5/12/51 Letter from niece, Mrs. [
1523]: This note from Dr.
Todd, along with the attached copies of doctors reports,
etc., [See Par. R4 below] were given to Aunt [
2451] to take
with her to the University of Virginia Hospital where she is
going for a rest and any further check-ups that she might
need during that time. She has only now to gain back her
strength, having made a remarkable recovery from the
operation."
Copy of Dr. Todd's note:
She is now taking a multi-Vitamin and Parke Davis Prep
"Desicol" - if she wants a change I would suggest "Entozyme"
(Robbins) or Ketachol.
Sincerely, James W. Todd. Surgeon
Acute Cholecystitis Dr. Isaac
Dr. Todd Dr. Isaac
Miss Ailstock Spinal
O. Dyer C. Yrugelitis 1.38 PM 2.32 PM
1 Penrose - 1 Cigarette o.k. O.D. Catgut and cotton
Same
Gallbladder
Cholecystitis
4/05/51
Findings: Acute gangrenous gallbladder the size of a medium
sweet potato. When opened it contained dark foul-smelling
fluid but no stones. The common duct was normal and was not
opened. There was an acute generalized peritonitis but no
actual perforation of the gall-bladder.
What was done: Skin was prepared with ether, Zephiran, and
merthiolate and a right subcostal incision was made.
Bleeders were controlled with the bovie, and self-retaining
retractor was inserted. Exploration was kept at a minimum.
The gallbladder was attached to the liver by a very small
Pedicle which was clamped en masse with the cystic duct
ligature of chromic "O". There was no raw surface in the
gallbladder bed. A penrose drain and a cigarette drain were
placed down to the lesser sac and brought out through a stab
wound lateral to the incision. Abdomen was closed in layers
with catgut, utilizing 4 heavy cotton tension sutures through
the anterior fascia. The skin was closed with No. 30 cotton.
[
2451] 3342 217
F. W. Virginia Beach
4/05/41--
4/11/51
Acute Cholecystitis
Gall Bladder
GROSS EXAMINATION: Specimen consists of gall bladder brown
to black in color measuring 8.5 cm X 6 cm X 4 cm, received
previously opened. The wall is
3-4 mm in thickness and dark
brown throughout. The muscosa is finely granular and dark
brown to black in color.
A. P. Long Jr., M.D.
MICROSCOPIC EXAMINATION: Wall of gall bladder is completely
necrotic consisting entirely of blood and fibrin and the
remains of a few vessels with occasional focal collections of
leukocytes. In some areas the shallow-like remains of the
vessels and stroma can be made out, but in these areas all
muclei are absent.
A. P. Long, Jr., M.D.
Diagnosis: Gangrene of gall bladder with empyema
4/23/52 Niece, Mrs. [
1523]'s letter: In 12/51 my aunt,
[
2451], complained of a sharp pain in her left side, just
above the hip bone. She was taken to Dr. Dormire and he had
her remain at the hospital for observation. During the
period of two weeks that she was hospitalized she was given
laxatives, alcohol rubs once a day, and sun lamp on the left
side. I went by to see her several times, and except for the
pain in her side (which appeared to be a soreness of the
muscles from her description) when she moved, she was
alright. She was dismissed from the hospital and told to
return for check-ups. Apparently the condition had cleared,
since the pain was gone, and she was given something that
looked like salts which was to take the place of the function
or activity that the gall bladder would normally have taken
care of. This she took daily. There was no name on the
bottle, so I don't know what medicine this was. Meantime I
talked with my aunt, and told her that if she needed help
again on this condition, she'd better let me help her out.
It would certainly be less expensive and maybe more
effective. At this time I discovered that she had forgotten
that she ever had a reading. When she complained again of
the pain in her side, my mother and I started her on castor
oil packs, just as outlined in her first Physical Rdg. The
first pack was started on 4/11th. When the first pack of
this series was applied over the stomach and side, it was so
painful that she could hardly stand it. The next night it
was not so bad and the third night she was quite comfortable
during the hour when the pack was taken. The second series
was started on the 18th, and the 23rd a professional colonic
was taken. (In addition to the packs, I had her alternate
Zilatone and Eno Salts and special attention was given to her
diet.) Almost half of the water was taken, and nothing came
back but some mucous. She was seated on the toilet and there
was some evacuation. Then another attempt was made to inject
water. This time there was some success with some very dark
green fecal matter showing up and also mucous. The nurse
called in H. R. Bybee, D.C. and they observed that there was
a stoppage, or block in the intestinal track. When she
returned home that night, she said she was feeling much
better. During the colonic, however she complained of being
very uncomfortable - that her stomach felt puffed up. She
has gradually improved up to this point, and the treatments
will be continued. On the Wednesday following the first
series - she had an appointment with Dr. Dormire and a
specialist that was to be called in. It seems that there was
the possibility of the bones deteriorating and they wanted to
check this. Also they thought there might be some sediment
hardening in the area where the gall bladder had been, and
that was to be checked also. I explained to [
2451] my aunt
that according to her reading her trouble was coming from a
different source, and that I would help her in following her
reading, provided she decided to do that instead of go to the
doctors. It would not be reasonable to try to do both.
Since she had no one, 'doctor-minded' around her, she took
the line of least resistance in following the readings given
for her.
5/13/52 Niece, Mrs. [
1523]'s letter:
My aunt has continued with the Castor Oil Packs each week;
beginning with her 5th pack on the 12th of May. She had her
second professional colonic on the 9th of May and her
condition was improved to the extent that the flow of water
was not stopped as on the occasion when the first colonic was
taken. Dr. Bybee suggested that X-rays be taken. He was
shown the two readings given for my aunt, read them hastily
and remarked 'very interesting'. Since my mother is working
with me in following out the suggestions, we plan to put off
having the X-ray made, if we can do so without getting the
ill will of the doctor, just as long as my aunt continues to
improve. The nurse who give [gave] the colonics said that my
aunt is much better, but there was still mucous being
eliminated. Along with the packs Zilatone is being used for
3 days each week - and Eno Salts in the mornings; also strict
attention to diet during the 4 days each week that my aunt
stays with my mother. The other 3 days she return to her
'home place' where she lives with a brother and his wife and
family; there she tends to her chickens and honey bees, and
no doubt forgets all about diet and eliminations. It was
only 5 or 6 weeks ago that she was speaking to a neighbor of
my mother, explaining to her that she never had any trouble
with her eliminations.
2/17/54 Newspaper Clipping: "Friends and relatives of Miss
[
2451] are calling today from
2-4 o'clock to pay their
respects in honor of her birthday [80th] which is being
celebrated at the home of [her sister, Mrs. [
1541]]."