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The top of the head appeared somewhat like an inverted funnel, as if some wedge-shaped body had passed from below upward. Gage, during the time I was examining this wound, was relating the manner in Cqse he was injured to the bystanders. I did not believe Mr. Gage's statement at that time, but thought he was deceived. Gage persisted in saying that the bar went through his head. He recognized me at once, and said he hoped he was not much hurt.
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He seemed to be perfectly conscious, but was getting exhausted from the hemorrhage. His person, and the bed on which he was laid, were literally one gore of blood. After probing for foreign bodies and replacing two large detached pieces of bone, Harlow closed the wound with adhesive straps, leaving it partially open for drainage; [M] the entrance wound in the cheek was bandaged only loosely, for the same reason. A wet compress was applied, then a nightcap, then further bandaging to secure these dressings. Harlow also dressed Gage's hands and forearms which along with his face had been "deeply burned" and ordered that Gage's head be kept elevated. Late that evening Harlow noted: "Mind clear.
Constant agitation H & M Case Study his legs, being alternately retracted and extended Says he 'does not care to see his friends, as he shall be at work in a few days. By the fourth day, he was again "rational This improvement, however, was of short duration. Beginning 12 days after the accident, [M] Gage was semi- comatose"seldom speaking unless spoken to, and then answering only in monosyllables", and on the 13th day Harlow noted, "Failing strength Comatose, but will answer in monosyllables if aroused.
Will not take nourishment unless strongly urged. The friends and attendants are in hourly expectancy of his death, and have his coffin and clothes in readiness. Continue reading a scalpel I laid open the [ frontalis musclefrom the exit wound down to the top of the nose] [H1] H & M Case Study immediately there were discharged eight ounces [ ml] of ill-conditioned puswith blood, and excessively fetid. Harlow when he did", writes Barker.
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On the 24th day, Gage "succeeded in raising himself up, and took one step to his chair". One month later, he was H & M Case Study "up and down stairs, and about the house, into the piazza ", and while Harlow was absent for a week Gage was "in the street every day except Sunday", his desire to return to his family in New Hampshire being "uncontrollable by his friends He soon developed a fever, but by mid-November he was "feeling better in every respect [and] walking about the house again".
Harlow's prognosis at this point: Gage "appears to be in a way of recovering, if he can be controlled". In August his mother told an inquiring physician that his memory seemed somewhat impaired, though slightly enough that a stranger would not notice. Behind this is a deep depression, two inches by one and one-half inches [5 by 4 cm] wide, beneath which the pulsations of the brain can be perceived.
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Partial paralysis of the left side of Srudy face. His physical health is good, and I am inclined to say he has recovered. Has no pain in head, but says it has a queer http://rmt.edu.pk/nv/custom/using-open-data-for-business-choices/how-did-woodrow-wilsons-presidents-list.php which he is not able to describe. In this Society portrait Oliver Wendell Holmes is seated second from left. This was not the later Barnum's circus ; there is no evidence Gage ever exhibited with a troupe or circus, or on a fairground.]
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