Murder of a Union Medical Officer, and Mutilation of the Body

BMJ ◽  
1862 ◽  
Vol 2 (81) ◽  
pp. 77-77
Author(s):  
R. Griffin
Keyword(s):  
Author(s):  
Peter H. Reid

On Monday, March 28, 1966, Jack McPhee, regional Peace Corps director in Mwanza, received a call that Peppy Kinsey is dead. He goes to the hospital for more information and to make preparations for handling the body. He then drives to Maswa, a small town some 80 miles away, and finds that her husband, Bill, is being held on a charge of murder. At first, Peace Corps officials set in motion procedures for handling the death of a volunteer, but now a much more serious situation emerges, and the Peace Corps scrambles to find an attorney, a pathologist, and decide how to respond to a charge of murder. In the meantime, a Tanzanian medical officer performs a postmortem, and Bill appears before the local magistrate.


Sydney Ringer, who died at Lastingham, in Yorkshire, on October 14, 1910, was the son of John and Harriet Ringer, of Norwich, where he was born in 1835. He was educated at private schools, and at the age of 19 entered, as a medical student, University College, London, with which institution he was to remain connected during the remainder of his active life. At the hospital connected with that school he was successively House Physician, Resident Medical Officer (1861), Assistant Physician (1863), full Physician (1866), and Consulting Physician (on his retirement in 1900); and in the Faculty of Medicine of University College he held successively the chairs of Materia Medica and Therapeutics, of Medicine and of Clinical Medicine. The School of Medicine with which Ringer was associated has produced many distinguished clinicists, but it may be safely affirmed that it has produced no better clinical teacher than the subject of this memoir. It was not, however, on the ground of his clinical reputation that Ringer was elected a Fellow of the Royal Society, and it is not in the notices of this Society that his eminence as a clinicist need be accentuated. For Ringer was more than a great physician, much as that may mean: he was a scientific enquirer. His bent in that direction showed itself early, for even while still a student of medicine he presented a paper to the Royal Society, “On the Alteration of the Pitch of Sound by Conduction through different Media,” and others to the Royal Medical and Chirurgical Society on Metabolism in Disease. These were followed by an investigation (conducted jointly with A. P. Stuart) into the diurnal variations of temperature in the human body, which was, however, not published in full until 1878. The subject of this enquiry, from its bearing on the variations of temperature in fever, never lost interest for him. But his appointment to the chair of Materia Medica and Therapeutics directed his attention towards the action of medicinal substances and agencies. His experiences of their action on the human body he embodied in his well-known ‘Handbook of Therapeutics,' of which a very large number of editions have appeared; no more thoroughly practical handbook of treatment has probably ever been written. Ringer, however, recognised that it is necessary for the understanding of the action of remedies in disease for their action in health first to be determined, and that, to comprehend their effects upon the body generally, their influence upon the individual organs and tissues must be understood. There was then no laboratory of pharmacology in London, but he found the opportunity for carrying out researches of this nature in the Physiological Laboratory of University College, where a place was always at his disposal. Here, in the intervals of a busy consulting practice, he carried out the remarkable series of researches on the action of various salts upon the tissues, and especially upon the muscular tissue of the heart, which resulted in the recognition of the influence exerted by simple inorganic constituents of the blood in maintaining the activity of the living tissues—an influence which had remained obscure, in spite of the elaborate series of researches of the same nature which were conducted in the famous Physiological Laboratory of Leipzig and elsewhere.


1899 ◽  
Vol 45 (191) ◽  
pp. 758-760
Author(s):  
E. B. Whitcombe

The patient, thirty-nine years of age, was admitted into Birmingham Asylum in February, 1898. He was a porter, married, in fairly robust condition, and was a typical example, both mentally and physically, of general paralysis of the insane of somewhat short duration. He was stated to have been steady, of temperate habits, and had been in the army. For twelve years he served in India. No history of fevers or other illness. The disease progressed without any special features until January 14th of this year, when he was noticed to be worse; his breathing was a little rapid, and in consequence he was sent to the infirmary ward and was examined thoroughly by the assistant medical officer, who found nothing specially interesting, but ordered him to be put to bed and kept warm. This was about 3 o'clock in the afternoon. At 7 o'clock the same evening I was asked to see the patient (he had been examined at 5 o'clock by the nurse). I found the left leg from thigh to toe was double the size of the other leg, and nearly the whole surface of the leg was perfectly black, and there were numerous large bullæ the size of one's fist in different places along the leg. There was no special line of demarcation. At first sight it looked like an extreme case of local purpura, but after a careful examination I came to the conclusion that putrefaction had actually set in, and that the man was dying, and death took place an hour after I saw him. The most extraordinary part of this case occurred afterwards. I am accustomed to go and see a body before giving my certificate to the coroner. I saw this man between 10 and 11 on Sunday morning, he having died at 8 p.m. on Saturday. The body was double the former size; it was more like the body of a negro, the whole surface being in a black condition, and the bullæ had increased on the other parts of the body. The scrotum was distended to the size of a man's head, and the penis swelled and distorted. The case was the more extraordinary as the highest temperature recorded locally at the time was 52·8°, and the lowest 34°. I personally saw the coroner, and together we went through numerous works on jurisprudence, but we could find nothing to give us any idea as to the cause of this condition, and he very kindly and in scientific interests ordered an inquest. He sent Dr. Simon, Professor of Medical Jurisprudence in Mason College, to make the post-mortem examination. The results were practically nil, the whole body internally and externally being putrefied. The cause of death was very naturally put down to general paralysis, but as to any cause for this extremely rapid putrefaction we could arrive at no conclusion. The case is one of very great interest. I believe that the first idea that the nurse had in the infirmary was that this man must have been injured. Now there was the usual considerable difference between the appearance of an injury and this condition, which looked like purpura; but besides this the difficulty that occurred to my mind was as to the fixing of the time of death. Here was a body presenting the appearances which are usually recognised as those of three or four weeks' duration, and these had happened certainly within sixteen hours. From the point of view of jurisprudence it occurred to me that a murder might be committed, that the body might present these appearances, and that it would be a most serious matter for a medical man to give an opinion as to the time of death. We know that in hot countries this condition does occur, but we were in the middle of winter, and the condition arose from, so far as we could judge, no special cause whatever. There was some atheroma of the arteries, but otherwise we could distinguish nothing of importance at the post-mortem. It is to be regretted that no bacteriological examination was made.


1886 ◽  
Vol 32 (138) ◽  
pp. 200-202 ◽  
Author(s):  
G. E. Shuttleworth

Much attention having recently been given (in the pages of this Journal and elsewhere) to the subject of the systematic training of asylum attendants, it occurred to me last autumn that some advantage might be gained in this direction by the instruction of the staff of this institution in “first aid to the injured,” as prescribed in the scheme of the St. John Ambulance Association. I accordingly announced my willingness to give the necessary course of five lectures and demonstrations, and having obtained the moral and pecuniary support of my Committee, who granted £5 in aid of the project, two classes were speedily formed, the one consisting of 28 men and the other of 39 women (the rules of the Association forbidding mixed classes). The fees were fixed at 2s. for the men and 1s. 6d for the women (including an anatomical diagram), and each pupil was advised also to purchase Shepherd's Manual of “First Aid,” price 1s., and an illustrated triangular bandage, price 6d. The staff of attendants and nurses were so eager to enter the classes that the only difficulty I had was to exclude a sufficient number for the necessary service of the patients on lecture evenings, which were Thursdays, at 8 p.m. Each lecture occupied about an hour, and another half hour or so was subsequently devoted to practical work, in which I had the aid of the assistant medical officer, Dr. Taylor. The subjects embraced in the course included a general outline of the structure and functions of the body, with special reference to the formation of the skeleton, the course of the circulation, and the functions of respiration and the nervous system. The practical instruction was in the application of bandages, chiefly triangular, the various extemporary means of arresting hæmorrhages, and of protecting and securing fractured bones, and what to do in certain emergencies, such as suffocation, drowning, burns, scalds, &c.; also in the removal of the injured on ambulance stretchers and otherwise, and (for women) a cursory account of the principles of nursing. The classes were from time to time questioned on the subjects of the lectures, the matron undertaking the supervision of the practical work of the women. By these various means I think I may say that the pupils were well taught, and at the examination by Surgeon-Major Hutton, one of the Association examiners, out of 15 men and 19 women presenting themselves, 15 men and 18 women passed with credit. The examination was of a fair and specially practical character, the women having, in addition to vivâ-voce questioning, a paper of six questions to answer in writing, and the men being subjected to an extended examination in ambulance drill.


2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Scott Devenish ◽  
Peter O’Meara

Medical personnel serving with the Defence Forces have contributed to the evolution of trauma treatment and the advancement of prehospital care within the military environment. This paper investigates the stories of an Australian Medical Officer, Sir Neville Howse, and two stretcher bearers, Private John Simpson Kirkpatrick and Private Martin O'Meara, In particular it describes the gruelling conditions under which they performed their roles, and reflects on the legacy that they have left behind in Australian society. While it is widely acknowledged that conflicts such as World War One should never have happened, as civilian and defence force paramedics, we should never forget the service and sacrifice of defence force medical personnel and their contribution to the body of knowledge on the treatment of trauma. These men and women bravely provided emergency care in the most harrowing conditions possible. However, men like Martin O'Meara may not have been given the same status in society today as Sir Neville Howse or Simpson and his donkey, due to the public's lack of awareness and acceptance of war neurosis and conditions such as post traumatic stress disorder, reactive psychosis and somatoform disorders which were suffered by many soldiers during their wartime service and on their return home after fighting in war.


2020 ◽  
Vol 43 ◽  
Author(s):  
David Spurrett

Abstract Comprehensive accounts of resource-rational attempts to maximise utility shouldn't ignore the demands of constructing utility representations. This can be onerous when, as in humans, there are many rewarding modalities. Another thing best not ignored is the processing demands of making functional activity out of the many degrees of freedom of a body. The target article is almost silent on both.


Author(s):  
Wiktor Djaczenko ◽  
Carmen Calenda Cimmino

The simplicity of the developing nervous system of oligochaetes makes of it an excellent model for the study of the relationships between glia and neurons. In the present communication we describe the relationships between glia and neurons in the early periods of post-embryonic development in some species of oligochaetes.Tubifex tubifex (Mull. ) and Octolasium complanatum (Dugès) specimens starting from 0. 3 mm of body length were collected from laboratory cultures divided into three groups each group fixed separately by one of the following methods: (a) 4% glutaraldehyde and 1% acrolein fixation followed by osmium tetroxide, (b) TAPO technique, (c) ruthenium red method.Our observations concern the early period of the postembryonic development of the nervous system in oligochaetes. During this period neurons occupy fixed positions in the body the only observable change being the increase in volume of their perikaryons. Perikaryons of glial cells were located at some distance from neurons. Long cytoplasmic processes of glial cells tended to approach the neurons. The superimposed contours of glial cell processes designed from electron micrographs, taken at the same magnification, typical for five successive growth stages of the nervous system of Octolasium complanatum are shown in Fig. 1. Neuron is designed symbolically to facilitate the understanding of the kinetics of the growth process.


Sign in / Sign up

Export Citation Format

Share Document