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 |   Related post: muth. Dr. A. M. Vance asked what had killed the people. August 1, 1891.] PROCEEDINGS OF SOCIETIES. 135 Dr. OoTTELL said that tlie only theory, granting arsenic did not kill them, that had anything like facts to support it, was the ptomaine theory. Dr. Goodman had carried out a verj^ well conducted theory of ptomaine. He had got some facts, and very good ones, and the speaker would say that it was the best theory he had seen. Dr. J. A. OcHTEELONY (by invitation) said that he had been very much interested, not only by the paper, so carefully writ- ten and evincing such close observation, which Dr. Irwin had read, but by all the remarks that had been made by Buy Nevirapine the gentle- men taking part in tlie discussion. The whole affair had excited the interest of the physicians throughout the city and, he was sure, throughout the country, and not the least interesting was that everybody who had had anything to do with it seemed to be nearly as much in the dark now, if not more so, than in the beginning. So far as he had been able to keep up with the progress of tbe investigation, there seemed to be three theories. One gentleman had attended some cases, and had said that there had been nothing about them indicative of poi- soning of any kind. They had been simply cases of cholera morbus. He thought that opinion rather strange, when it was a well-known fact that the different kinds of metallic poisoning were all characterized by acute gastritis, and that, after all, cholera morbus was nothing but irritation and congesrion. Then the three different kinds of poisoning suggested — pto- maine, mushroom, and arsenical poisoning. It was a very curi- ous affair through and through. He believed about sixty-five people had been poisoned, and out of that number six had died, and he thought that only three post-mortem exaTuinations liad been made. All seemed to have died at considerable periods of time after the supposed poisoning had taken place. It had occurred to him that, in the celebrated case he had seen re- ported somewhere, death had taken place on the sixteenth day, and it was a well-established fact that death had been the result of arsenical poisoning, and yet no trace of arsenic had been found on analysis. It did not seem to him that negative results militated very much against the possibility that arsenic might have been the cause of the trouble, and when he thought of the ptomaine theory that had been alluded to by his distinguislicd friend. Professor Cottell, he remembered several instances re- corded by Brouardel and Botmy where ptomaines had been found in the cases of persons proved to have died of arsenical poisoning. There was no doubt at all of the existence of ar- senical poisoning in these cases, yet ptomaines had been found. The clinical phenomena seemed to have been very different in the different cases, but that was what one expected — symp- toms varied so much in regard to the quantities taken, accord- ing to the emptiness of the stomach, according to the dilution of the poison, according to the temperament, according to the condition of the patient, whether asleep or awake, and accord- ing to the preconceived notion of the observer. Bennett hud said a long time ago that there were more false facts than theories in medicine. And the further we traveled along the journey of life, the more we realized that facts appeared very different according to the medium through which they were viewed, the point from whence they were viewed, and the ])re- conceived notions of the individuals who observed the facts, and he was satisfied in his own mind that perfectly honest men, well-meaning, competent men, would see things very different- ly. The time had long gone by with him when he was inclined to quarrel with people because they did not see things as he saw them. He was perfectly satisfied that they differed either because they had some facts that he had not, or because he had some facts that they had not, and, whicliever it was, there was no reason for animadversion on either side. He must say that, look ing at the matter from the standpoint of an outsider, he was un- able to divest his mind of the idea that certainly the cases that Dr. Irwin had reported must have been cases of arsenical poison- ing. It was simply an opinion. Making all allowance for its un- reliability, the symptomatology was very striking, and he must say he did not see anything to conflict with that view, but, on the other hand, everything to bear it out. The whole affair was shrouded in mystery. Possibly one of these days it woald be solved, but until then there would always be more or less doubt and more or less uncertainty about it. All we could say was that we had to judge by the facts before us. All the perfectly reported and recorded facts that he had seen or knew anything about were those furnished by Dr. Irwin, and he did not think any one who had listened to that report could help being im- pressed with the fact that these cases looked like arsenical poi- soning. In addition to that, he had got Mr. Flexner's report that arsenic had been found in the sublimate from the copper given him and in the secretions from Dr. Anderson's patient; also the post-mortem appearances given by Dr. Cottell, and from what he had said relating to the condition of the mucous membrane in the stomach of Mrs. Guthrie. Certainly those appearances must have been produced by some cori'osive poison. Neither mush- rooms nor ptomaines would produce such destructive lesions in Nevirapine Tablets Related links: doxycycline hyclate 100mg, zithromax on line, Buy Cheap Diphenhydramine, Voltaren Xr, The Acai Berry, Buy Tylenol With Codeine Online, ordering propecia canada, Benzoyl Peroxide Products Uk, Buy Amoxicillin In Uk, Budesonide Online
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