Revised Jun 24 2021
Feb 14th.
Sent for to attend on Frederick Young,
who was suffering
much from pain in his right foot caused by a cut of
a chisel just above his small toe; this accident had
happened ten or twelve days previous but not paining
him any he had paid no attention to it. Yesterday
he went out in his canoe for fish, and walked about
a good deal on the rocks in search of bait. When he
returned home he felt great pain from the wound in his
foot extending along the calf of his leg and up his
back with involuntary startings whenever he attempted
to move his toes. In this state of nervous irritibility
he passed the night. This morning he
sent for me; not being aware of his having cut
his foot I was astonished at the state I found
him in. The cut was partially healed but was
much inflamed and without any discharge
neither had pus formed at any previous []
on my asking him some questions concerning the
accident, he said he believed the chisel when it
fell on his foot had partly separated the abductor[?]
of the small toe and that while traversing the
rocks yesterday a complete separation of the [?]
had taken place as he felt at that time a severe
though short sensation of pain darting upward
from his toe to the nape of his neck. I saw that no
time was to be lost as there was stiffness of the
neck, darting pains along the spine and at intervals
involuntary contraction of the muscles. In short
there was Tetanus in an incipient state. Administered
ten grains of calomel combined with two of
opium probed the wound very gently and inserted[?]