Excerpt from Flatulence and Shock
I have been asked that these two papers should be printed, rather, I suspect, for the sake of the bibliography - such as it is - than for any other reason. Still, I confess to surprise at the interest that has been evoked, and have been almost startled at the really large number of isolated facts, bearing on the subjects discussed, that have been brought to ones notice. Thus Dr. Spilsbury, who tells me that he has not always found the coeliac axis degenerate when there has been pretty widespread arterio-sclerosis, says that nevertheless in such cases there is often marked hypertrophy of the muscular coat of the vessel. The relevancy of this point to the suggestion of spasm and excessive adrenalism is obvious. In respect of the second paper, during discussion both Sir John Tweedy and Dr. F. J. Smith narrated some cases that were very a propos, and I have heard since of many others. Mr. Roland Burrows, himself a lawyer, raised the interesting point whether indeed the neurasthenia of twentieth-century males may not be a consequence of "repression," and whether the emotional displays of our eighteenth-century heroes and statesmen - who lived in shocking times - may not have been physiologically justified. Such suggestions give an even wider significance to the Freudian doctrines.
The comments of the an?sthetists are very interesting. The declaration by not a few that "surgical shock" is very often a matter of overdeep an?sthesia seems based on sound clinical observation, and should be correlated with Verwom"s masterly elucidation of the phenomena of narcosis.
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