Apgar kept this notebook during her first semester at Columbia University College of Physicians and Surgeons, noting the details
of the surgeries she observed, including techniques, anesthesia used, and prognosis.
NOTE: Best quality scan that could be obtained.
Item is handwritten.
Number of Image Pages:
6 (1,487,582 Bytes)
1929-10 (October 1929)
Original Repository: Mount Holyoke College. Archives and Special Collections. Virginia Apgar Papers [MS 0504]
Case - Drainage of Ischial Rectal abscess. [Symbol for female]
2 incisions on either side of rectum. Some bleeding. Gauze put in for drainage. Stitches. Anaesthetic - General - N2O partly.
When regaining consciousness, subject vomited. 8 light hemorrhage. Dressing.
2. P.H. Dr. Janssen. 10/5/29
Case - Hemorrhoidectomy - Anesth. - Local. 2 injections Novocain. Case 6 years standing Burning sensation, bleeding. Anoscope
used. Parts cauterized. (smelled!!) Dressing.
3. P.H. Dr. Auchinloss - 10/7/29.
Case - Mastectomy and transfusion.
Anesthetic - Ether. Incision - Axilla - under clavicle, down sternum. Took off P. major. Cut thru Fascia. Blood trans. Fusion
in middle - indirect method - 50 cc syringes
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About 20 times. Cannulae used. Many hemorrhages. Clamped & tied. Suture [drawing of incision] 3 drainage tubes put in.
2 small, 1 large (?lost 1 small) Safety pins in end. Fenestred. Unilateral Dressing.
Oct. 9. 1929.
Dr. Auchinloss -
Choledectomy - Coleotomy [Female symbol]
Incision below diaphragm
No hemorrhages - Anesthetic - Ether &
Dr. Moore - (tacked some)
Removal of cyst or sinus in breast. Circular incision in breast. Circular incision small lump removed. 18 yrs. standing.
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Oct. 10, 1929
Frozen sect. Radical Master. G & O & E
Lymph glands removed (Dr. V Frantz?) Sections made- cancer diagnosis - masterectomy
Dr. Moore G & O
Cauterization of Lung Abscess. Tissue like cartilage. Old scar tissue. Subject to spasms of coughing.
Oct. 11. 1929
Dr. Beverly Smith (Red hair) 9:30-1:00 G & O & E
Cancer of breast. Radical operation. Incision- extra flap of skin cut and drawn up. [drawing of incision] Patient went into
shock. Given 4000 cc. Saline intravenously. Very pale. Pulse not present. B.P. at beginning (9:30) 130. B.P. at end 136. Pulse
quite strong. One opening for drainage - one to relieve tension. All skin will slough off.
Condition of metastases operation probably did little good. Resorted to blood transfusion in end. Direct
Oct. 12. 1929.
Dr. Bull. Removal Lipoma on neck. Colored [male symbol].
Injected anesthetic in circular region around lipoma. [drawing of location of lipoma]
Incision transverse large fatty tumor. Quite some hemorrhage.
Oct. 15. 1929
Dr. St. John. E.
Thyroidectomy. [female symbol] - (18?)
Incision at base of neck - sides retracted - Rt. lobe removed - tubercles or calcified regions - visible. At first, thought
Tb. (Superior thyroid comes off carotid) Removal of pyramidal lobe. Carcinoma evident. Left only small part of posterior lobe.
Skin joined by clips - less scar than stitches - but hurts more. Tension.
Carcinoma and hyperthyroid unusual. Whole gland diseased. Also lymph nodes nearby. Prognosis very bad. 60% hospital [Drawing
of location of incision]
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mortality. 5 cases 1 died of postoperative pneumonia. 2 died of operation. 2 recovered. Metastases inevitable. Excellent
anesthetist. Pulse curve almost St. line. Quiet breathing. Dr. Hanford G & O & E.