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Ti Ml XBHBKB TREATISE ON THE EYE AND EAR: RULES FOB THE PHMERVATION AND RESTORATION OF SIGHT; DEAFNESS; ITS CAUSES AXD PROGRESS EXPLAINED ; mw DISCOYERIES IN TREATMENT, ILLUSTRATED WITH NUMEROUS OASES, BT FREDERICK A. CADWELL, M. D, OCULIST AND AUKI8T, '^^'l^^'J^ *'°'''''^°'' °^ PHYSICIANS ANI> SCRGE0N8 OK L0W.3 CANADA ; MEMBEB OP THE NEW YORK STATE MEDICAL SOCIETY ; QBADUATB OF THE JKFPEHSON MEDICAL COLLEGE, PHILADELPHIA, U.S.; UCENSED PEACTITIONER OF THE PROVINCE OK CANADA, . ?TC., ETC., ETa Second Edition. TORONTO: FEINTED AT THB " GLOBB" BOOK AND JOB OKKIC* 1854. wmmrw^ li N( !■ :^ i5si Dr. CADWELL'S SURGERY 18 AX NO. 50, KING STREET EAST. residence: C02NEE OF WELUNGTOBr AlH) YORK STEEETS, OFFICE HOURS-^ROM NINE A. M. TO SIX P. M. ToaoKTO, January, 1854. *l PKEFACE. If any apology were needed for offering a work to the pub- lic, treating on subjects of so much importance as Sight and Hearing, which is not in reality a work of practical advantage either to the Medical Practitioner or the Student in Medicine, it will be found in the greater advantage which a work of this de..cription is intended to afford to those into whose hands it may chance to fall. And in order that it may be read alike by the rich and the poor, and its contents carefully perused and duly appreciated, the author has much pleasure in offering the second edition (4,000 copies) to the public, gratuitously. With regard to the Author's qualifications for the task he has undertaken, he feels fully assured that every conside- rate reader of these pages will unite in acknowledging a decided -Dreference for one who has devoted his labours and energies for upwards of Twelve Years to the acquire- ment of that knowledge which experience and practice can alone impart. And if it should subsequently appear that th3 public have profited by any of the few Hints and Cautions vvhirh may be gleaned from the perusal of these pages, the Author will feel more than recompensed for the labour he has bestowed upon it. Toronto, 1854. INTRODUCTIOI. TflE present work being intended by the Author merely as a work of general information to all who may feel inte- rested in its perusal, and not one of practical advantage either to the medical practitioner or student of medicine, the writer has, on this account avoided referring to the anatomical description of either the eye or ear, or offering any remarks on its physiology ; and confined his observa''- tions principally to a discussion of some of its most import- ant and dangerous diseases, with a few hints on the rise and progress of disease, and advised means for the protec- tion and preservation of both organs. The reader will, by carefully perusing these pages, be able to draw much information relative to these two useful organs, and the diseases to which they are subject. He will discover that diseases of the Eye are variable, numer- ous, and complicated, more so than those affecting any other organ of the body. He will discover that they arise from causes as numerous as the diseases themselves, and are subject to as many modifications. He will readily be able to determine how diminished are his chances for ob- taining relief in such cases, by the course usually pursued, Xll INTRODUCTION. and will not fail to be warned of the danger of trifling with organs so essential to the proteetion and preservation of life and happiness. The reader must also discover how difficult, and indeed impossible, must be the proper understanding of these diseases, even by medical men of talent, wlio do not devote their entire attention to them. Long experience has taught me the groat necessity of patient investigation of the whole system, before proceeding to treatment, however simple the case might appear to be : for a disease which has the appearance of a purely local alTection, frequently proves to be of a very diiferent charac- ter, and connected with some distant disturbance ;— in fact, it may be put down as a general rule, that hut few affections of either the Eye or Ear are of a purely local character, except they be the result of accident, and certainly by far the most serious of the morbid affections of the Eye and Ear are of spontaneous production, gi-owing out of, or in some way depending on disturbances of other important organs or of the system generally. I have taken pains to avoid technicalities throughout this work, and laid before the reader a plain statement of facts, and enumerated some of the more important features and early symptoms of disease of both organs. I have given in each case but a brief description of the rise and progress of the different diseases, and endeavoured to point out as plainly as possible some of the dangers which diseases of these organs frequently entail. And although it would be impossible to direct any plan of treatment for the cure of such cases, without having the patient before me, still, I hope my remarks will not be forgotten, or allowed to go INTRODUCTION, XJU unliecded by those who are disposed to try every absurd and y\x\ TREATISE ON THE EYE AND EAR. $Q three to six weeks, with occasional attendance, even in the rTmlr^' '"' '''/'^'''' ^^«- '' -^ sometimes be removed in as many days. PAETIAl OE COMPIETE BUNDHESS, AND THE KVE UKCHANOED m APPEARANCE. When this tnJy unfortunate state of vision is observed' pan™ulat iMtt'"^' '' ""^ '''"'^"' '" •""''-'"^ -^^' particularly if ,t be a recent case. It is usually preceded by more or less headache, and sometimes of a severTkind or It may have been produced by excessive use ofrorgalj "suir: tl^r'^' " ™'^ '"^ -edle-work, or may beZ result of too long exposure to the rays of the sun without a suitable covering to the bead; arises also from (ZH blows upon the head; from a disordered system and f^m v^r wi ht^: d^^^ ""''-' ''"''"'-' - paniauofrrf vision, with an mdistmctness and an appearance of a veil or gauze being interposed between the ol^ect looked .ese w.,1 W "nVrulnaTuTr^^^^^^^^^^ The s:gh. IS usually best in bright sunlight, and d^ tie shade. ,n, a mostuncertain disease, and »a^ take a v r^ nnfavourabJe turn, resulting in complete and entire losITf s.gh , even without the Eye undergoing any organ^ change whatever, or showing the least si^s of diJeas!dTr inflam! matory action. This disease is called Amaurosis and .^J — afe cause of blindness in these cases is by the lit of power of the Optic Nerve, and when complete i it becomes too late ! --""-S an Oculist before 80 TBEATISE ON THE EYE AND EAR. i %^ ;'< VERTICAL SECTION OF THE EYE. The following figure shows a Vertical Section of the ball of the Eye. In this may be seen, according to the explana- tion following, the different layers and coats which surround this beautiful optical instrument, and the relative position ^ of each ; also the situation of the different humours, and the great Optic Nerve or nerve of sight. This profile brings nearly all parts of the organ to view. Each and every part is subject to disease, diflerent in action, and modified by a great variety of circumstances ; some requiring one form of treatment and others the reverse, arising from causes as different as the diseased themselves ; and what would be beneficial in one case, would probably prove rapidly de- structive to the Eye of another, whose disease was of a diflerent character. Hence it must not be inferred (as is too often the case) and all diseases of the Eye are alike, differing only in degree and the severity of the attach. i - . I 1^ '( *ig t i TREATI8R ON THE LYE AND EAR. 81 I of the ball he explana- [ih surround ive position iiours, and e was of a ferred (as is fc are alike, xttixck. EXPLANATION. 1. Eoprosonts the Conjunctiva or outer covering of the eye-it is loosely attached to the ball, and is traversed with blood-vessels. 2. Is the Cornea, or glass of the eye-in shape, form and appearance, it represents the glass of a watch. 3. Shlcrotic, or white coat-it is very thick and firm, and surrounds the eiitn-e eye, except the front or glass. ^.. Membrane of the aq ucous hun.our, lining the front chamber of the eye o. Choroid, or vascular coat 6. Eetina, or expansion of the optic nerve, ''illiary processes. ^ris, or colored curtain of the eye, with a hole in the centre, which nakes the pupil, or sight. i'. Chiystaline Lens, or princii)al magnifier of the eye. 10. Vitrious humour, forming the principal bulk of the eye. 11. Optic nerve. 12. Anterior chamber, which separates the cornea, or glass of the eye, from the ins, or colored curtain, and is fiUed with a watery humour. 13. Posterior chamber of the eye. 38 TREATISE ON THE EYE AND EAR. CATARACT !! ..i I i i Is a disease of the Eye which may be recognized by the loss of the clear black lustre of the pupil, or sight of the Eye. It is a disease which arises usually very slowly, and without any previous inflammation of the Eye, (unless it has been produced by accident.) In its early stages it is likely to escape observation, unless closely and carefully examined ; but after it has become fully formed, may be readily seen at a distance. It is a disease which com- pletely destroys sight when it is fully formed, and its first symptoms are, a mistiness or fog before the sight, and a difficulty of recognizing persons or objects as usual. This continues to increase more or less rapidly according to the nature of the case, and the constitution of the patient, and may not become complete for many months, or even for a year or two. This is an important disease, and requires skilful hands to manage. It is seldom cured without an operation, although much relief may be given to the patient during the formation of the disease, by local treatment. I have frequently, in such cases, enabled a patient to read large print, by an application to the Eye, which has taken effect in ten minutes, though before the treatment they were unable to conduct themselves. This improvement will continue for four or five days, and by repeating it, the effect ipay be kept up and continued during nearly the whole process of the formation of the Cataract, and without experiencing the least pain whatever by the treatment. There is no medical treatment that will remove this disease after it has once commenced, or any other application to the Eye that will stay its progress. Nothing short of a Surgical TREATISE Olf THE EYE AND EAR. 33 Operation by skilful hands will remove it, and under proper management may be disposed of in a few days, witi* very little pain. Cataracts vary in their character, according to the age of the patient and the cause which produced them, some being hard^ and requiring to be extracted or taken out of the eye bodily ; while others are soft^ and are removed by other means. This is usually the case in young subjects. The soft Cataract may be removed almost without the eye becoming irritated, and with little or no pain. Cases 1, 2, and 3, are examples of congenital Cataract, having their origin before birth, yet in each of these operations, the patient received sight though blind (from birth) till the moment the operation was made. Other cases will be found reported, where Cataracts have been successfully removed in a patient upwards of 80 years of age, and with but little suffering. In fact, under favorable circumstances, this operation very seldom fails of success in my hands, if not complicated with other diseases of the system. TUMOURS ON THE EYELID, AND BALL OF THE EYE. Tumours and morbid growths and swellings frequently appear about the eyelids, and at the angles of the Eye, sometimes on the temples and brow, and not unfrequently on the ball itself. They are generally troublesome to the patient, and produce more or less disfigurements besides oftentimes materially interfering with sight. They may be removed with but little trouble and pain, and without risk to the Eye, unless fixed on the ball, in which situation they may be more or less difficult to manage, according to the position they may occupy. They sometimes attain a very considerable size, and by it, encroach upon the Eye itself, c 34 TREATISE ON THH EYE AND EAR. thereby doing serious injury. They should, as a general rule, be removed when they are first discovered, as tliey are then generally loose, and unconnected with the solid structure. INJURIES AND ACCIDENTS TO THE EYE. The Eye is constantly liable to accidents and injuries from various causes. Thoy arise from pieces of metal or steel flying into the eye, in working at the lathe, pecking mill-stones, or in stone-cutting, and various other ways ; and when thoy occur, it is desirable, if possible, to removt; the oflending matter, if not, bind vp the eye with a wet doth or bandage^ and keep it closed, to avoid the friction of the lids on the ball, till suitable assistance can be obtained to remove it. Much mischief is often done by clumsy cffortfl at removing such particles, and the eye suflfers more by it than by the presence of the foreign matter. If lime^ potash., or fused metal, should chance to get into the eye, they are capable of producing disorganization of the eye in a few hours, and the pain and suffering accom- panying them is of the most excrutiating kind. Whenever an accident like this has happened, procure a large bowl or basin of pure water, and immerse the face in the water, opening and shutting the ej^es frequently, to allow as much of the caustic matter to escape as possible ; and when done, apply a drop or two of sweet oil between the lids every hour or two. In the mean time, it would be desirable to consult an oculist as soon as possible, or some competent person, in order that the eye may be preserved from com- plete destruction, which, in cases like these, is very likely to follow. t*ieces of wood frequently strike the eye with great foroe while ciiopping, and, although they do not lod^e there., they !l TREATISE ON THE EYE AND EAR. to produce serious mischief to the organ, nnc! often destn.y the eye in a few days. In harvesting and thrashing various small particles will fly and lodge in the eye unobserved, and, if not removed, produce troublesome, if not fatal] inflammation. I have frequently seen an eye almost ruined from a small particle of chaff ox beard of wheat beneath the hd, and so small as to require a magnifying glass ic. discover its locality. These are readily removed as a general thing, and by a little cooling treatment subsequently ail unpleasant symptoms rapidly disappear. AHTinciAL EYES. I will here ofier a few remarks on the Artificial Eye, antl endeavour to explain their advantages. Any one who has lost an eye has probably felt the inccn- venience by the falling in of the lids, and of the consequent tiscape of tears over the fac*. They constantly experience more or less inconvenience from the exposure of the scckfi to the cold air and wind, which has the effect to weaken the sound eye more or less. The Artificial Eye can be inserted withmt pain^ and with- out previous operation. It will move and roll in exact accordance with the sound eye, and the resemblance will be so perfect as to completely escape observation. They are manufactured for the most part in France, are composed of Enamel, are very beautiful and durable, and their resemblance to the human Eye is perfect. Nothing can be more gratifying than the effect and feeling of an Artificial Eye,— in fact you do not know any difference of feeling in your two eyes after a few days— and your nearest friends 36 TREATISE ON THE ElfE AND EA«. would find it difficult to say, from appearances, whether nature or art had supplied the deficiency. Artificial Eyes are not only useful in improving the ap- pearance and expression of the countenance, but they pro- tect the cavity from dust or extraneous matter, exclude the cold air, support the lids, and prevent the eye from wasting and closing. They also render essential service to the healthy eye, which often suffers from sympathy with the diseased and exposed socket. An person, therefore, who has had the misfortune to lose an eye, should avad themselves of the advantages of an artifical one, which so completely supplies all apparent deficiency ; there is no doubt but it will save them much pain and suffering, and perhaps be the means of preserving sight in the sound organ. A WORD TO THOSE WHO KEftTnEE GLASSES FROM AGE After a certtin period of life most people of both sexes require the aid of a certain description of glasses to enable them to read, sew, and exercise the eye on fine work as usual. But with some, a feeling of pride prevents them from resorting to them at the period when they are really needful. Whenever a person is obliged to extend the arm at nearly full length to read a paper or book, and insists on doing so to the exclusion of glasses, he injures his eyes greatly, and by so doing exerts the organ beyond its strength, which may superinduce disease. But aside from this, the power of the org m becomes more and more weakened, and that which they seek to avoid becomes the more necessary. The object of the glass in TBEATISE ON THE EYE A.VD EAR. W merely to regulate the focus of vision, aijd to bring the print within a fair reading distance, which should be about fifteen or eighteen inches. The glasses supply certain de- ficiencies which the eyes undergo by age, and at a fair distance everything looks perfectly plain and clear through them, and without them there is a mist or fog before the letters. Thos!^, therefore, who would wish to preserve the strength of their eyes, will do well to observe these remairks, as I frequently have persons apply to me for relief in cases where the eyes had been over exerted to read, at a distance entirely within the focus of vision for aged eyes, and had by this means established a condition of the eye which glasses would not remove. When the arm has to be stretched out to see print of ordinary size, glasses are required, and the sooner they are provided the better. S FKOM AGE. CROSS-EYE, OR sairmTiNG Is an affection so apparent as scarcely to require explana- tion. It is to be met with in every period and in all con- ditions of life. It is a most impleasant defect, particularly to young people, and never fails to impair the sight moye or less. CAUSES. It arises from a great variety of cduses, viz: Measles, and most diseases of children ; blows on the head, falls, looking 38 TREATISE ON THE EYE AND EAR. at tl,e nose,aeething, worms, indigestion, spots or films on the sight, brain fever, fits, imitation, &c., &c. Many persons suppose that, although they have cross eyes, their sight is still perfect ! But this ,is not the case • and any one who feels desirous of testing the truth of these remarks may close his straight eye, and endeavour to p'^ce the tip of his fore finger, with his arm extended, on the l^int of a pencil held upright by another person, and he will find it will not be readily done, though by a few trials lie may succeed at last. W i m '"!!! I ■ REPRESENTS THE BALL OF TUK EVE WITH THE MCSa.ES ATTACHEP. OPERATION FOR SaUINTING. Tiie operation is one of extreme simplicity, and i«« usually performed by me in about thirty seconds, with very little pain, and without the least risk or danger to the eye itself. The effects of the operation are only visible for a day or two, and immediately the operation is over, the eye Imiomes perfectly straight. No interruption to business })eople need be experienced by it the day after it has been done. My patients are allowed to come and go al all seasons, but as a matter of prudence are not advised tx> read, lorite or sew for two or Uiree days after the operation fias been made ; no pain or other inconventence follows. I have made the operation on over 500 cases in this Pro- vince, and know of none that have not succeeded well, and TREATISE ON THE EYE AND EAR. 59 and given general satisfaction. Usually no fault can be found with the operation or its results by the closet inspec- tion. TT ACHED. Subjects as young as 3 or 5 years have been operated on ior this defect, but older ones are much more easy to manage. A material improvement in the sight of the eye operated on, never fails to appear after a day or two, enough, in fact, to warrant the operation, even should the pain be ten times more severe than it really is. SHORT SIGHT. Is a natural defect of vision generally from birth. I have known this defect to arise in youth and the middle period of life from other causes. They are, as a general thing, remedied only by glasses though when produced by disease may be treated with success the same as other diseases. NO OPINION CAN BE GIVEN WITHOirT AN EXAMINATION. It may be well to mention here, that it would be quite impossible to give an opinion as to the probability of curing any case of disease of the Eye or Ear without first seeing t!ie patient and making a proper examination,— at least this is die only way to give an opinion upon which any reliance could be placed. It v/ould not be too much to say, that all diseases of the Eye and Ear are curable at some period of time, and are only rendered otherwise by neglect and bad treatment. It is always best, however, whenever patients or parents discover anything wrong with these delicate organs, to seek suitable advice in good time. It were much better, in most instances, ti; .t nothing were done than to allow any one to 40 TREATISE ON THE ETE AND EAR. meddle with, or advise treatment, who is not qualified, both from judgment and experience, in the proper manage- ment of such cases ; and unless well skilled in the different varieties of disease, to which these tender organs are subject ; their main reliance should be on general means. If topical applications should be resorted to, they should be of a cooling and soothing nature, and I might say simple water alone. Scarcely a day passes, but that I have appli- cants for treatment, who have suffered for several days before coming to me, and I usually find something has been ordered to bathe the eyes, which has left indelible spots or specks on the sight. These arise from the action of ill- advised treatment, and from the physicians not knowing or heeding that certain conditions of the eye do not bear the indiscriminate use of drugs, and when used, never fail to leave those traces behind which cannot be removed. By a little timely discretion in such cuch cases, it cannot be doubted that much suffering may be prevented, and sometimes sight or hearing may be preserved, which ill-directed treatment (though well intended) may ruin forever. i]i DEAFNESS AND DISEASES OF THE EAR. TilB ABOVK FIGURE REPRESENTS THE EAR WITH A SMAIJ. INSTRUMENT INTRODUCED TO EX.VMINE THE ORGAN. HEARING. Hearing is an animal sense, the effect of undulations of airs or fluids, or of vibrations of solids upon a special nerve, produced through the medium of an apparatus, 42 TREATISE ON THE EYE AXD EAR. If f;l more or less complicated, and by which, important percep- tions of the external world are acquired. So important is sounfl in conveying information to the brain, that some physiologists have ranked the Ear higher m utility than the Eye, but apparently upon insufficient grounds; for, as this org«r : > oQt s^ generally found in the animal series, it would ., ,eem that Hearing was of secondary importance to Vic.on, in procuring food, and in avoiding danger. Any deviation of the sense of Hearing from the perfect state of the organ, will be classed under the head of Deaf- ness ; whether it arises from sickness or cold, from accident or violence, whether natural or acquired, so long as there exists a diminution of the power of hearing in one or both Ears, it must be considered under tiie head of Deafness. The different degrees, and varieties of Deafness, will only be touched upon in a general manner, as the nature of this small work will not admit of the author doing morv than to make a very brief allusion to some of the most common forms of Deafness and diseases of these organs, a^ met with in this country. Volumes might be written on the subject of Deafness alone, but it is quite sufficient in the present instance to call attention to some of the most common and dangerous diseases, and to advise means to protect tliem against the dreadful consequences which too frequently ensue. Any impairment of the hearing, from the slightest dullness to the more severe form of Deafness, may be treated with more or less success, and if taken in time, the hearing may be restored altogether. Numerous certificates it m. TREATISE ON THE EYE AND EAR, 43 tion lo the will be found at the end of this work fully corroborative of this statement, from persons of well known veracity and respectability. I do not wish to be understood, however, that all cases of Deafness are curable in my hands, but I do mean to say that there are many cases of very severe deafness, that have stood for more than a score of years, that are more easily cured than some of a different descrip- tion which have only existed for a few weeks or months. 1 have myself removed deafness of fifteen years standing htj one hour's treatment, and made the hearing as good, or nearly so, as it ever was, and by a few days occasional attendance, the patient found not only his hearing perfect, but all other morbid symptoms and unpleasant feeling had subsided with it, still again it might require some weeks to cure deafness less severe that had only recently appeared. The same is true with diseases of the Eye. A disease may attack an eye of so violent a character as entirely to destroy the organ in two or three days, and another may have dis- ease, with partial loss of sight, for several years together, still the organ may be preserved, and the sight made good. This is explained by understanding the nature of the dis- ease, and the severity of the attack, and is generally under- stood by all practising Physicians. i make this explanation to the reader, that it may some- times avoid useless and unnecessary inquiry; for I am constantly receiving letters from different parties \:ho always make sure to mention some circumstances connected with thuir case as being (in their opinion) favourable or unfavorable to a cure , They say, " I lost my hearing entirely only a fern iveeks ago from an attack of Brain Fever, and I therefore consider I may be cured as the case IS so recent » Another will say, " I became deaf or hard of hearing some twenty or thirty years ago from taking cold. 44 TREATISE ON THE EYE AND EAR. or from Measles or Scarlet Fever when I was quite a child, and I therefore suppose there is no help for me." Now, in both these cases, the patients have judged of their cases by the length of time the disease had existed, and although very natural thus to reason, still they are both incorrect, fdr a case of total annihilation of the hearing from an attack of Bram Fever I believe to be incurable, and unless some amelioration from complete and entire deafness supervenes upon the subsidence of the cerebral attack, I do not know ol any rational mode of treatment that will be likely to be of any service. But if a patient be partially restored after such an attack, I have no doubt but that timely treatment judiciously practised, would have a decidedly good effect upon him, and ultimately restore the hearing entirely. But deafness following Measles and Scarlet Fever, of ttcenty, tkirty, or even sixty years' standing, has been cured by me in this Province, and numerous cases of the same description, varying from five to twenty years, have been readily cured in a few weeks or months, and the hearing made good Some interesting and highly creditable cer- tificates to this effect will be found appended. ADVICE ON DEAFNESS. Timely attention, such as the generality of people arc able to command, would greatly lessen the number of the deaf. Unfortunately, it is common for those who are threatened with loss of hearing to ague, that from the tardy advance of the evil, the causes which are producing it cannot be very powerful or deeply rooted, and they flatter themselves that time will of itself bring relief rather than aggravation. Thus it is that thousands, by culpable neglect, throw away the invaluable chance of recovery ofrered by I-BEATISE OF TH« EYE AND EAR. 4.5 early treatment and prudential self-regard. The tissues of the ear are so solid, and shut out from other organs, that when once a deceased habit has been established within it, it is only with the greatest difllculty the enemy can be dis- lodged. Nothing more surely proves the slow-stealing advance of deafness, (in the general sense) than that very feu- are able to name the precise date of their misfortune. They can generally remember that long before they considered themselves deaf, there were times when conversation in a large room, or in . society of several persons, required unusual attention to be correctly apprehended. That in damp Weather, or while eating, or when the back was turned to the speaker, the difficulty was increased. That Words containing certain consonants, as I or *, were some- times mistaken for others, this being the case especially with proper names : that the voice of a stranger, or conversation in a strange room. Was less intelligible thati one to which the hearer has been accustomed. All these facts are interesting, as being amongst the first signs of failng hear- ing, on their earliest manifestation, it would be wise to place the auditory organ in the best possible state of defence. As the mucuous membrane is the chief point affected by injurious inauences, all causes ^hat act upon it prejudicially should be held in apprehension, and cold and humidity, being by far the most frequent of these ; ami affecting the Ear in the greatest variety of forms, should be guarded against with the most sedulous care. When deaf- ness has commenced, every fresh catarrh will be sure to add something to its aggravation. Sudden transitions from heated assemblies to the cold air, or vice versa, are much more likely to occasion cold than exposure to either a uniformly high or low temperature, and should therefore be avoided. I have known persons liable to catarrh who guarded against it by never entering a warm room from tifti 46 TREATISE ON THE EYE AND EAR. the open air in cold weather, without lingering a minute or two in the hall or lobby, and on passing out observing the same precaution. DISCHABGE FROM THE EAB, FROM COID AlH) COMMON CAUSES. A purulent discharge from the Ear is of very frequent occurrence in young children, and is not unfrequently seen in the adult. It arises, generally, from cold, which settles itself in one or both ears, causing considerable pain, and after a few days of suffering a thin discharge is discovered, and the patient feels relieved. In these cases there is more or less deafness in the affected ear, and a sense of fullness or stuffing is frequently experienced in the other. If no attention be paid to this state of things. Permanent Deafness will certainly ensue, and moreover, by the time the affected Ear has become nearly useless for the purposes of hearing-, the opposite Ear will often take a sympathetic disease, and destroy the hearing entirely. I frequently see cases like these, and when patients place themselves under treatment in time, the disease can be arrested completely, and the hearing made good ; without this precaution, there is great danger of becoming permanently deaf, in one or both Ears. This discharge arises in the first instance from the passai^e of the Ear, without affecting its internal delicate strvcture, but if it be allowed to continue, the consequences will be perforations and ulceration throvo;h the dmm of the Ear, causing .ulU greater deafness, and rendering it impossible' to make the hearing perfect. Much may be done, however, in all such cases to mitigate the distress and improve the condition of the diseased organ, which under any circum stances will arrest the mischief, and do much to^-arcis restoring the organ to a healthy state. i ij . I TRIATISli ON THE lYE AND EAR. 4t FD COMMON NOISE AND SINGING IN THE EAR. A SIGN OF THE APPROACH OF DEAFNESS. This annoying and disagreeable sensation in the Ear i*» a very certain sign of the approach of deafness, and when- ever it appears, and continues, deafness is certain to follow s/c of this instrument, I believe, originated with the German Physicians, and has only of late years been brought into use on the continent of Europe, and even then only by one or two industrious and skilful ope- rators. The present drawing represents the one which the author invented, and has had in constant use for the last eight years; although it is in principle similar to the Ger- man instrument, it is entirely a different affair, and far more serviceable. It has been the direct means of restorincr the hearincr of several hundred patients within the last few years No dis- covery m science has ever proved itself of higher value in al eviatmg human affliction than that which revealed the causes of deafness, and furnished means for their comolete removal. And to this instrument, under proper manage- ment, and well directed experience, is due the fulfilment of these indications. TREATISE OF THE EYE AND EAR. 69 I will hero take occasion to mention, that the instrument represented in the above figure is only applicable to certain forma of deaf ncss^ and is seldom or never recpiired on young children. Deafness in these young subjects generally arises from Scarlet Fever, Measles; Brain Fever, Itijlueuza, or common cold, &c , and is seldom accompanied by any noise or sounds in the Ear like those which arise almost spon- taneously in the adult They are almost always accom- panied by a discharge more or less extensive, and usually of a very fa>tid odour. The mode of treating these cases is entirely dillerent, and is not attended with the least i)ain or distress to the patient. Operations in such cases arc extremely rare, and when required are of trilling conse- quence. Much unnecessary alarm is often felt by those who require treatment for the cure of these diseases, lest they should rccjuire to undergo some formidable and pain- ful operation, and many, no doubt, delay giving their case attention from this circumstance. I can assure them, how- ever, that it is not the case. Any operation which I have to go through with for the restoration of hearing, either in children or adults, is neither painful nor particularly dis- agreeable. i jti I •»■') 60 THEATI8E ON THE EYE AND EAR. ■*■ ! THE EAR CORNET OR SPEAKING TRUMPET Roj)rc'sented in the above cat, is one of the most ap- proved and useful of the kind. Persons who are very deaf, and who are not able to lioar unless by shouting in the Eur at tlie top of the voice, will frequently be able to hear common conversation at a distance of several feet, by introducing this into the orifice of the Ear. JNIany persons avail themselves of these instruments, and manage to do business with tlicfn, not being able to obtain relief from their deafness, through other means. THROAT DISEASE FREQUENTLY THE CAUSE OF DEAFNESS. It is a fact not generally known that many diseases of the Ear and deafness in various degress commences in the Throaty hence it is that some persons find their hearing quite dull during the prevalence of a common cold which usually attacks these parts, and when the cold passes over they generally find the hearing restored agam. In the same way those who are deaf or hard of hearing find the hearing TREATISE Ort THE EYE AND EAR. 61 much worse during t)nc of lh(!r(; catarrhal attacks, in fact, at such titncH their hearing is little better than useless. I do not intend in tluH work, nor would it be advisable to attempt an explanation of these peculiarities in regard to tlie hearing. Suliice it to say, that Diseases of the Throat frequently lays the foinidation for deafness the most obsti- nate and unman ag(;abl(;, and when partial deafness^ or an occasional dullness is discovered, or even a fcM-ling oishjfuig is experienced during? the prevalence of a cold, or of a con- tinued chronic irritation of the throut and its membranes, it would be in every way desirable that tniatmenl should be resorted to with a view of allaying it, and by so doing it will be the means of cutting oil" an attack of deafness, which would otherwise prove troublesome to get rid of. The air passage or tube which conveys air to and from one of the chambers of the Ear, opens into ihe side of the throat, and as perfect hearing cannot be enjoyed when this tube or passage becomes the seat of obstruction, so that the air is prevented from passing in and out with frecsdom, jjcafncss more or less coniplrle will he experienced; and when sucii obstruction takes place, the hearing can never be restored till this condition of the tube has been made free. It is by the extension of inflammation along the passage of the throat, that obstructs and closes this tube, and some- times in an instant, a patient will feel the Ear close up as he ternis it, and often remains in that way. This sudden shutting off of the air to the chamber of the Ear usually arises from some effort on the part of the patient either in sneezing, coughing, or using the handkerchief which dis- lodges a small quantity of mucous or matter, and finding its way into the little tube, completely blocks up the passage, and this produces the deafness. This lays the foundation [1 C3 TREATISE ON THE EYE AND EAK. for pormixnont dcnfnt'Hs, and the sooner attention bo given to it, tli(! ollendini? matter reinovcul, and tiie {)aHsage iriado free, tjic better. Di^^coverien liavc been made of late; years wliicli nt)t only prt)ves nioHt clearly that tlifs the cause of a large proportion of the caweH of deafnesH ; but m(!an» have also been furnished by which obHtruetions may bo removed and the hearing restored. Three Hundred Different Representations of Diseased Eyes. There may also be seen, at Dr. CadvveU's Surgery, about three hundred neatly framed, highly coloured, and beauti- fully exeeiUed engravings, drawn from nature, under the supervision of the ecdebraled Vicrrc Dcrnwis^ Oculist and O])erator to the King of France. These plates give a most accurate description of the diseases of the Eye, in every form, variety, stage and con- dition proving most clearly that no organ in'tlie body is subject to a grc>ater variety of distinct and separate diseases than this delicate and useful organ, and yet probably no organ in the system is more abused and trilled with, or subjected to more quackery and maltreatment. ARTIFICIAL ANATOMICAL SPECIMENS. Added to these are two beautiful Anatomical specimens which were brought from Paris, showing the entire internal and external arrangement of both the Eye and the Ear. They are made of Papier-Mache, largely magnified, and may be separated into many pieces. The whole internal and external anatomy of tiiese two organs is there most beautifuly and correctly exhibited. They may be seen at THEATI8E ON THE EYE AND EAR. 63 any time by lhoa3 curioHH to examine thnn, and the medi- cal profession pfcnerally an^ respcctliilly invited to call and examine them at thi^ir eonvcnience, they heini?, as I believe, the only speelmens of the kind in the Province of Canada. Every muscle, nerve, and artery, that belongs to these or<'ans, will be correctly shown on these two specimens, magnified about twenty-five dimensions. ■■■I MEMOEANDUM NOTICE. ■I ' M iVfill ^t '! I DB, CAMELl, @«lis( aiiir jurist, OF TORONTO, the following are the only Cond,™™ and Te»„s „no„ which patients will be received for Treatment: i^*Vrf.-No charge will be made to any person wishing an exammat,o„ and an opinion respecting the Sight or &«;«i Charity patients will be attended gratis a, the m.Vrf.-All other patients received under treatment will be charged a fee, which will bo agreed upon befo e operations are commenced. "pon, oelore MEMORANDUM NOTICE. 65 I stter informa- on to # St, ERMs upon wishing an the Sight or atis at the i all medi- ment will ion, before Fom'th.-.\Vhere a patient does not attend regularly, tlie Operator will not hold himself answerable if a cure be not performed. Fifth.--^o cures guaranteed under any circumstances un- less given m wnttng, and the full charge pa-J in advance. Sixth.~.Patients leaving treatment without giving n'ctice and who are rendered worse in consequence, will be received again only as new patients, and on the • same terms. ^venth.-Patiem on leaving, usually require both treat- ment and instructions to strengthen and preserve the- weakened organs and to prevent a return of the di.- ease. This will always be furnished them on the payment of their fees, which will entitle them to a renewal of treatment (should it become necossarv) at any period within a year, without additioruil ciiarge. EtghtL-Patients whose cases are considered incurable wi be so informed on their first visit, and no (ee will be required of them. mnth.~Doubtful cases will be received conditionally and treated for a few days as trial cases, and charged accordingly. Tenth.-KW difficult and dangerous operations, involving, much responsibility will be duly considered before" ^and, and when approved will be always performed m the presence of, and with the concurrence of other competent medical genlemen. m Ih 11 If lllUli III' 8*: aUBMOAAirDUM IFOVICE. PARTIES RESIDING AT A DISTANCE Should observe, .that as most cases require to be seen° daily, or every second or third day at most, they should make arrangements to remain in town or in the immediate vicinity of the Operator, who is the only person to apply the 'treatment and judge of the necessary changes which rcquirs to be made from day to day, as the case progresses- toward»-a favourable termination. in il:' ml EEDICAL DIPLOMAS. UKITED STATES MEBICAL DIPL03«A, [translation.] To All Who shall see these Presents — Health : Whereas Academic Dagrces have baen instituted to this end, that men endued witli talent and learning should be rendered illustrious above others by titles, in orde^that they themselves may be benefitted thereby, as well as that the industry of others should be stimulated, and the study of virtue and good learning {Bdle^ Lettres) should be pro- moted among men ; and whereas these most ample rights conferred upon our College by Public Charter have this'^end particularly in view ; therefore, be it known that we, the President and Professors of Jefferson College, in the State of Penn:?ylvania, have created and constituted F. A. CADWELL, Doctor of Medicine, an upright man, and most endoarcd to us on account of his courteous manners, and all those; qualities which jgraije every the best man ;' who al.^o, by his great sicill both in the Medical and SUR3ICAL Art, ac'iiilfei by him in our College, and made more manifest to us by aacxaminatioa publicly held, has- *' ij *<'rfj ii^^' • I- fi' li ' ^■; ^e DIPLOMAS. shown himself worthy the highest Academic honours, and to him the aforesaid F. A. CADVVELL, we have most willingly and unreservedly granted and ratified all the rights, honom-s, and privileges pertaining to the Degree of Doctor of Medicine, both among ourselves and everywhere. In Faith of which, let this Parchment, subscribed to by us, and attested by the Seal of our College, be evidence. Given in the Medical Hall, in the City of Philadelphia, this Eleventh day of the Month of March, in the year of Human Redemption, 1837, and in the 6 1st year of the Independence of the Federated States of America. Signed, ASHRELL GREEN, D.D., LL.D., Pre'st. GRANVILLE S. PATTISON, M.D., Prof. Anatomy. GEO. McCLELLAN, M.D., Prof, of Surgery. J. REVERE, M.D., Prof, of Practice of Medicine. JACOB GREEN, M.D., Prof, of Chemistry. S. CALHOUN, M.D., Prof, of Materia Medica. SAMUEL McCLELLAN, M.D., Prof, of Midwifery. ROBLEY DUNGLISON, M.D., Prof, of the Instituues Medicines and Medical Jurisprudence. [L. S.] PROVINCIAL DIPLOMA Province of Canada. His Excellency Lieutenant General the Right Honourable Charles Murray, Earl of Cathcart, of Cathcart, in the County of Renfrew, K. C. B., Governor General of British >'orth America, and Captain General and Govemor-in-Chief \l. u DIPLOMAS. 69 in and over the Province of Canada, Nova Scotia, New Branswick, and the Island of Prince Edward, Vice Admiral of the same, and Commander of Her Majesty's Forces in British North America, &c., &c., &c. TO ALL TO WHOM THESE PUESANTS SHALL COME, OR TO WHOM THE SAME MAY CONCERN — Greeting • ■ Whereas Frederick A. Cadwell, of the Parish of Quebec, in the District of Quebec, in ihat part of the Pro- vince of Canada which heretofore constituted the Province of Lower Canada, in pursuance of our act or ordinance passed on the thirteenth day of April, in the twenty-eighth year of the reign of His late Majesty King George the Third, intituled, " An Act or Ordinance to prevent persons practising Physic and . Surgery within the Province of Quebec, or Midwifery in the towns of Quebec and Montreal without License, hath been examined and found qualified to practise Physic, Surgery and Midwifery in the aforesaid part of the Province ot Canada, as more fully appears by the copy of the Certificate hereunto subjoined, among other testimonials, permission is hereby granted to him for thai purpose, as the law directs. Givm under my hand and Seal at Arms^ at Montreal^ in the said Province^ this Sixth day of November, in the year of our Lord One Thousand Eight Hundred and forty- Vf >:, arid in the tenth year of Her Majesty'' s Reign. (Signed) By command, D. Daly, Secretary. CATHCART. lili m jif'' .j '., t * ^0 'SfPLOAfAB. 11 I" • ! aXTEBEC MEDICAL BOAED. We, the undersigned, Medical Examiners for the District of Quebec, have examined Frederick A. Cad well, Esq.,M.D., and find him duly qualified to practise Physic, Surgery and Midwifery, according to law, in the Province pf Canada. (Signed) — J. Morin, Chairman. Ed. Rousseau, Frs. Fortier, Jas Painchaup, ,Jas. a. Sewell, M. D. J. 13. Blais, J. Z. Nault, Quebec Hotel Dieu, 3rd November, 1846. (A true Copy,) D. Daly, Secretary. J. BLAiiCHEi:. m le District Isq.jM.D., . Surgery 3vince qf CERTIFICATES, SIGHT BESTOEED To Lady Superior of the UrsuUne Convent, Three Rivers. I, the subscriber, of the Ursuline Convent, of Tlircc Rivers, certify that, having been alTlicted with Cataract of the Eyes, which deprived mc of sight, I addressed myself to Dr. F. A. Cadwell, Oculist, to make an operation fur their removal. The operation having been made with ability and success, promises me a happy result ; my sight is better from day to day ever since. Signed, Dated at Three Rivers June 26, 1848. 'I SISTER ST. MARIE Superior. YOUNG LADY CURED OF DISEASED EYES FROM IKEAKCY. I am imost happy of subscribing my name among the friends of Dr. Cadwell, to w^hom I acknowledge a grateful remembrance for the unwearied exertions of his profes- Hional duties on one of my family. My youngest daughter had been afflicted, atlmost since her infancy, with a severe affection of her eyes, arising from Hooping Cough. It had of late years begun to assume a rather serious aspect, when Ave applied to Dr. Cadwell, under whose treatment all traces CERTIFICATES. than four years since the cure was effected, still her -yes coniiuue free from all disease and weakness whatsoever. Toronto, March, 1851. MRS. MARION WATSON, INTERESTING CERTIFICATE From o. Gentleman who had been blind for two years, a»id had diseased Eyes for seven years. Sight restored. Toronto, December, 9th 1850. t)K. (a DWELL, My Dear Sir,— Having placed myself under your care in I'-'briiary 1850, for a disease of my eyes of more than seven } 'jars' .standing, Nvhicli had for more than half of the time Ur uvo years previously enlirely deprived me of sight (re- MuirJng me to have a conductor), I feel much pleasure, on ri:e present occasion, in being able to add my testimony to your v/ell known skill as an Oculist, in having, in less than i'our monlhs, rc^stored me to comfortable sigljt, which has ^^nic(! continued to improve in strength, enabling me to ;«r.ond to ordinary business, &c, I must further add, that until I had the good fortune to be recommended to your care, I abandoned every hope of again seeing, as I had for many years previously employed the combined skill of the- C^ounty in which I reside, to uo purpose. With many thanks for your kind attention, I remain, Dear Sir, your ever grateful and very obedient servant, Signed, W. R. NICHOL, of Perry, Wyoming Co., State of Neif; York, U. S. CEaXinCATEd. 78 CHILD OP NINE YEAKS OF AGE VEARLY BLIND TOR TWO YEARS, CURED IN SEVEN WEEKS. I, Elias Long, of the Township of Dumfries, hereby certify thai my daughter, aged nine years, having had an innammation in her Eyes for more than two years, being ahiiost blind, and not being able to get relief from the Medical gentlemen in my neighborhood, I brought her to Dr. F. A. Cadwcll, at Toronto, in December last, and airi now happy to state that her sight is quite restored, and her Eves are in a healthy condition. ELIAS LO>G. Witness^ George W. Houghton, Attorney at Law, &c. Toronto, March 4th, 185L BLINDNESS FROM SCARLET FEVER. COMPLETE RECOVERY. 1, Jonn R. Jaynes, of Darlington, on Lake Ontario, Cloth Manufacturer, hereby certify that my son, aged four years, having had scarlet fever in June last, the disease being broken, it fell into his Eyes, causing him to be entirely blind, and after being for two months in such condition, I placed him under Dr. Cadwell's treatment at Toronto, and in about four weeks he recovered completely the sight of his right eye, which still remains healthy. The left Eye was so altered by the severe inflammation as to render it impossible to restore the sight without surgical aid, and H] •74 CEKTiriCATEfl. I! .owin^ to ihn tender age of the child, Dr. Cadwcll thought it advisable not ,', u).\kiy an oporation for the present. Having seep ?ri mv •-'' re, and I may add, equally despe- rate cases under L)r. Cadwell's care, durin; his attendaneo on my child, treated with success, I have the greatest con- .fideneo in his ability and skill as an Oculist and Aurist, ,and do most cordially reeommr^rd the afUicted in these .organs to his care and atlciiuon. Toronto, Feb. 21th, .1851. JOHN R. JAYNES, Man ufadurery Darlington. II; 'I \): I SEVERE DISEASE OF THE EYES OF TWENTY YEARS STANDING. This is to certify that I have been severely afflicted with ■disease in my Eyes for upwards of Twenty years, and that although I have employed scientific medical men from all sections of the country, and at very great expense I have never received anything more than temporary relief for a few days togvilicr. This may further certify that I placed myself under the care of Dr. V. V. Cadwell, Oculist and Aurist, at Hamilton on the 20th of January, 1850, and was completely and perfectly cured in six weeks, and have re- imained so ever since. (Signed) ABIIAM BRADJjEY, „ ., ,, Brantford. Hamilton, May 27th, 1853. I .CBRTinCATDt ^ .4KTIFICIAI EYE INSERTED AITD DEAFNESS CUBED. I hereby certify that I have been deaf ior more than two years past, which was supposed to proceed from cold, that I had noise and other unpleasant and annoying symptoms accompanying it during the whole period of time, applied to Dr. F. A. Cadwell, at Toronto, in July last, and had my hearing perfectly restored, and all other symptoms removed in a few days, and ha/e continued to enjoy per- fect hearing since that lime. I will further state that I am wearing an Artijlaal Eye which was inserted by the same genlleman several months ago, that it allbrds me great relief, and has had the eflect of strengthening my sound Eye, which previously sufTercd much from sympathizing with the injured one. It gives me no pain whatever. It follows the exact movements of my sound Eye,— to which it bears a close resemblance. JOSHUA DAVIS, East Givillimbury, Lot 1, ^rd Ccm- Witness^ • G. W. Houghton, Attorney at Law, Solicitor in fhancery.. Toronto, March, ,1851. CHRONIC OPTHALMIA CURED. I hereby certify that I had a troublesome and painfull disease of my eyes for more than two years ; and, failing from every other source to obtain relief, I was recommended iil I 76 CERTri'ICATBS. to tho care of Dr. Cadwell of Toronto, in August la.t ; and, by his treatment and care, I was completely cured in less tiian two months ; and rny eyes have continued to strengthen •inoo that time ; though I have been exposed to severe weather for several months past. DAVID MOXTGOMERY, Yonge Street. Toronto, March, 1851. DEAFNESS CITRED, OP SIXTY years' STAJVDING. Quebec, 1st November, 1847. This i.s to certify that I have been deaf for sixty vears in both my ears. I came under the treatment of'dr. F. A. Cadwell, at Hamilton, about a year since, when I was to my threat satisfaction almost totally relieved. Signed by me this 3rd day of March, 1851. MRS. PETER ^ESS. Joel Carpenter, Witness. 1^' •>; ii" lii DEAFNESS FROM SEA BATHING. This is to certify that I went to Newport the early part of the summer of 1848, to recruit my health by Sea bathing, irom which I became deaf, so often being in the water ; and •uffered from it at times so nmch, almost as to require rae to give up my business : but fortunately, last winter wa.s »o completely relieved under the care of Dr. Cadwell, at CERTIFICATES. '' Hamilton, as to feel almost no inconvenience from it. Mine, perhaps, might have been a peculiar case : certain it is, how- ever, I consulted some of the most eminent Auri.sls in the United Statex, but could find no benrfit from their attend- ance. 1 could therefore say, in all cases like mine 1 would cheerfully recommend treatment. Signed, Hamilton, March 3rd, 18.51. JOEL CARPENTER DEATNESS OF 22 YEARS STANDING PERFECTLY CURED IN LESS THAN FOUR MONTHS. Toronto, Nfvember 27th, 1850. My Dear Doctor,— As the time may not be far distant that 1 siiall have to take leave of you, I take the earliest (^portunity of expressing my gratitude to you as having been the means under Providence of curing me of a deafness, of more than twenty years' standing, and that too in less than f(3ur months, which i think must be looked upon as a con- vincing proof to others, of your great skill as an Aurist. I have every reason to be grateful for the result of iny visit lo you, nor do I mind telling you that I came as one without liope and almost without liearing. I am now, I rejoice to »ay, enabled to join in conversation without miich inconveni- ence to myself or others. In conclusion, I beg to offer you /^:-5te m^. n CfiRTIFICAl'fiS; IM' my warmest thanirs and gratitude for your care and attfefli tion, and for the cure effected. I- remain, very sincerely, Yours, Signed, G. R. SHERLOCK. To F. A. CADWEtt, Esq., M.D., Oculist and Aurist, King Street, Toronto.- * ncl succt'ss laint in my . irremedia- the entire confidence. ONALD. I CURED. Ith, 1851. a child of ), in con fe- ver, neariv deprived of her hearing ; at first we hoped that, as she was YounL^ she Avoiild regain her hearing as she became older, but in this we were disappointed, for from bad it became worse, till in the summer of 1850, she could scarcely he said to hear at all-you might shout at the height oi vmu voice and it would have no effect upon her, il !coH|- mending those who are similarly afflicted speedily to avail themselves ofhis invaluable services. ,.. .nt- SJiiiied, BENJAMIN M. CLARK, ^ Church Sired Ti/ronlo, C. W. Witness, G. W. Houghton, . Attorney at Law, Solicitor in Chancery. DEATNESS FROM COLD. Etobicoke, March 2(», 1851. Mv Dear Sir,-]My son having been aifficled with partial deafness in the right ear for about eighteen montljs, brought on as we suppose by cold, by having slept with the window open, I am happy to say to you, that under your care he has so much recovered his hearing as to be ol littic inconvenience to him at present ; and, from appearances, under your treatment I trust he will (luite recover his hearing. Dr. Cadweli-, King Street, Toronto. F 1 am. Yours, kc. E.MUSSON. 8S CBRTinCATES. TEArKESS OF SIX YEAES' STANDING, CUKKD IN NINE DAYS. T)r. F. A Cadwell, Montreal, 7th June, 1849. Dear Sir,— I feel groat, pleasure in addin.^ my testimony :o the numerous certificates wliicli you possess of your extraordinary ability and success in curing deafness. Mrs. Jas. Scott, residing in the Eastern Townships, C. E., having incautiously sat for two days in a cellar durin'' very hot weather, was taken sick and deprived of her hearTng— for some weeks she was totally deaf but partially recovered so that she could hear on one side when spoken to with a loud voice. She continued so for upwards of six years, gradually getting worse, until last ]\Iarch, when havin- an' opportunity of being treated by Dr. Cadwell, at Sherbr°ook, C.E., she received instant benefit— when, at the first sitting, a common tea bell was rung close to her cars, but without being heard— aflcr being operated en, the ticking of a watch was easily distinguished en cne side, and further treatment for nine days still improved and gave herhearin- o 1 both sides ; since that time she still retains the whole a {vantage gained, and I doubt not but that after a few d tyb' further treatment she will be still more benefitted. Signed, JAMES SCOTT, of Sccll ^ Class/or J J AudioTucrSy Montreal. lill • ; " CBBTinCAliMI. Vd 0, 1849. teslimony 5 of your ess. ps, C. E., irin^very IjearJng — recovered to with a ix years, aving an herbrook, St sitting, without irg of a d further r hearing le whole r a few itted. mcTSy DEAFNESS POLIOWIlfG TfTgAR T.Tga Holland LAwDrntj, 29th March, 1851. ■0 Efear Sir,— I a happy to say, my daughter Arabella, whose hearing has been very much injured for the last three years from an attack of Measles, is very much im- proved since she has been under your treatment, and I have no doubt I her hearing v/ill be quite restored in a ahort time. I am, dear sir, Your obedient ter'-r 1, ^ ^ Vr. LAUGIiTON. To Dr. Cadwell, Toronto. TOTAL DEAPKSSS OF FOTJRTEIN YIAHS' ST'SDIHG CURED. CAUSED BY SSEA-BATUIXG. I hereby certify that I have been totally deaf in one ear for the last fourteen years, caused by salt-water bathing. I commenced treatment under the care of Dr. F. A. Cadwell, King Street, Toronto, in November last, and I am now able' to hear comfortably well, and am continually improving under his care. fv^^ed, GEORGE REID, Builder, Berkekp Street, Toronto. March 28th, l%bl. it' 34 CERTIFICATES. CES,TIFICATE OF A Y0U2TO LADY, ONE YEAR NEARLY BLIND. I wa.s severely aflllclgd with an inflammation of my eyes for more than one year, tljat comj)letely ballled the skill of several skillful physicians, imtil I had almost despaired of ever being cured. I was advised, however, to apply to Dr. Cadwell, of Toronto, as a gentleman skilled in his profession as an Oculist and Anrir't, and am happy to say that my disease was completely snbdned in five weeks under his treatment. Health was also improved while unier tliat gentleman's care. ANN PERRY, Toronto, March, 1354. D(i/rlingtiy>h. 'm DEAF2fESS OF THRES YEAE3' STAISDING, IN A YOUNG LADY, CURED IN TWELVE DAYS. I acknowledge a perfect cure of a deafness and noise i.t my ears of three years' standing, after submitting myself to Dr. Cadwell 's treatment for twelve days. Treatment caused me no pain. HESTER A. JACKSON. Kuig Street, Toronto, March, 1353. ■ OF EIGHT month's STANDING, CI'RED IN FIVK WEEKS. I, John (Hen, of ]\[.'jrkham, certify that 1 have been afTIit ted v/ith a severe disepse in my eyes for eight months CEfiTIFICATBa. 8« on of rny )allle(l tho id almost nvever, to in skilled am hap})y 'd in iivo improved lingtmt. past, which had nearly deprived me of sight, and that I was unable to obtain any relief till I applied to Dr. F. A. Cadwell, at Toronto, about five weeks ago, since which time, under his daily care I have completely recovered my sight, and the troublesome disease is entirely removed. [ am now able to read common print with ease, which I iiave not been able to do before for the \q,u six months. Signed, JOHN GLEN, Markfutrn^ Sparta. Witness, Gjbohob W. Houghton, Attorney-at-Law, Solicitor in Chancery. Toronto, March 29th, 1851. NG, 1 noise i.t myself to freatment KSON. WEEKS. lave been bt months CEITICAL SUEGICAL OPKEATION. Interesting Certificate from the parents of a young lady, 15 ■ I years of age, Deaf and Dmno from Mrth, restored to good hearing and subsequently acquired tJie poicer of s-peech. Operation was performed at Montreal, Sept. 15th, 1846. Certificate dated Three Rivers, May 15, To all whom it may concern, Greeting : This is to certify that Lucadi Pravoncher of the District of Three llivers, Canadn, deaf and dumb from birth, and who, vip to the fifteenth year of her age, was totally unable to hear Of speak, except a few imperfect words, such as most deaf mutes are able to do, was at the age of fifteen years brought under the influence of a surgical operation by the hands of Frederick A. Cadwell, Esq., M. D., of Montreal, whereby :m \%m H CXSTiriCATIW. the said Lucadi Pravoncher has been so far restored to her hearing as to enable her to comp.-ehcnd sounds, and has during the last eighteen months learned to speak French so as to be distinctly understood by her friends and acquain- tances — and having attended school during the last iwelvo months, has learned to read, spell, and rcpsat her catechism with a facility truly remarkable. Ilor healtii which, before the operation, was extremely deiicr tc, was immediately restored to her by the effect of the •p')ove-racntioned operation, which consisted in the remove' of tu'O large vcscular tur.wrs from within the throat and behind the palate, and by the use of subsequent treat- ment to the organs of hearing, the desired eilect has been produced. To the said Dr. Frederick A. Cadwcll, I hereby acknow- ledge my deep indebtedness for his kindness and unre- mitting attention, as well as for his successful ditpky of professional skill in the management of the case so favor- ably terminated. N.B. I, the undersigned, being Uncle and Guardian to the said Lucadi Pravoncher, and Tavern keeper in the city of Montreal, subscribe my name to the within statement as being fully and substantially correct. Signed, Three Rivers, May 15th, 1848. J. MICHEL. oa^xincAia^* •t CEE.TIFICATE, rBOM A LADY DEAF TWENTY YEARS AND CURED. AMD ANOTHER FRO:.I A YOUNG LADY DEAF FOUR YEARS, AHD CURED. This may certify that Mrs. Anthony IMillcr, of Ancastcr, C. W., has boon Deaf for about twenty years, and unable to hear a watch beat except near the ear. Mrs. Miller was treated by Dr. Cadwell, at Hamilton, for about one month, at which time she could hear a watch beat across the room, — and her hearing was sufficiemly restored to her to enable her to hear common conversation without difficulty. Mrs. Miller's age was 54. * Miss Blary Vanpyclde, a niece of the above-named Mrs. Miller was also Deaf for about four years, and was com- pletely cured in about four weeks by Dr. F. A. Cadwell, during his attendance on Mrs. Miller. ROBERT C. MILLER, Ancaster, C. W. Hamilton, May 23rd, 1850. ij PARTAL DEAPITESS, OF SIXTEEN years' STANDING, CURED. This is to certify that I have been partially Deaf fo about sixteen years, from cold; wlen, in about July last, . 38 CERTiriCATCS. li was setting worse, and applied to Dr. F. A. Cadwell, who restored me to comfortable hearing by about one week's treatment. EDWARD SEAOER, Township of Vcmghan. Witness^ (fFX)RaE W. Houghton, Attorney-at-Law, Solicitor in Chancery, Conveyancer, &c. It*-- LETTERS FROM MEDK X GENTLEMEN AND OTHERS. LETTEE FROM DR. MARSDEN OF ftUEBEC. Quebec, 18th Sept., 1848. n Dr F. a. Cadwell; . . Sir_l have much pleasure, on the occasion of your departure from Qucbc, after a residence o "P*^;;^ " tweNe months, in testifying my "P'"'"" "V ,*' „ ™ success of your practice, as an Ocul.st and Aur st in this Ty and elsewhere, that I have had an opportunity of w«- nessing it. Having had occasion to assist you in many of your most important and critical operations on the Eye, I can bear testiuTony to the uniformly skillful manner ol operation, and the generally successful character of them : and I congra- tulate the adlicted in either of these organs, on the oppor- lunity that your presence among them uall afford, ot obtaining as great an amount of relief as human means can effect. Although to particularise any operation in pi^ !. ^ ce to another, where all are good may seem invidiou.s, yet I lAAAGi: EVALUATION TEST TARGET (MT-3) 1/ Z-^/. <. ^° 1.0 '- lilM llli|2.5 ^■- |il|2-2 I.I u tut 1 1^ M 1.25 1.4 1.6 p /a <^ /] /: '^a /; w '/A Photographic Sciences Cor[joration 23 WEST MAIN STREET WEbSTER.N.Y. 14S80 (716) 872-4503 ^ ^^^> % ^ ^ ^v ^ 111? ! (i 90 CERTIFICATES, cannot but remark that your opcralivon for fistula lacrymalis (which I have several times witnessed) is an unrivalled piece of sur.^ncal skill and tact. Wishing you continued professional success. m II I' ii I have the honor to be, Sir Your most obedient servant, Signed, Wm. MARSDEN, M.D. CETvTIFICATE FEOM Vx\LENTII7E MOTT, Professor of Surgery in the New York Medical University. Understanding that Dr. Cadwell intends leaving the city for a residence in the country, it gives me pleasure to state that I have had frequent interviews and consultations with him. I feel a confidence in recommending him to the notice of those among whom he may reside. *- Signed, New York, July 13, 18 14. VALENTINE MOTT. ANOTHER FROM THE SAME, New York, October 10, 1846. Dear Doctor, 11" Your letter c[ the 4lli instant was received to-day. I am pkased to hear that you have located yourself in Montreal, and sliall be glad to hear of your success ; and CERTIFICATES. 91 any service I can render you in ihc way of advice, will be cheerfully furnished on ail occasions. From the opportunities you liavc had in this city of acquiring a knowledge of tho profession, I feel confident you will be able to establish yourself with character and usefulness in Montreal. With my best wishes for the prosperity of yourself and family, I remain, very respectfully yours, Signed, VALENTINE MOTT. I LETTE2, rSOII THU ZHV. JA2IE3 COOKE, Parish Curate^ at Three Rivers. [tiian;-lati:d f.%om tue fsexch.] Dear Dcctgii, I hear, with pain, that you arc about to leave us. The pleasure of your acquaintance and of your company, the service v/hicli you have rendered a large number of my pLJ-ishicnerr^, by the tible exercise of your noble profession, imposes on me the cLligailon to thank you, and to ar.8ure you, tliat the news of your return amongst us, will be most agrcoable. Mi&3 Ccolic, who submitted to an operation by your hands, has no wbcr muid tranquillized as to the danger oi losing an eye. Ui: Dc.stie is highly pleased wiih the .success of your ucatmyit— his eyes arc pcrkxjtly cured,— 92 CEBTinCATES. 'I J, Hi '' J .It \h M, ■Ji he wiU himself explain to yon by writing all his acknow- ledgements. It is the same with our Reverend Mother Superior^ who has had a more grand evidence of your attention and care in her behalf Healthy happiness and prosperity be with you and vour respectable family, Is the sincere wish of your very Humble and most obedient servant, T. COOKE, P. C, To F. A. C/..DWELL, Esq., M.D. IMPORTANT OPERATION ON THE EYE. From the Hamilton Gazette, Feb. 28, 18M. On Tuesday last, we witnessed a very difficult and im- portant operation performed on the eye of a Mr. Culham, who resides in the vicinity of Toronto, by Dr. Cadwell, Oculist of this city ; the oj^eration consisted in the removal of a cancerous tumor about the size of a common hickory nut, which )iad grown from the back part of the socket of the eye, and behind the ball on the side nearest the nose. h was about li inch deep from the surface, taking root near the optic nerve and artery, and had thrown the eye forward and outward for half an inch either way, causing much pain and uneasiness and producing great deformity and partial loss of vision. Dr. Cadwell was assisted in this operation by Drs. Hunter and Duggan, and its removal was successfully completed in about 20 minutes. J^uch skill and judgment, of necessity, is recjuired to conduct such an operation, owing to its importance and close CEUTinCATES. 93 proximity to the brain, and we can only say, that the operation was skilfully and fjati^factorily performed. The dii^easo was of such a nature as to make a surgical opera- tion indispeasible to pres(>rve life, and had been only two months since it was first discovered by the patient, who, becoming alarmed for his ultimate salety, sought for relief, which we trust by this bold and decided measure, he will ultimately obtain. We learn, upon enquiring, that the patient is doing well, and likely soon to recover both sight and health. We would here take occasion to remark, that Dr. Cad- well's practice in this city has, as we have r(;peatedly informed, been attended with most desirable success — and many alllieted with Blindness, Deafness and other defect* of these delicate organs, have fdund relief at his hands. We learn, that at the solicitation of several patients and others, ho, has consented to remain a few weeks longer. AN ARTITICIAL EYE. From the ProTincialist. We witnessed a few days ago a very interesting opera- tion. Mr. Isaac Kelly, near Ancaster, who was deprived of the use of one of his eyes wdien a boy — the part had completely fallen in — placed himself in the hands of Dr. Cadwell, by wdiom a false eye — a perfect likenf^ss of Mr. Kelly's good eye, was introduced upon the remains of the injured one. The change was astonishing; it completely transformed a half-withered fellow-mortal into a fresh youth- ful human being, making him appear at least ten years younger than he was ten minutes before. The operation was attended with very little pain, and the new vye par- I 1 '111' w 91 CKRTII^CATSS. takes of the same motions as Mr. Kelty's sound eye— no person could perceive the diilerence; it has but one defect, il cannot sec. r We might a J J, that the crowds that daily attend Dr. Cadwcll's ro^m.s a.Tard the best evidence of how his skill in operations en the Eye and Ear arc appreciated ; indeed, until Dr. C. cam- ainon-st us, v/c jicver supposed that so many persons were afllicted with diseases of these useful organs. J. 1:} I ''>!' I li^ or3iiiTiD:r3 c:r tits eys aitd eaii. From the London Od 1-Fellow. We have no hesitation in stating that tliis gentlcn.'in's operations on the Eye and Ear, in upwards of scventi/ cases, during his slay in London, have been most successful, and given the greatest salisfaclion. Many persons will take leave of the Doctor with regret, and some scares of persons have good cause to rejoice and be thankful tiiat he has visited London. Tlie individual cases are too numerous to particularise, and tliosc which came under his successful treatment have been already multiplied to an extent which rcqaires no additional evidence for convincing the public that Dr. CadweU is nDt only a scientilic, clever man, but a first-rate practical Surgeon— he will visit London early in the Spring ^S- |?ir",r-:: EYE AN3) EAR, From the Kingston Whig. Dr. Cadwell.— This very eminent Oculist and Auristj after a most successful sojourn in Kingston, will leave this CERTiriCATES. 95 cay o-day for Belleville, carryin, with him th« heartfelt ha„K-s and good wishes of his numerous patient., many a whom he has perfectly cured, and all of v horn ho has r^os successfully treated. To oar country fri.nd. and read" mend D. Cadv.ell, as u Practitioner v:ho v.ill luim all he Tof aft" r •"'"■ '' '' P-°^-^^^^^' --1 within the gcon, who has devoted years of .tuss, though her eyes have not had sulUeient practice lo make her vision very correct, as it is only six weeks since the operation was performed. I saw her a few days since, and find her vision fast improving. Toronto, December 14, 1853. Duncan Sinclair, aged twelve years, resides in the Lon- don District, son of the Rev. Dougald Sinclair, has been very deaf for ten years, arising, as his parents believe, from measles. At the time I received him imder my care he could scarcely hear my watch at his ears, but at the end of three weeks he was dismissed, cured, being then able to hear the same watch tiudvc feet distant, and all noise and oth^r un- pleasant symptoms have entirely ceased. London, December, 15th, 1853. 30)3 CASES. ?Kv m i\t '1, ') 5. Charles H , aged about forty years, has been deaf for the last twenty-tive years, occasioned by cold. Has a con- ;stant noise in both ears, and could not hear common con- versation unless very near him. His health was in other respects good. By the regular use of the Press, or Air Douche, for six weeks, the hearing was raised from one inch u) twenty inches on the right, and from six inches to len feet nine on the left, and the hearing continues to improve. 6. James C , of the Royal Artillery, aged twenty years, deaf three years, from forcibly blowing a Cornupeon, thereby bursting the drum of his right ear. Hearing entirely gone at the time of commencing treatment, and a profuse dis- charge is constantly going on. After five weeks attendance, the patient found the discharge was entirely arrested, and he could hear a watch beat at a distance of several inches, from the ear, and all noise had entirely subsided. His general health was improved by the treatment, and in the .spring of 1852 he resumed his place as musician in the *jand to which he belonged when the accident occurred. ;! 1 y 'A. i 7. Mrs, B. Fagan, aged fifty-three years, has inflammation of her eyes for the last Ivvo years, and is now nearly blind from its effects, and bad treatment. Is in very delicate iiealth otherwise, and scarcely able to leave her bed. On the 8th of December, one month from the date of entry, Mrs. Fagan was dismigsed cured, being then able to CASES. 103 see well, and her general health was so much improved that further attendance was considered unnecessary. 8. VVm. Waddington, aged fourteen years, has suffered with a chronic inflammation of his eyes since an infant, and has never been free from it up to the date of his entry with me. The sight of his left eya is nearly useless to him, and his right is covered with a white film. They are extremely painful when exposed to the light, and constantly discharge water, and occasionally mr,tter. His health is otherwise tolerably good. Having tried every means within his reach without the least success, his friends were induced to place him under my care, for treatment, which they did on the 7th of November, and on the third day of the following month he was dismissed entirely cured. His sight was perfectly clear and strong, and he was allowed soon after to resume his schooling, which, owing to the bad state of his eyes, had previously been much neglected. , 9. John L , aged fifty-five years, resides on Wolf island ; has suffered for two years with disease of his eyes, which, for most of the time, incapacitated him for business. He received treatment on every second day for three weeks, and at the end of that time discontinued his attendance, being satisfied with his improvement, but was obliged to resume his attendance in a few weeks after, in consequence of the abrupt dismissal of his own case. Two weeks further treatment has entirely removed his ocular affliction. 10. Edward Fudge, of the Royal Artillery, applied to me for treatment for weak sight, which upon examination proved to 104 CASBS. be tkc eftect of a Cross-eye, which had only recently been ob- served. An operation was made, and the eye immediately made straight, and with it nearly all traces of defective vision vanished. In ten days all traces of the operation had disappeared* Thomas C , a lawyer, had the misfortune to lose an eye by an accident when a child, and the ball was con- siderably wasted and fallen in. I was applied to for advice, and I inserted an Artificial Eye,, which he now wears without the least pain or inconvenience, and but few of his old friends are able to tell the natural from the arti- ficial eye. It performs all the natural motions of the sound eye, and its resemblance to it is perfect; in fact it is scarcely possible to perceive any difterence between the two eyes at a few feet distance. * 12. William Robson, aged fourteen, has been deaf for two years from sea-bathing. Hearing very dull, and both ears discharging matter of a foeted odour. Healtii otherwise good, but looks rather delicate, which is peculiar to those who have a constant discharge from the ears. Nov. 28. — He is dismissed cured. Hearing raised from a few inches to seven feet, and the discharge is entirely suspended, with a marked improvement in his countenance generally.. h if 13. Amos Kemp, aged sixteen years, an apprentice to the bookbinding business. Has deafness and discharge from CASES. 105 his left ear for several years, produced by cold, hears the watch only three inches with this ear, and finds he is getting worse eveiy year. Continued his attendance for about three weeks from date of entry, when he found his hearing was raised to five feet, and the discharge had stopped. Was dismissed from regular attendance, and advised to call once a week, that the case might be watched. May, 1852. Hearing continues perfect, and no further appearance of discharge. 14. Miss Sarah H , aged 16 years. Has had a trouble- some inflammation of her eyes since a child, and her sight is very poor in consequence, not being able to see the largest print. Her attendance was continued regularly for three weeks, at which time she found her sight greatly improved, and all traces of inflammation entirely subsided. Could see to read common print, and was much improved in her general health. Treatment was then given her, to u?e in her own hands for thirty days longer, in order to guard against a return of the disease. 15. Miss Margaret G , aged fifteen years. Has inflam- mation of one eye since she was about four years old, and could never get it cured. It is now covered with a white film, and the sight is of little or no use to her. ■'r 106 CASI^S. Her health being good in other respects, she was put under a regular course of attendance, and was dismissed entirely cured on tjie first of December, being only three weeks under treatment. i H' t m ;■! i ! 16. Charles McM aged thirty-five, has a Cross-eye since a child, caused by a full. Sight is very imperfect in this eye. An operation was made, and the eye was straightened immediately. In a few days the slight wound made by the operation healed, and since that time there has been a gradual improvement in the sight of this eye, and it is now nearly equal in strength to the other. No interruption to business was caused by this operation, except on the day of the operation, and no pain or uneasi- ness followed it. ill' i I h ' 17. Mrs. Maria C , aged twenty-five years. Has su/Tercd for four years with a chronic inflammation of her eyes, supposed to have come from cold. She was nearly blind at the time of commencing treatment with me, being able merely to see dark images before her. Has been treated for several months together by medical men in Canada and in the United States, but to no effect. She commenced treatment with me in November, 1851, and was able in four weeks to see well ; could readily recognize any one she knew, and was able to go about without the least trouble or inconvenience. Residing some mi i :;f « CASES. lo: distance from nic, she was then allowed to return home, provided with suitable instructions. She recovered perfect eye-sight in a few weeks, and was greatly improved in her general health, which had previously been very delicate. 18. Robert M child, , aged twenty-two years. Deaf since a Both ears dis- being the result of Scarlet Fever charged profusely, and his hearing was extremely dull. Dee. 7tli. Returned home with tolerable good hearing, the discharge having been entirely arrested, and all other disagreeable symptoms completely removed. In this case there was an opening formed in each drum, caused by the long continuance of his disease, and this circumstance prevented the possibility of giving perfect hearing. But the treatment had been so effectual in every other respect, that ho discontinued his attendance, quite satisfied that he could hear well. 19. Wm. L , aged twenty-five years. Has deafness and noise in his left ear, caused by a fall four years previously. By the use of the Air Douche, and other suitable treat- ment, his hearing was perfectly restored in three wrecks, he being then able to hear my watch across the room, and the noise had entirely subsided. 20. Misg Mary W , ag.d sixteen years, has a double convergent Stratismus, or squint, since about three years lOS CASES. If!! old, caused by sickness, ller sight was very weak and imperfect, and she had double vision. Both eyes were operated on at intervals of four weeks, and two perfectly straight eyes was the result. No pain or inflammation was experienced fioni the operation, and the sight was made good, and the double vision disappeared on the eyes becoming straiglit. H 21. Henry D , a cliild, a5T:ed three years, is blind in onf? eye from inflammation, and the otlier suii'ers much from sympathy. Child very delicate otherwise. Treatment in this case was directed particularly to the constitution, and some attention was at the same time paid to the eyes. In a fortnight tlierc was a marked improve- ment in the health and strength of the cliild, and a propor- tionate improvement in the condition of the eye. Two weeks further treatment had the elibct to rc-establisli both health and eye-sight in the (^hild, and it continued to thrive and do well six months after it left my attendance. V jiii' ||:?flr James L , aged nine years. Has deafness and dis- charge from both eyes, caused by an attack of Cronp, In this case treatment cornplctcdy arrested the discharge, and made the hearing good in three W(>cks, and no further trouble has been felt since. 23. Anthony McG , aged eighty years, is suffering from a recent attack of inflammation, which together with his m CASES. ion extreme ago renders Iiis sight almost useless.. A few 6a\» quiet trealmcnt removed the inflammatory action, and by the aid of glasses Mr. McG. was enabled to enjoy the plea- sure of reading as usual. Miss Frances G , aged forty-two years. Is entirely blmd, requiring a conductor, from a severe attack of in- ilummalion, vrhieh has been badly treated by he? physi- cian. By careful attendance die has recovered her sight, so as 1<) be aljle to go about, and can rccogni;^e ifer ""acquaint- anees, but c.wliig to improper treatment, and neglect, t^he will never recover perfect sight; though under proper direction, no defect of vision vrould have been perceptible. 25. Bfr. B. B., aged tliiity, of California, has contracted an inflammation of his eyes, wlilcli proves of much trouble to him. Nothing that has been done heretofore seems to be .>f any service to hna. His eyes are constantly red and irruated, giving iiim the appearance of dissipation, notwith- standing his hablLs are strictly temperate. Twelve visits, oiui on every second day, entirely removed tlie trouble. 26. Wn->. M ^ pgeti iv.-olve years, nephew of a niedica( man, ha:.; siifreied from his infancy from an inilaminatioA ot his eyes, v.iiieh no one has been able to remove for him, li:s general health is good, though of a scrofidous appear- ance. His eyes are red and congested, and ccnstaptly slick together after sleeping. 110 CASES. With some slight alteration in his diet, his eyes were entirely cured in twenty days, by the use of mild treatment applied night and morning. i ' 27. Miss Rebecca McAdoo, aged twenty-two years, had Scarlet Fever when four years of age, and at that time en- tirely lost her hearing. Recovering from the fever slowly, she partially recovered her hearing, but never enough to hear any sound of the human voice, and acquired a facility of understanding what was said entirely by the motion of the lips. At the time I first saw her, which was on the 18th day of November, 1851, she could scarcely be said to hear at all, and her speech was so imperfect, that but few could understand what she said. This case was too unfavourable to afTord much hopes to her family, though I was induced to do 3o from same cir- cumstances connected with the hlsi-ory of her case. Treatment was accordingly commenced, and in less than three weeks she recovered sullicient hearing to be ablf to hear well. She would no longer watch the countenance, but would always apply her ears and give attention. She can now hear quite well, and her speech has also improved with her hearing. She continues to use her treatment, and to pay me an occasional visit. Her ears, which were dis- charging profusely at the beginning of my attendance aro now quite dry, and I have no doubt but that in a few months she will be restored to good hearing, without the necessity of raising the voice to make her understand. This case, bad as it was, proves clearly the advantage.^ of treatment in those cases of deafness which so frequently CASES. Mt result from scarlet fever, measles, and all those diseases incident to children. I may here mention an opinion in reference to the management of such cases, that in no instance could a case of this description be treated, and proper attention given on the part of the patient, without deriving the greatest advantage therefrom. 88. Robert C ^ aged seven years. Has been deaf fur almost one year, with discharge from both ears, caused by sickness. Can liear my watch only six inches on either side. Upon careful examination, each ear was found to con- tain a pea, which had been put there by the child many months previous. Owing to the manly conduct of the little fellow, I extracted the two peas, which were greatly swollen, but not without some dilHculty, as from the stropc of the ear they had become tirmly wedged in the auditory passage. The drum remained entire, though thickened and inflamed ; but upon the removal of the foreign bodies, the hearing was soon restored as good as ever, and tlie discharge ceased in a few days. Mrs. Marfirarct N- 29. -, aofed sixty-four. Has sufTered for twenty-four years with a chronic inflammation of her right eye, which has never ceased to be troublesome since its commencement, and no treatment has ever been found of tlie least service to her. Sight useless, and the eye very weak, and not able to bear the light of day. General health good for one of her age, but the system a little out of order. '- '..'i W ; J 112 CASKS. Daily treatment was followed by me for four week., when it was thought unnecessary to continue uttcncance any longer. The inllarumation had entirely vanished he si.^ht was c,uite clear, and with the exception, of a slight contraction in the sight of this eye, caused by the long continuance of the disease, no perceptible dilference could be observed. 30. John F. Ward, aged thirty-two years. Has a Polypus in his left eye for twenty-seven years. His ear discharges constantly a very offensive matter, and his hearing m this car is entirely useless. I removed the Polypus by an ingenious little instrument of my own invention, and without giving the least pain to the patient. The ellect was to immediately restore the hearing, which enabled hiin to hear the watch two f.-et oil. A few occasional visits has put him in possession ot gc>ocl hearing, and no inconvenience is now experienced. 1 he polypus was as large as a grape, and completely lillcd the passage of his ear, giving vise to discharge, &c. 31. Mrs. Jesse P , aged twenty-seven. Has the tear passage closed, causing the tears to run over tlu^ face, and thereby giving her much trouble, and weakening her sigiit. ;In a few days I succeeded in opening the passages free to the nose, without making an operation, and the tears now pass freely down their proper channel. No further incon- venience has since Ictn (>vperienced. Miss P , aged four years, put a pea in her ear some eight mcnths ago, wluch could not be got out. It ultimately lii CASES. 113 rausod deafness and a discharge, and frecjuenlly a sevorr ♦iurache supervened. The child being much frightened, I had great ditiiculiy in removing it, owing to her wilful resistance. It was, however extracted, split in halves, and of course the hear- ing was restored imperfectly. Subsequent treatment put all right, and she is now quite well. 33. Mr. Peter G , aged 82 years. Has been deaf for nine years, and was not able to hear my watch when applied to either ear. Had used a great variety of nostrums, such as are usually recommended in such cases, still he continued to grow gradually worse. He commenced treatment with me in November last, and after having eight or ten sittin s.H'VtT, anil tho lost nnd wastrel or^an is hofintil'iilly su|). ))li«'ci with II substitute, which answers cnery purposeof the oii:,Mnal, exeept siij:hf. The advantajijes of the artifieial eye are uiiiny. In the first phiee, tliey protect the old socket hv .'vcludin;? the cohl air; they support the lids, and thereby prevent the ey<' from wastin',' and closin:,', and protect the eye from the introduction of foreii,m i)arlich's; nnd, linally, th.'y so completely rescuible the natural «>yr, both in move- meni and appearance, that no one would discov.T th«? imitation. 39. (;e,)rirc A , of St. Catharines, ac^ed 18 years, was dvn\' from childhood, with discluirij^e from his cm-s, which was sujiposed to proceed from teethinii;— could hear the watch only at the ear when Ik; becran treatment. Two months after, with an occasional visit, his hearing was considered good, being then abh; to hear common conversation witii ease, and the discharge had ceased altogether. 40. Mrs. Eliza B , of Trafalgar, aged 32 years, has been very deaf for eleven years, caused by cold, and had lat«.'ly grown much worse. lf(>alth being good in other respects, sht; was placed under treatment, and by the use of the Air-Douche, and other means, she was completely cured in eleven days. It is now more than three years since she was treated and cured. She fe(ds no further trouble ; and the noise which was nearly always prosent in this case, has entirely subsided. 41. Miss J. F , of the River Trent, applied to me in February last, afflicted with a chronic inflammation of the u 1,Q CASES. PVe< %vhieli had troabled her more or less for ten years, and^'at the time of applying to me was not able to go out without a conductor. General health was very poor. In this case five weeks' daily treatment made a perfect cure of her long tried atUiction, and her general health under- went a proportionate improvement. m m Hi' 42. jolm C , of Toronto Township, aged 17 years: had an ailliciion of the eye-lids for many years, which came from Hooping-Cough. The edge of the lid were thickened and inflamed, and on waking in the morning were firmly crlued together by the discharge. This case was cured completely by two weeks' attendance, and though the eye lashes were thinned, and nearly gone, they have agam grown thick and healthy. These cases are always curable, with a reasonable amount of attention. 43. Miss B , of St. Catharines, aged 12 years ; had deaf- ness and discharge from one ear, from cold, since she was an infant. Hearing was very dull, and the discharge abundant and offensive. Three weeks' treatment restored good hearing, - and entirely arrested the discharge. 44. Eli o , aged 16, of St. Catharines, had a discharge from his left ear and deafness in both, since six years of CASES. nil age, and is getting worse— is very subject to take cold on slight changes of the weather, and always gets worse at sucli tim'js. Treatment in this case restored good hearing in both ears, and arrested the discharge after three weeks' atten- dance. No further trouble has been experienced since. 45. Alexander S. Robertson, of Belleville, aged 10 years ; had an encisted tumour in the left eye of eight years' standing, the size of a hickory nut. It was painful at times, and of late growing rapidly. I removed it by an operation, as- sisted by Dr. Hope, and the wound healed in a few days, in the most healthy manner. 46. Miss C. L , of Belleville, aged eighteen years. Had a very severe form of disease of the Eye-lids, since a child. Lids were highly inflamed, and very much thickened, and the lashes nearly ail gone. After three weeks' daily attend- ance. Miss L. was dismissed cured, with instructions to continue a little mild treatment for a fortnight longer. and 47. Miss Adeline H , of Belleville, aged twenty, has a double convergent squint, of many years' standing, which was operated on with perfect success on the 26th of June. Eyes are now both straight and much improved; and no pain or inflammation followed. of 48. Miss Saraii McC , aged 14, had a convergent squint of one eye since a child, and the sight was nearly useless. 118 CASES. is m J. ^ Operation was made on the 5th June, and in ten days the eye was perfectly healed, and the sight greatly improved and improving. 49. Miss Mary A. VV , aged 16 years; h^d ^convergent stratismus or sqnint, and with little or no sight m the r.ght eye since a child. I made an operation, and pnt the eye straight in one minute. Sight is now good, and the eye looks as well a. ever. Eye was weak before this operation, but is now strong, and the sight is perfect. 50. Thomas L , aged 26 ; was completely blind from Lenticular Cataract. One eye was lost by a previous opera- tion. Operation for the Extractian of the lens was performed by me on the 27th of June, with entire success, and with the restoration of the sight. 51. Jeremiah Forrester, ol Chippawa, farmer, aged 54 ; wa. deaf from cold for about eight weeks, and was so extrernely deaf that he could not be made to hear without the aid ol a speaking trumpet. He received treatment from me remaining under my daily care, for seventeen days, a ^vhich time he could hear common conversation without much difficulty, and returned home to his family entirely satisfied with his improvement. 62. Miss F P. G , of Brantford, aged 10 fears ; had deafness and discharge from her ears of a very offensive I CASES. 119 nature for the last six years, resulting from scarlet fever. After three weeks' daily attendance, her hearing was con- sidered nearly as good as ever, and the discharge had entirely ceased, with a decided improvement of her general health. 53. Miss N. F., of Paris, aged 16 years ; had a disease of her eyelids from childhood ; sight was not much impaired, but the lids were' thickened and red, particularly on waking in the morning, at which time a quantity of dry matter was found adhering the lids together, and the lashes had fallen and become quite thin. Much had been done by the parents of this young lady to have her disease removed, but all to no purpose, until chance threw her in my way, and though she had some distance to drive each day, during a cold and rainy season, still her disease was completely eradicated in three weeks ; and though a year has elapsed, she has had no return of her old companion. had 54. John Fisher, of Vittoria, aged 18 years, had deafness, with more or less noise and singing in his ears, for the last ten years. He was not able to hear a watch beat unless close to his ears, and was getting worse from year to year. He was treated for six wrecks, receiving daily sittings, and was at the end of that time dismissed from further attend- ance, he being able to hear common conversation readily ; iuid all noise and confusion of the head had entirely sub- sided. His father, Daniel Fisher, aged 56 years, was 20 years deaf in one ear, and was completely cured in one hour, without causing the least pain. m 1 120 CASES' ir.f IP * i '. -i 65. Henry Williams, cousin of the aboved named John Fisher, was also deaf for twelve years. He was similarly alllicted, and had also great noise, which, with his deaf- ness had never left him during that period. He was also r;ured of his deafness, and the noise was removed by six weeks' attendance with me, and without submitting to any painful or disagreeable treatment. 66. Mrs. VVm. N , aged 33 years; resides at the 40-Mile Creek; was deaf for six years, and could not hear conver- i-ation, unless quite loud and near to her. She had noise like insects in her ears, and her general health was poor. Seven weeks' attendance at the olEce removed all particular inconvenience to her hearing, and, with greatly improved health, she returned to her family, entirely satisfied with iier general improvement, being then able to hear common conversalion without inconvenience. 57. Dr. Bowie, of Brantford, has a daughter, aged 9 years, ^vho had a double convergent squint, or double cross-eye. Operation was made on the young Miss, who conducted herself most heroically through both operations, which were performed by me at an interval of one week between each operation. The result of this young lady's courage was a pair of perfectly straight eyes, which were very badly Turned ; and her sight is greatly improved also. Though she was only nine years of age at the time the operation was made, it was done with her full consent, and without CASKS. her ofTering the least resistance, reward she has received. 121 She well deserves the 58. J. VV. Howard, of Lobo, had nearly lost the sight of his left eye by a severe attack of rheumatic inflammation. His case not being definitely understood by those whom he had previously consulted, he felt assured his eye would now be restored. He remained with me for about three weeks, and was then able to discontinue further treatment, his sight being restored. All pain had ceased, and he was rapidly recovering. I saw this gentleman nearly one year after, and he had no return of the inflammation either general or local. 59. J. A , aged 42 years, had both tear passages closed, and the tears constantly passed over his face, particularly during cold and windy weather. He had an operation made and a gold stylet introduced, which gave him imme- diate relief. This he wore for a few weeks ; it was then removed, and the passage continued impervious and free. Thus, by a trifling operation, he was relieved of a disease that had troubled him for many years. 60. David Thompson, of St. Thomas, aged 55 years, was brought to me nearly blind of a chronic disease of his eyes of four years' standing. He could see but little, and his eyes had been treated by some professed Oculist, who subse- quently proved to be an impostor. His disease was one U2 CASES. I ■ ■ i m' which is frequently met with in this Province, and usually arises from cold and exposure. The sight becomes dim and misty after the first stage of inflammation passes over, and this dimness continues till the patient becomes quite blind— lids look thickened and red, and then the whole ball is red and the sight nearly or quite obscured. This gentleman was completely cured during five weeks' attend- ance, so as to be able to manage his own business, and to read and write. A slight relapse of inflammation took place in one eye, which required his attendance again, but in a few days it was subdued, and has continued good ever since. i^ f'W 61. J. P. McD , of Vienna, Merchant, was deaf with noise in his ears for twelve years. He applied to me in the winter of 1852, and was completely cured of all deafness in one hour, and by a few days' subsequent attendance, he was entirely relieved of all noise, and returned home with perfect hearing. 62. Henry F , aged 20 years of Yarmouth, was deaf ten years, and was entirely cured by ten successive days' treatment. He had noise and other unpleasant symptoms, which ceased with his deafness. 63. A small pebble stone was removed from the ear of a little boy, aged six years, son of Gabriel Balfour, of Kingston, which had been there for six months. Hearing was restored, and the child perfectly recovered. CASES. 123 64. A pea was taken from the ear of a child of Mr. Jesse Patrick, of Kingston, three years since, which had been eight months there, causing much pain, and the total loss of the hearing of thai ear. Hearing was restored by its removal, though not as perfect as the other. 65. George Fish, of the Township of Mersea, aged 20 years, was very deaf for 12 years, with a very disagreeable noise, which rendered his life quite miserable to him. At the time of making application to me in February last, he was stupid with deafness, and could only hear a watch when it touched the ear. He was able to leave for home with good hearing after six weeks' .reatment, the noise in the meantime having fully subsided. 66. Ebenczcr Roy, of Darlington, aged 16 years, was deaf in both ears, with noise in them, for ten years. He was treated at Toronto for seven weeks, receiving daily sittings, and was completely cured, all noise subsiding under the action of his treatment. No pain was experienced by the treatment, nor had the disease reappeared at any time after. 67. Miss Anne Perry, of Darlington, aged 15 years, was one year a great sufferer with a peculiar form of inflammation of her eye, called pistuJar inflummaUon. It consists in patches of little white pistules or festers which form on the 124 CASES. eye, generally locating itself on or near the sight, and con- tinuing for some days to grow worse, the eyes being very irritable, and not able to bear the light. In this state the eyes continue to get better and worse until one or both are quite destroyed. Such Avas her case that, although one of her eyes was quite blind, she returned home with the sight of both quite restored, and her general health much improved, being five weeks under treatment. I!' Si !> Wi\ 1 i 68. W. W. C , of Toronto, was afflicted with a disease of his eye-lids, which glued his eyes together after sleeping and made him appear like a dissipated youth. His disease was completely routed in three weeks, and no trouble has been experienced since was cured, now, a year ago. 69. Mrs. Catharine F , of Toronto, had an obstruction of the tear passage of three years' standing which caused the tears to flow over her cheek whenever she was exposed to tlie cold or wind, or in using the eyes to read or sew, or do any other work requiring the particular use of the organ. By a few days' attention I succeeded in re- moving the obstruction, and rendering the passage free to the Eye without submitting the patient to an operation, so that she can now use her eyes for all purposes as usual, without experiencing the least inconvenience. When this condition of the eye is observed, it should be attended to before the case becomes permanent, in which case an operation will be required, and a gold stylet introduced, which has to be worn for some weeks before a permanent cure will be eftected. Under any circumstances, this dis- ease can be perfectly and permanently cured. CASES. 135 so 70. Thomas Long, of Toronto, was deaf in both Ear., ar.sin^ Irom cold ; was only of a few weeks standing wiicn he Zw/r ""'; '"1 ',y ' ^'^ '''''' '''' l--ing was mad. on f ri- '"^ '" ""^'^^ "^^^ "^^'^'^ unpleasant symtoms completely disappeared. It is more than a year since he was cured, and he has had no return of it since. 71. Philip Dunn, aged 25, had both tear passages closed for about 5 years, and his eyes were in a dreadful condition m consequence ; they had gathered and broken a number of times, and he was nearly blind when he consulted me about one year since. I operated on both eyes at the same sitting, and intro- duced gold Stylets which were worn by him,\vithout the the least mconvenience, and with immediate relief. At the end of three months they were both removed, his sight being perfect, and the tears taking their proper course. 72. ^ivid C. Wattles, residing in Michigan, town of Lapeer, attacked with acute inflammation of both eyes, which nearly destroyed his sight, not being able to obtain relief where he resided, and finding his eyes were getLnfr worse by every application that he was advised to make, he came to Toronto in January 1853, and remained under my care for twenty-two days, at the end of which time his sight was perfectly good, and his eyes were strong enough to enable him to attend to his general out-door business. He returned to Michigan entirely restored, and has had no return of his disease since. 12U CASBS. If m m W 73. Miss Sarah Uoikly of Niagara, agod 13, was brought to mo three years since with a sevf^re form of acute inllani- laation of botli eyes of some moiitlis' standing, and was unable to go Avithout a guide. Siie had been treated by a great number of medical gentlemen before she apj)lied to me, but to no i)urj)Ose, and her case was getting worse from week to week. Iler attendance was continued whh me for about three months before the diseavse was broke, but she tiien rapidly recovered her sight and health, and returned to her family greatly changed in appearance. This young lady has continued to enjoy good sight since the pi.Tiod above stated, until within a few weeks, when sIk; found one of her eyes the svdjject of a fresh attack of inilammation ; she })lace herself imder my care without delay ; and in about twenty days returned to her family entirely restored, able to read, write, or sew, as well as ever. She is now in her ICth year. 74. Mrs. Ann Mitchell, of London, aged 32 years, had an obstruction of the tear passage, of several months' standing, of the right Eye. In this case the tears constantly run over the face, which is always worse when exposed to the wind or cold. A few days' treatment, without making any ope- ration, completely freed the passage ; and restored the Eye to a healthy condition. An operation has since been made, and a complete cure eflected. 75. Hiram Jones, of Westminster, had three children, all nearly blind from inilammation of the Eyes, which had CASES. 127 ; tackod ,hc. whuh. family for more than a yoar piv . iously. I l.'-y were aged r.spectivHy eight, ten, and twelve yeari • ana all treat.nemihat i.ad been used seemed t,. have n,. efleet upoa them. I treated these children daring one of "ly l.role.s.ic,nal visits to London ; and alter about fift^.-n 'lays treatment, they were dismissed cured : they have continued to do well ever s^ince. 76. Mrs. Mary Lewis, of Sparta, cafnc to me with a chronic indammat.on of l,er Eyes, and was cpiite blind in conse- qiionce, having been in that state for several month. " I treated this lady for about 10 days, when I was obliged to l^'aye London ; but she was so much improved by it, that with the treatment and directions she received from me .hJ completely recovered her sight in about a month after l' left lier^ I saw this lady a few days ago, and her sight is periect. '^ c 77. Sheriff Hamilton, of London, C.W., brought a grand- daughter of his to me in May last. She was a beautiful little b ack-eyed creature, only three years of age ; but she was a Ihcted with a very bad squini or cross-cye, caused bv convulsions. I operated on this tender little pet withou't much ceremony ; and was entirely successful in removin, ESQ^ M.D ..J BtrKUCNCES. Kingston. .lOITN COUNTKll. Esq., Wayor JUIKJK KKNNI/ril MA(;KhNZlL. \VM. llAY\VAin>, i:s^..,M.i). R .). HAllKKU, :sy., M.l). IIOHKUT t^TEW .UT, Kaq., M.D. J. MOllTON, V.^q. CAMEUON & LIVINGSTON. Belleville. WILLIAM IIOrE, E^^Q., M.D. JAMES LISTER, Esq., M.D. S B. FIN DEN. Esq., Cuu.kctob of C Ub-roiiB. J. II. MEACIIAM, P.M. K VV. n ALTON, Esq. >VK1J,IN0T0N MITINEY, Esq. Brockmll^- THOMAS F. McQUEKN, Fs<}., M.D. THOMAS REYNOLDS, Ksq., M.D. 1)H. OARVl':y. EDWARD 0. MxVLLOCII, 1^. 0. VAN ARM AN, Esq. W. H. WILLSON, l^. London, HON. GEORGE JARVIS GOODnUB. HENRY C. R. BICCHER, Esq. D. FARRAR, i: Q., M.D. JAMES DANIELS, Esq. New York. TALENTINE MOTT. Kecj., M.D., i'aoPKssoa of Suaoot. Nmr Y.« UNIVEJB3ITT. y \ KEFICRKNCICS. 143 St. Cathnrinrs. T. AfAfK, E«Q., M.I). lAVVWVM (]IU)SS, i:8(j.,M.D. CAnwiN IU)V|). J. li. KANN'KV, |;h(;. ItOUKllT FOiSTKK, i:.s«., I[. I{. Brantford' JAMES nOWTE, Eh.j., M.I). JIltA SKINNKIl, Vmi, AI.O. J. SiMlTll, Es(..., .J.|». HENUY J}A|{(;()(,'K, Esri. ANUIJEW COOK, Eric^. F. M.OOMJV, E.sv..M.r). O. W. OOWF.KS, E«(j., Af.f). J. LEE 'J'lllllELE, Ivsv., M.IM». Shcrhrooke. THOMAS O.AECORV, Es.., M|> T. D. WOIITIIINGTO.V, E..y., M.l). Three Pdvcrs. RKV. T. II. DOSTIE. JAMES MAOTJATir, E.o., Port Cr,dt JOIINFRAZEI?, Fs->.,M.|)..i>e//i«;„. ■ I). D'EVERAIiDO, Es,.., Pdh„m, JOHN M.;LEO|), Es7., .hnkerstburfrh. PARK& BROTlfERS, Jlnihcrslburi^^h. JAMES GAMRr.lO,Es,.,J.I>.,.v.„.„,.,A"jr JULIUS 1). MOR'ri<:,V, ]<:«,., /^e^o.V. GENERAL ASUER N. CORSS, ^a'' .% .J^ Any person desirous of a copy of this work on the Eye and Ear^ will receive the same Free or Charge, by send- ing tlieir Address Post Paid, to the Author. \ *'^ '■"* 1 V