Recent Progress in Surgery

HERBERT L. BURRELL, H. W. CUSHING
1906 Boston Medical and Surgical Journal  
Physical examination showed that both his hands and arms were held in the position of flexion, and that there was wrist-drop. He stood with his knees bent, walked with a stiff gait, and had toe-drop to a moderate degree, i.e., there was paralysis of the extensor muscles of the arms and paresis of the extensor muscles of the legs. The reflexes were normal. There was marked myokymia. Examination of the gums showed nothing except that the boy took remarkably good care of his teeth. Lead was
more » ... ed, and a sample of urine, which was examined by Dr. E. S. Wood, showed the presence of lead. Stipple cells also were found in his blood. The case was reported to the State Board of Health, and upon investigation, an epidemic of lead poisoning was found to exist at Norwood. Suffering the fate of many would-be reformers, my information was not well received in Norwood, one of the commissioners complaining to the engineer of the State Board of Health, that " some fool of a doctor had said that there was lead in the water."
doi:10.1056/nejm190611011551806 fatcat:mh65kbsa3bef5k27aja5zzelda