The Case of the Operation for the Empyema, Successfully Performed by Joseph Warner, F.R. S. and Surgeon to Guy's HospitalAuthor(s): Joseph WarnerSource: Philosophical Transactions (1683-1775), Vol. 48 (1753 - 1754), pp. 270-273Published by: The Royal SocietyStable URL: http://www.jstor.org/stable/105153 .

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[ 27°] t;ibrations in the air: and 11e thinks, that il: is as eafy to conceive how the velocities of the particles of light may be differerlt, and yet take up equal times in pro pagating their motion from one to another through a given fpace, as to explain how founds of different tones move with equal Rlocities. In accounting for both, he {hews} that) in a ferles of particles,, which mutually repel eacDh others the greater thoir nrelocitya the nearer they will approach other, in communI- cating their motions from one to another ^ and cono fequently each of the:m mull move thro5 a greater Epace in fo doing: wherefore the fame time may be fperlt in propagating a fucce{lve motion thro' a feries of particles, whofe velocity is greater, if each parS cle has to nzove thro' a greater fpace, as is fpentX where the velocity of ch partiele is lefij but is con- tinued thro' a lefs fpace. The dilemtua to which our atlthor's reafoning feems to have reduced thq dodtrine of refrangibilityJ may therefore be confiderd as a probable argument br adopting this hypothetis of the propagation of Iight thro' an elaRic medium.

. ..

so nrv v ¢r _ r ^ 7 ^XXIk. ltetayeoyt/3erJpervtiorfor the E m p y e m a ) f a c c e § < s f u l l y p e r f o r n c e d - b y J a S e p h Warner, B.R. S. and Svrgeon to Guy's :FIofpitalO

Read June :8JN the x9 of March x7S2) I did I753 tJ mySelf the honour of communi-

cating to the ltoyal Society the cafe of John HinesX on whom I had performed the operation for the

empyema

[ 27°] t;ibrations in the air: and 11e thinks, that il: is as eafy to conceive how the velocities of the particles of light may be differerlt, and yet take up equal times in pro pagating their motion from one to another through a given fpace, as to explain how founds of different tones move with equal Rlocities. In accounting for both, he {hews} that) in a ferles of particles,, which mutually repel eacDh others the greater thoir nrelocitya the nearer they will approach other, in communI- cating their motions from one to another ^ and cono fequently each of the:m mull move thro5 a greater Epace in fo doing: wherefore the fame time may be fperlt in propagating a fucce{lve motion thro' a feries of particles, whofe velocity is greater, if each parS cle has to nzove thro' a greater fpace, as is fpentX where the velocity of ch partiele is lefij but is con- tinued thro' a lefs fpace. The dilemtua to which our atlthor's reafoning feems to have reduced thq dodtrine of refrangibilityJ may therefore be confiderd as a probable argument br adopting this hypothetis of the propagation of Iight thro' an elaRic medium.

. ..

so nrv v ¢r _ r ^ 7 ^XXIk. ltetayeoyt/3erJpervtiorfor the E m p y e m a ) f a c c e § < s f u l l y p e r f o r n c e d - b y J a S e p h Warner, B.R. S. and Svrgeon to Guy's :FIofpitalO

Read June :8JN the x9 of March x7S2) I did I753 tJ mySelf the honour of communi-

cating to the ltoyal Society the cafe of John HinesX on whom I had performed the operation for the

empyema

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[ 27I ]

empyema with fuccefs. S}nce which tIme, I htre per; ford the fame operation a fecond time with equal benefit, and therefore prefume to lay this cafe likewifc before you, as a farther proof of its uSefulnefs u-nder the like circumRsnces.

TOHN- Colller, aged I7 years, was admitted into J Guy's Horpital on the IO 0 May, 1 7S3 on ac- count of a complaint in his cheR, which he had la- boured under for three or four weeks. His fymptoms were a contlnual-pain -in his left fidey a diSculty in breathirlg, and an inability of lymg on his right ftde, or of fitting upr}ght, without greatly increafing 0Ss complaints. His pulfe vtas quick, and low; he had a ffiort coughX was a good eal emaciated, and apV pear d filow in his complextone

Upon examination, I perceived a fmll tumor, fituated on the anterior part of the thorax obliquely, on the left fide of the extremity of the IVernum or breaR-bone. There was not the leaflc -diScoloration of- the integaxments. On prefl srlg UpotI the tumor, his pain and diflicultzr of breathing were incealedX and- there appear'd foncething- like a fluduation under my fingers, He had-- never any rigor, which is a fymptom generally attending fhe-formation bfneatter; but from experience I hwe found, that the want of this fymptom is no proof of the contraryy

From the-foregoirlg circumRances, and fymptomsy I made no doubt of the propriety of the operations which I performed in the following manter:

The patient being properly .fituated and fecureda I began with makiizg a-n incifion of about two inches }ong through rhe integuments, axld tendinous ex-

panfion

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{ a72 ] panin of the oblique mufcles of the abimen upon ffie moR prominent ptsof the tutnor: then I pro- ceeded to the making a Second incifion of an e(lual 3gngth with the former, tranfserfely thro' the-upper part ofthe re8as muScle (which had a perfedc healthy appearance)} direding my knifie iorsardsX betwixt the cartilapnous portions of the Sevetlth and eikhth ribs, into the cavity of the thorass upon which a thick clotted matter, to the quantity of 23 ounces and upwards, was diScharged Afier the whole of the matter was diScharged, I introduced the fore-fintr of my right-hand into the cavity, with trhich I evi- dently fglt the lungs quite loofe alld free from ad- hefions ie mediaRin.um, and fuperior part of the diaphragm; which laR had been prefs'd fomewhat lower than its natural fittlation by the- weight of the insumbent matter. From ence it undoubtedly appear'd, that this great .qu.arltity of matter was con- tained in the cavity of the thorax,

. After the whole of. ie m.a.tter was diScharged, T sntroduced a linen -tent, properly iecuredS into the cavity * which was continued to be introduced evew day for about!three weeks, now and then, as occafion required) making ufe of the prepared fponge-tentv

The diScharge of matter was confiderable for the firI} week} when it began to decreafe gradually, till, at the end of thrce weeks, there was no diScharge at all.

From this time fuperficial applications only svere made uSe o£ At the end of five weeks he was per_ feEtly well and is recovered his fo mer plumpneEsJ and healthy appearanc¢.

I muR obServe to you, that, about two years agos he- received a violent blow on his left filde by a

i11 w

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- r 273 3 i1; for w-hich he had little or no care taken of him. He has ever finoe diis accident had fome com- p;laints in -his fide at time£} -but not conllantly; aw haw 1:hey ever been fo bad, as to prevent his afting in his bufinefs as a failor,, till wiAin a few \ weeks - before he applied to me. Londons Httton Garden,

JUnC28, I753. -

XL ExtraS Qf a Letter Jiwn Mr. James DodEon o SV9il};am Mountaine, F.R*S.

Msy a6 17s3 send Juxy s; t >HE world hass without diEpute,

sts3* W been obligi to e inatention-o£ flmxionss for Z any contife medlis of calxlating the perip areas, a-ad folidiiies, of curvilinear figures; but it muSt be confe:d, at dse fame time, that the moll ufefula earen of thofe, liSd been comv puted beire, tho' by methods more laborious; and, conSequently, fince- dle tmth of th¢ principles of flusion8 was long diEputed, that at feems rather to l*ve receuved, tfiAn to halre afforzded, any advantage, . F .* ^ xn t lote cates

t v @*- *- @ * * O * ^

Neper mc | 1 nggs ca WclXlAtS tneS teveral- ta z es ot logarithms, wiF :&imoflc infie labour 2 and Van C¢ulerl was rendered famous for his a-pproximation to ffie quadrature ofthe circle, on account of the acknow legei6-tedloilfnefs of its computatioa. The meffiods- of computing logarithms were indeed improved, 13y t}le aStan of dle Foperties of the Byperbola--and

M m dwe

- r 273 3 i1; for w-hich he had little or no care taken of him. He has ever finoe diis accident had fome com- p;laints in -his fide at time£} -but not conllantly; aw haw 1:hey ever been fo bad, as to prevent his afting in his bufinefs as a failor,, till wiAin a few \ weeks - before he applied to me. Londons Httton Garden,

JUnC28, I753. -

XL ExtraS Qf a Letter Jiwn Mr. James DodEon o SV9il};am Mountaine, F.R*S.

Msy a6 17s3 send Juxy s; t >HE world hass without diEpute,

sts3* W been obligi to e inatention-o£ flmxionss for Z any contife medlis of calxlating the perip areas, a-ad folidiiies, of curvilinear figures; but it muSt be confe:d, at dse fame time, that the moll ufefula earen of thofe, liSd been comv puted beire, tho' by methods more laborious; and, conSequently, fince- dle tmth of th¢ principles of flusion8 was long diEputed, that at feems rather to l*ve receuved, tfiAn to halre afforzded, any advantage, . F .* ^ xn t lote cates

t v @*- *- @ * * O * ^

Neper mc | 1 nggs ca WclXlAtS tneS teveral- ta z es ot logarithms, wiF :&imoflc infie labour 2 and Van C¢ulerl was rendered famous for his a-pproximation to ffie quadrature ofthe circle, on account of the acknow legei6-tedloilfnefs of its computatioa. The meffiods- of computing logarithms were indeed improved, 13y t}le aStan of dle Foperties of the Byperbola--and

M m dwe

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