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ne of his members. In a short time his medical attendants expressed the danger and questionability of saving his other limb, and consulted him. In the calmest way the heroic General instructed them to amputate it, again remaining unmoved throughout the operation. Crompton records a case in which during an amputation of the leg not a sound escaped from the patient's lips, and in three weeks, when it was found necessary to amputate the other leg, the patient endured the operation without an anesthetic, making no show of pain, and only remarking that he thought the saw did not cut well. Crompton quotes another case, in which the patient held a candle with one hand while the operator amputated his other arm at the shoulder-joint. Several instances of self-performed major operations are mentioned in Chapter XIV. Supersensitiveness to Pain.--Quite opposite to the foregoing instances are those cases in which such influences as expectation, naturally inherited nervousness, and genuine supersensitiveness make the slightest pain almost unendurable. In many of these instances the state of the mind and occasionally the time of day have a marked influence. Men noted for their sagacity and courage have been prostrated by fear of pain. Sir Robert Peel, a man of acknowledged superior physical and intellectual power, could not even bear the touch of Brodie's finger to his fractured clavicle. The authors know of an instance of a pugilist who had elicited admiration by his ability to stand punishment and his indomitable courage in his combats, but who fainted from the puncture of a small boil on his neck. The relation of pain to shock has been noticed by many writers. Before the days of anesthesia, such cases as the following, reported by Sir Astley Cooper, seem to have been not unusual: A brewer's servant, a man of middle age and robust frame, suffered much agony for several days from a thecal abscess, occasioned by a splinter of wood beneath the thumb. A few seconds after the matter was discharged by an incision, the man raised himself by a convulsive effort from his bed and instantly expired. It is a well-known fact that powerful nerve-irritation, such as produces shock, is painless, and this accounts for the fact that wounds received during battle are not painful. Leyden of Berlin showed to his class at the Charite Hospital a number of hysteric women with a morbid desire for operation without an anesthetic. Such persons d
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