s and looking the picture of distress.
"I'm afraid it is apoplexy," she replied. "I found him lying upon
the floor, where he had, to all appearance, fallen suddenly from his
chair. His face is purple, and though he breathes, it is with great
difficulty."
I went up to see my patient. He had been lifted from the floor, and
was now lying upon the bed. Sure enough, his face was purple and his
breathing laboured, but somehow the symptoms did not indicate
apoplexy. Every vein in his head and face was turgid, and he lay
perfectly stupid, but still I saw no clear indications of an actual
or approaching congestion of the brain.
"Hadn't he better be bled, doctor?" asked the anxious wife.
"I don't know that it is necessary," I replied. "I think, if we let
him alone, it will pass off in the course of a few hours."
"A few hours! He may die in half an hour."
"I don't think the case is so dangerous, madam."
"Apoplexy not dangerous?"
"I hardly think it apoplexy," I replied.
"Pray, what do you think it is, doctor?"
Mrs. H-- looked anxiously into my face.
I delicately hinted that he might, possibly, have been drinking too
much brandy; but to this she positively and almost indignantly
objected.
"No, doctor; _I_ ought to know about that," she said. "Depend upon
it, the disease is more deeply seated. I am sure he had better be
bled. Won't you bleed him, doctor? A few ounces of blood taken from
his arm may give life to the now stagnant circulation of the blood
in his veins."
Thus urged, I, after some reflection, ordered a bowl and bandage,
and opening a vein, from which the blood flowed freely, relieved him
of about eight ounces of his circulating medium. But he still lay as
insensible as before, much to the distress of his poor wife.
"Something else must be done, doctor," she urged, seeing that
bleeding had accomplished nothing. "If my husband is not quickly
relieved, he must die."
By this time, several friends and relatives, who had been sent for,
arrived, and urged upon me the adoption of some more active means
for restoring the sick man to consciousness. One proposed mustard
plasters all over his body; another a blister on the head; another
his immersion in hot water. I suggested that it might be well to use
a stomach-pump.
"Why, doctor?" asked one of the friends.
"Perhaps he has taken some drug," I replied.
"Impossible, doctor," said the wife. "He has not been from home
to-day, and there is no
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