Excerpt from The London in Medical Gazette, or Journal of Practical Medicine, 1849, Vol. 8
A second case, very similar to the above, has occurred to me since that account was written. A gentleman, 35 years of age, from Nottinghamshire, was sent to me by Dr. Golding Bird for examination. I readily discovered a calculus in his bladder; and, after considering the circumstances of the case, proposed the Operation Of lithotrity. I performed the Operation the third day after I first examined the patient, Dr. Golding Bird being present at the time. The stone was very easily seized; and, as the patient manifested no signs of irritability, I several times seized and crushed the fragments. After the Operation, I gave him thirty drops Of laudanum he passed aquiet night and on my visit next day, l was asto nished to find that upwards Of thirty grains Of detritus had been already passed. By the end Of the week he had passed 130 grains, and was so free from every symptom Of stone, that Iwes almost led to believe that the whole of the calculus had been re moved; and, upon sounding, I could not detect the presence of the smallest portion. Being aware, however, that the lithotrite would Often detect that which may elude the sound, I injected four ounces of water into the bladder, and passed the smaller scoop lithotrite, when I immediately detected a portion Of stone, which I seized and crushed.
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