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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"

On 15th and 20th, two who did well. On
25th, I attended another. This was a severe labor, and followed by
unequivocal puerperal fever, or peritonitis. She recovered. August 2d
and 3d, in about twenty-four hours I attended four persons. Two of them
did very well; one was attacked with some of the common symptoms, which
however subsided in a day or two, and the other had decided puerperal
fever, but recovered. This woman resided five miles from me. Up to this
time I wore the same coat. All my other clothes had frequently been
changed. On 6th, I attended two women, one of whom was not sick at all;
but the other, Mrs. L., was afterwards taken ill. On 10th, I attended a
lady, who did very well. I had previously changed all my clothes, and
had no garment on which had been in a puerperal room. On 12th, I was
called to Mrs. S., in labor. While she was ill, I left her to visit Mrs.
L., one of the ladies who was confined on 6th. Mrs. L. had been more
unwell than usual, but I had not considered her case anything more than
common till this visit. I had on a surtout at this visit, which, on my
return to Mrs. S., I left in another room. Mrs. S. was delivered on
13th with forceps. These women both died of decided puerperal fever.
"While I attended these women in their fevers, I changed my clothes, and
washed my hands in a solution of chloride of lime after each visit.


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