration, and the elevation or removal of fragments of the inner-table. ”

“ Every day that you remain at the mercy of a truss which either occasionally or frequently lets your rupture come out is simply a day of danger.
You can gain nothing whatever by waiting—by trying to get along without a Cluthe Automatic Massaging Truss. ”

“ Rarely it may happen that an arch fractures as a result of settlement, or other movement, when, if it is decided that safety of the structure is not imperilled, it will in this case also be preferable to confine the parts simply by flitch-plates or other contrivance, with no attempt rigidly to make good the break, the consequences of which treatment would probably be to induce fracture in some other place. ”

“ Stress, as ordinarily stated—i.e., at so much per square inch, uniform across a section—is seldom a cause of trouble. In nearly all cases of failure there is an accompanying localised destructive stress, either in rivets or elsewhere, with crippling or deformation of some essential part. In the tension flanges of main girders with uncomplicated stress, this may run up to an amount very considerably beyond the ordinary limits without producing signs of distress. ”

“ But it is generally held, that, in order to warrant a finding that negligence, or an act not amounting to wanton wrong, is the proximate cause of an injury, it must appear that the injury was the natural and probable consequence of the negligence or wrongful act, and that it ought to have been foreseen in the light of the attending circumstances. These circumstances, in a case like the present, are the strength and direction of the wind, the combustible character of the elevator, its great height, and the proximity and combustible nature of the saw-mill and the piles of lumber. ”

“ The upper part of the curves seen in this diagram, Figure 73, and expressed in fainter lines, has been removed by what is called denudation, to be afterwards explained.
FRACTURES OF THE STRATA AND FAULTS.
Numerous rents may often be seen in rocks which appear to have been simply broken, the fractured parts still remaining in contact; but we often find a fissure, several inches or yards wide, intervening between the disunited portions. These fissures are usually filled with fine earth and sand, or with angular fragments of stone, evidently derived from the fracture of the contiguous rocks. ”

“ 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. ”

“ And, at times of strain, when more pressure is needed, there is no increase in pressure to meet that need.
This unregulated pressure tends to stretch the weakened muscles at the point of rupture—distends and enlarges the opening.
That is one reason why a rupture grows constantly worse when a leg-strap or spring truss is worn. Such trusses are a crime—wearing them is simply slow suicide. ”

“ Sudden strains or movements, like coughing or sneezing, like in working or exercising—strains which would cause other trusses to slip or shift out of position—simply cause an instant, automatic increase in the comfortable support a Cluthe Truss gives to your rupture. ”

“ At least my rupture never comes out when I have the truss off for 2 or 3 hours at a time. I think your truss is the only perfect device for rupture made. There ought to be a law passed prohibiting drug stores from selling those so-called trusses that don't hold or give a man a minute's peace. ”

“ Of these modes of fracture, the following require trepanning: the contusion, whether the bone be laid bare or not; and the fissure, whether apparent or not. And if, when an indentation (hedra) by a weapon takes place in a bone it be attended with fracture and contusion, and even if contusion alone, without fracture, be combined with the indentation, it requires trepanning. A bone depressed from its natural position rarely requires trepanning; and those which are most pressed and broken require trepanning the least ”

“ I feel as strong as I ever did before I was ruptured. I work hard every day and have never had any bad effects.
Cured by Cluthe Truss While Lifting Rails and Ties in the Course of Work
I have often been without my Cluthe Truss, and rupture has never come down even without the truss. Before getting the Cluthe Truss I had tried many others, but none of them held my rupture continuously, to say nothing of the discomfort caused and chafing by those leg-straps and springs. By reason of my work as section foreman I am frequently required to do heavy lifting, such as railroad rails and ties. ”

“ During the few months I have been wearing the Cluthe Truss I have done almost everything that would rupture a man or cause a ruptured man agony or to be operated on. I ride horseback and I am now a chauffeur. Ask any man what it means to crank an engine of high compression. This needs an extraordinary truss to hold a bad rupture under such conditions, but the Cluthe Truss does it. ”

“ Ruptured people seriously risk their health when they trust their cases to any one who hasn't made a thorough, specialized study of rupture. That is almost as dangerous as having a prescription filled by an inexperienced clerk, instead of by a registered pharmacist. For a wrong truss can cause immense harm. ”

“ Besides this, when actuated by the piston through the intervention of tappets, the violence of the blow delivered at each stroke is such as to rapidly destroy the parts. In some machines, the force of these blows and their destructive tendency have been reduced to a minimum; but when every means of remedying the evil has been employed, there remains a large amount of inevitable wear and tear, and a liability to failure from fracture or displacement exists in a greater or less degree. ”

“ If a crack does not form, touch the hot place with the cold end of the nail. If no success is obtained, try the other end of the scratch. If failure still pursues the operator, let him make another cut on the opposite side of the tube and try again. In general, the tube will yield the first or second time the hot drop of glass is applied. Never apply the drop at the centre of the scratch, or a ragged crack, which may run in any direction, will result. Very often, with a large tube, the crack formed by a successful operation will only extend a short distance. ”

“ In the midst of every action and every movement, during the hours of labour and the minutes of refreshment, unlooked for and unavoidable the mortal stroke descended.
[147]
For by day and night the fire never ceased. The round shot crashed and spun through the windows, raked the earthwork, and skipped about the open ground in every corner of our position. The bullets cut the air, and pattered on the wall like hail. The great shells rolled hissing along the floors and down the trenches, and, bursting, spread around them a circle of wrack, and mutilation, and promiscuous destruction. ”

“ While I was always skeptical as to a permanent cure of rupture by means of a truss the fact remains that after following your advice and instruction, I have been going about without a truss, doing all kinds of work same as I did prior to becoming ruptured. I cheerfully recommend your truss to one and all afflicted with rupture. Only the patient himself knows from experience how he has to suffer. ”

“ The horn, filthy with blood and excrement, very often broken at the ends by blows into small splinters, broke the flesh, lacerated it, perforated it, so that it was at the same time a deep penetrating wound, and a crushing bruise, but all the same these awful wounds were cured far more easily than those of daily life. ”

“ We have had cases here at the Institute where, for lack of activity, the muscles around the rupture opening had withered almost completely away. And usually, in addition to lack of use, the deadening, benumbing pressure from a wrong truss was partly responsible for that withered or deadened condition of the muscles.
We can do nothing in cases like that. Neither can an operation or anything else. It is entirely too late.
Like a man whose arm has been broken.
While carried in a sling or plaster cast, the arm tends to lose its strength—loses it through lack of use. ”

“ Any system of treatment (except operation) which claims to relieve or cure rupture without the use of a truss is simply a fraud.
Why You Need a Truss
The weak muscles at the rupture opening can't possibly get strong without the aid of a truss that will do what the muscles themselves are too weak to do; a truss that will hold the bowels in place.
But trusses which will do that even half the time are mighty scarce.
Thousands of sufferers have tried truss after truss in hopes they would finally get one that would do it; and to this day haven't found such a truss. ”

“ When impacted in a bone, he directs us either to move it about until it is loosened, or to perforate the bone with a trephine. When lodged in the cranium, it is to be removed in like manner with a trephine, provided the dura mater is not injured, for if it is wounded the case must not be interfered with. When a weapon is lodged deep in any part of the body where there are no large nerves, veins, or bones, he directs us to enlarge the wound and extract the weapon ”

“ A failure by tension in the steel is an ideal failure, because it is easiest to provide against. Failures by slipping of bars, and by cracking and disintegrating of the concrete beam near the support, as exhibited by the other tests, indicate danger, and demand much larger factors of safety. ”

“ Then the anæsthetist said in a whisper: "How much longer will you be? Her pulse is failing. She cannot stand much more." He felt that he must finish or die. He finished in a way. He closed the wound, and then sank on a stool with his face buried in his blood-stained hands, while the nurse and the doctor applied the necessary dressing.
The patient was carried back to her bedroom, but he dared not follow. The doctor who had helped him crept away without speaking a word. ”

“ In this case the wet, together with the constant friction of the sharp materials of which the road is made, serves to destroy the varnish-like periople. The wet gains access to the inner structures of the wall, the agglutination of the horn fibres is weakened, and fissures begin to appear.
Other causes of sand-crack are purely accidental. An animal at fast work over-reaches. The secretion of horn at the injured coronet is interfered with, a diminished supply at an isolated spot being the result. From this point grows down a fissure in the wall. ”

“ Burns, rough, ragged holes in the faces or on the corners, are inexcusable and should be rejected; the steel has been abused, or it is red-short; in either case the ragged breaks are good starting-points for final rupture. ”

“ The escape from actual destruction by structures lying in the immediate neighbourhood of the track is indeed often surprising, but not perhaps so astonishing as the perforation of long narrow structures such as the peripheral nerves and vessels, without irreparable damage to the parts remaining, and this although the structures themselves may be of a diameter not exceeding that of the bullet itself. ”

“ Where the derrick and the new power-plant had stood there was a mass of tangled wreckage, and the burying-ground glade looked as if it had been swept by a tornado. In the wan moonlight Tregarvon caught a glimpse of something moving under the trees beyond the wreck; then the moving object erected itself into the stature of a man. ”

“ I, being unmarried, could certainly not ask him to take off his mask, while I kept mine on. So I stripped mine off, made the repair, and while doing so was gassed severely. With the aid of the buddy, I was able to reach our billet. There I was put on a stretcher and taken to a field dressing station. As the old saying goes, it never rains but it pours; gassing was not the only trouble I was destined to experience on that day. As I was being carried to headquarters a shell exploded nearby and I was struck in the leg by a piece of shrapnel. ”

“ In the Surgical Report of the Crimean Campaign, it is stated that the trephine was only successfully applied in four cases (and none of these were from rifle-balls) during the whole war; and [72] that in these instances the patients were subsequently subject to occasional headache and vertigo; and in the French report, by Dr Scrive, it is stated that trephining was for the most part fatal in its results in the French army. In siege operations, the experience as regards wounds of the head is always very extensive, the lower parts of the body being so much more protected in the trenches. ”