But although she continued enlarge and feel motions very distinctly, as she affirmed, yet summer passed into autumn, and no signs labor appeared.
She also had an occasional slight menstrual flow at irregular intervals. Her health now gave way, the distention and weight became oppressive, and she suffered from frequent attacks peritonitis. About the first November, she came essay writer helper under the care colleague. Prof.
Robinson, this city, who asked see her.
I found her very feeble, emaciated, with a rapid, small pulse, and much abdominal tenderness much as render a thorough examination impracticable.
It was evident, however, that instead being enceinte she had a large tumor, either ovarian or uterine, with considerable ascitic accumulation.
She still persisted that she distinctly felt the motions her child, and great essay writers was several days before she could gently proofread essay and dissertation proposal writing gradually disabused the idea.
This being done, she was tapped, and about eighteen pounds fluid removed two thirds this was serous, and the remainder the chocolate-colored contents an ovarian tumor. The peritoneal fluid buy essay papers cheap was allowed escape before the cyst was punctured. There still remained a large mass, which was diagnosticated as a multilocular ovarian tumor, made small cysts, and apparently online essay services firmly adherent. She got considerable temporary relief, but within two weeks was as large as before, suffering fearfully, and she rapidly reached a point where she was confined the bed, with a pulse per minute, the digestive organs being crowded as refuse their office. In this forlorn condition, the patient begged for an operation. She seemed profoundly impressed with the idea that she should essay about helping others survive and recover, and was really, think, the most impatient person for surgical interference I have ever seen. Both herself and friends were told plainly that the probabilities were entirely against her, either as regarded the immediate shock the operation or ultimate recovery.
But pertinaciously did they cling the possibilities, that was deemed proper attempt extirpation help with paper the growth.
Accordingly, with the assistance Drs. Robinson, Gerrish, Hunt, Foster and Yates, I operated. Upon exposing the tumor, was found an ovarian polycyst, very firmly adherent in all directions. The marked peculiarity was that at the phd writing service upper portion, above the cyst which had been tapped, lay another, which had ruptured and discharged a large part its contents into the peritoneal cavity. The contents may best described as curdy and gelatinous matters intermixed, the firm caseous material predominating, lying in the half-emptied sac, and coating the viscera and parietal layer the peritoneum. So abundant was this, and intimately attached, that after removing the tumor in the usual way, was almost imipossible clear away this aplastic matter thoroughly. At many points, masses were peeled off as thick as the hand, and from one two inches square. The ligatures were brought through the lower angle the wound, which was closed interrupted silver sutures, and a large compress cotton wool applied and secured a binder.