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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"

She died on
the 20th.
"Case 4. Mrs.______ , confined June 17th, at 5 o'clock, A. M., was doing
well until the morning of the 19th. She died on the evening of the 21st.
"Case 5. Mrs.______ was confined with her fifth child on the 17th of
June, at 6 o'clock in the evening. This patient had been attacked with
puerperal fever, at three of her previous confinements, but the disease
yielded to depletion and other remedies without difficulty. This time, I
regret to say, I was not so fortunate. She was not attacked, as were the
other patients, with a chill, but complained of extreme pain in abdomen,
and tenderness on pressure, almost from the moment of her confinement.
In this as in the other cases, the disease resisted all remedies, and she
died in great distress on the 22d of the same month. Owing to the
extreme heat of the season, and my own indisposition, none of the
subjects were examined after death. Dr. Channing, who was in attendance
with me on the three last cases, proposed to have a post-mortem
examination of the subject of case No. 5, but from some cause which I do
not now recollect it was not obtained.
"You wish to know whether I wore the same clothes when attending the
different cases. I cannot positively say, but I should think I did not,
as the weather became warmer after the first two cases; I therefore think
it probable that I made a change of at least a part of my dress.


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