Avery Architectural and Fine Arts Library Gift of Seymour B. Durst Old York Library iEx ICtbrta SEYMOUR DURST When you leave, please leave this book Because it has been said "Ever thing comes t' him who waits Except a loaned book." Digitized by the Internet Archive in 2013 http://archive.org/details/reportsofexecutiOOnewy_0 REPORTS OF THE EXECUTIVE COMMITTEE, GENERAL SUPERINTENDENT, AND TREASURER OF THE New York Bridge Company. BROOKLYN : EAGLE PRINT. 34, 3G and 38 FULTON STREET. 1873. IS REPORT OF THE EXECUTIVE COMMITTEE OF THE NEW YORK BRIDGE COMPANY. To the Board of Directors : The Executive Committee respectfully present their Report for the year ending on the 1st of May, 1S73 : The construction of the Bridge has been successfully continued for the past year with satisfactory results. The foundation of the Tower on the New York side was finished during the month of July, 1872, and the ma- sonry above high- water mark commenced. It has attained eighty-eight feet in height above that line, and 14,700 cubic yards of masonry have been laid for the purpose. It is expected that it will be completed to the roadway by the first of July next. The Tower on the Brooklyn side, which had attained an elevation a year ago of one hundred feet, has been carried to a height of one hundred and sixty -two feet, and 6,516 cubic yards of masonry have been laid since that time. Contracts have been made for the stone necessary to complete it, which will be done during the present season. In addition to this work, the land necessary for the Brooklyn anchorage, extending along both sides of James street, from York to Front street, having been taken under the law authorizing its ex-appropriation, the excavation to the depth of twenty -five feet for the foun- dation has been completed and the foundation com- menced. No report of the work for the year is as yet presented by the Chief Engineer, Mr. Roebling, in consequence of his being away on leave of absence for four months to recruit his health, somewhat shattered by exposure in the caissons. The information requisite is, however, in a great measure supplied by the report of the Superin- tendent, herewith presented, in which details of all the contracts made will be found, as well as the history of the work for the year. The financial condition of the Company will fully ap- pear by the annexed statements. There had been re- ceived from all sources on the first of May, 1872, $2,923,624.26, including §120,000 on sale of New York city bonds, and there had been expended at that time $2,905,389.49, including $248,000 on purchase of New York city bonds, leaving a balance of cash on hand at that time of $18,234.77. There has been received during the last year, from all sources, $1,096,950, in- cluding $128,000 on sale of balance of New York city bonds ; and there has been expended during the year $918,039.62, leaving a balance on hand on the first of May, 1873, of $197,149.15, including the balance on hand on May 1, 1872. The details of the financial operations of the Company will be seen in the accompa- nying schedules, viz. : (A.) Treasurer's statement of receipts and expendi- tures from the commencement of the work until May 1, 1873> (B.) Genera] statement of receipts for the last year. (C.) General statement of expenditures for the last year. (D.) Detailed statement of receipts during the last year, showing from what persons and sources they have been received. (E.) Detailed statement of expenditures during the Last year, showing to whom and for what purposes they were made. (F.) A general statement of the receipts and expendi- tures for the month of May, 1873. Appended to the Treasurer's statement (Schedule A | is a statement of the assets and liabilities of the Com- pany not contained in his general statement. These assets amount to $33-4/127.4:0, of which the sum of $17,227.20 is for materials sold, and the balanee, §315,400, is for installments on capital stock unpaid. Of this balance £202,0on is due from the city of New York and §113,400 from private stockholders. On the other hand, the liabilities amount to £2S1,79G.54, and are: for stone and machinery, § 1 4,790.54 ; for land, £05,000; and for other land taken from the city of New York, £202,000 — being the precise amount due from that city and left unsettled by request of its Comptroller. The installments of the capital stock called in are, in all, eighty per cent, The city of Brooklyn has paid $2,4< 10,000 ; the city of New York, including the £202,000 6 above mentioned, $1,200,000 ; and private stockholders $280,600. There remains to be called in of the capital stock, which is $5,000,000, twenty per cent., amounting to one million of dollars, which will be sufficient to carry on the work for another year. Submitted June 2, 1873. S. L. I1USTED, J. S. T. ST RAN A LI AN, A BE, AM S. HEWITT, H. W. SLOCUM, HENRY C. MURPHY, Pres% ex off., Executive Committee, REPORT OF THE GENERAL SUPERINTENDENT. Hon. Henry C. Murphy, President New York Bridge Company : Dear Sir : — Since my last Annual Report the work upon the Bridge has been steadily pushed forward and is at present progressing satisfactorily. BROOKLYN TOWER. During the year 6,516 cubic yards of masonry have been added to the Brooklyn Tower, and it is now 164 feet above high water. The stone to complete this Tower to the springing line of the arches, at an elevation of 200 feet, was contracted for last season, and with slight exceptions has been delivered as rapidly as re- quired. All of the stone under that contract is shipped, and will arrive in time for the work. A contract has been awarded for all of the stone from the springing line of the arches to the top of the Tower, a portion of which will be delivered this season. No accident of any kind has happened, either to men or machinery, at the Brook- lyn Tower during the year, but the work has progressed steadily, and, considering the character of the work, with great rapidity. The setting of stone was suspended November 23, 1872, and resumed March 27, 1873. NEW YORK TOWER. The filling of the New York caisson with concrete was completed July 12, 1872, and the work upon the 8 masonry was at once resumed. It was continued without interruption until December 7th, when the Tower had reached a height of fifty-nine feet. Work on the ma- sonry was resumed on March 27th, and has continued unin- terruptedly since, and the tower is now eighty- eight feet above high water, and there is stone enough on hand to complete the Tower to the roadway, at an elevation of one hundred and twenty feet, which point it is expected will be reached by August 1st. It will be necessary to make arrangements for more stone for that Tower at once, in order that the work may not be interrupted. BROOKLYN AJNCHOEAG B. After continued and persistent efforts to purchase the propert}' for the Brooklyn anchorage by agreement with the owners, it became evident that no satisfactory ar- rangement could be made, and application was made to the court to appoint commissioners to appraise the prop- erty to be taken. The commission consisted of Messrs. Silas Ludlam, Wm. J. Osborne, and Isaac Badeau. They entered at once upon their duties, and on January 7, 1873, their report was confirmed, and the property passed into the hands of the Bridge Company. The buildings were advertised to be sold at public auction on the 6th of February, at which time they were sold, and the purchasers required to remove them in twenty days. At the expiration of that time the work of excavation for the anchorage was commenced. As soon as the frost was sufficiently out of the ground the work- ins; force was increased, and the work has been carried on rapidly since. On the 27th of May the excavation was completed, 17,500 cubic yards of material having been removed. The excavation was made to an average depth of twenty-five feet. A large proportion of the material excavated was good building sand, and has been 9 stored for future use by the Bridge Company. The value of the sand thus preserved is about §8,000. A portion of the material was a very fine sand, too fine for liea vy masonry ; this was sold to Street contractors and others. The yellow pine timber for the platform upon which the masonry is to rest is on hand. The putting of this timber in place is now in progress, and as soon as completed the six boom-derricks which are ready will be put in place, and the work of laying masonry be commenced. There is at the stone-yard at Red Hook sufficient stone for the anchorage to lay the first six courses. It will be necessary to make arrangements for stone this fall, in order that the masonry may go on in the spring. Two of the anchor-plates have been cast, and delivered at the site of the anchorage, and the other two will be delivered within two months, which will be in time. They arc being cast at the South Brooklyn Steam Engine Works, and, as far as delivered, are remarkably fine castings, each weighing about twenty-three tons. Two hundred and sixteen anchor-links have been re- ceived from the Phoenix Iron Company. They are about thirteen feet long, seven inches wide, and three inches thick, and are splendid specimens of what Ameri- can manufacturers can do. LABOR. No difficulty has been experienced during the year ; all of the labor required, both common and skilled, hav- ing been obtained at fair rates of compensation. PURCHASES. The supply department still continues under the super- vision of the Treasurer, Mr. J. H. Prentice, who has promptly furnished all requisite material for the prosecu- tion of the work, and has been careful that the prices have been the lowest in the market. 10 CONTRACTS. The principal contracts entered into during the year are as follows : Bodwell Granite Company. July 24, 1872. — 12,000 cubic yards granite for New York Tower to roadway. Cut face stone at $20 00 per cubic yard. Bevel " at. 27 00 Backing " at 15 00 " " s Bodwell Granite Company. Aug. 6, 1872. — 4,200 cubic yards granite from the roadway to the springing line of the arches, for the Brooklyn Tower. Buttress face stone at $24 95 per cubic yard- Pilaster «* at 26 50 Sloping offset " at 26 50 Dimension backing stone. 20 00 " " Bead course at 30 00 " " Lons Osborn. Oct. 8, 1872.- -One double hoisting engine.' $2,575 00 William Butcher Steel Works. Oct. 8, 1872. — Steel anchor-bars for New York Tower. 20 cents per pound. Conklin, Son & Beers. Nov. 4, 1872.-60,000 feet B. 31. spruce timber, Brooklyn Tower, at $23 00 per M. Louis Osborn & Co. Dec. 9, 1872.— Double hoisting engine $2,550 00 Quintard Iron Works. Dec. 9,1872. — Iron rope-sockets at 30 cents per pound. South Brooklyn Steam Engine Works. Jan. 11, 1873. — Cast-iron anchor-plates at. . . .6j cents per pound. T. M. Mayhew & Co. Jan. 20, 1873.— About 220,000 feet B. M. yellow pine timber for the Brooklyn anchorage, at. . . .$30 75 per M. 11 Pikenix Iron Company. Feb. 3, 1873. — Iron bars for Brooklyn anchorage, at 9 cts. per 11). New York and Brooklyn Saw-Mill Company. Alar. 3, 1873.— Oak for hoisting frames, at §83 00 per M. Carnagie, Kloman & Co. Mar. 22, 1873. — Iron bars for New York Tower, at 4 4-10 cents per pound. Bod well Granite Company. April 21, 1873. — Granite for the Brooklyn Tower, from the spring- ing line of the arches to the coping. 132 65 per cubic yard. Panel " at 39 00 it 41 79 53 00 it a 43 10 u ti Band course at key stone . 44 90 K tt Necking, and two bead 54 00 it 49 75 a U 47 90 it « 59 00 It 3G 00 a ti Four key stones at 83 00 Dimension backing at ... . 28 50 u it Common " at.... 15 00 Dimension backing for an- chorage at CO 25 it Hubbard & Whittaker. April 21, 1873. — Hoisting engine and fixtures for New York Tower $7,590 74 W. Ames & Co. April 2i, 1873. — Iron drift-bolts, Brooklyn anchorage, at 4g cents per pound. Herewith I present the report of Dr. A. H. Smith, em- bodying his observations upon the effects of the com- pressed air on the men in the caisson work. It is exceed- 12 ingly interesting, both as a history of our work and as a contribution to the general knowledge upon that subject. ENGINEERING AND SUPERINTENDENCE. During the year, as previously, the immediate super- vision of the work has been in the hands of the Engineer- ing Department, and the rapidity and economy with which the work lias been executed reflects great credit, both upon the judgment and ability of the Engineers, and is the best evidence of their fidelity to the trust re- posed in them. Mr. O. P. Quintard has held the position of book- keeper and paymaster during the year, and has performed his duties in a manner highly creditable to himself and to my entire satisfaction. The masonry has been executed under the general supervision of Mr. Thos. G. Douglas as master mason, and he has been assisted by Foremen C. C. Townley. Alexander McKenna, and James Bell. The fact that over 21,000 cubic yards of masonry have been laid during the year at heights varying from four feet to one hundred and sixty-four feet above high water, without accident and without interruption from preventable causes, is evidence sufficient of the skill and carefulness with which Mr. Douglas and his assistants have performed their work. Air. E. F. Farrington still holds the position of master carpenter, and all of the work in his department has at all times received his constant, vigilant, and intelligent attention. His careful forethought has enabled him to be prepared beforehand with all of the complicated and important work required from his department, so that in no case has the work been delayed on his ac- count. Mr. A. H. Smith is still master machinist and engineer, and has kept all of the machinery of the Company in perfect working order, which has greatly facilitated the work. Mr. C. W. Young is general foreman of labor, and evinces rare ability in organizing the labor force to ac- complish the varied and often difficult operations incident to the work. Mr. O. B. Poor is at present, and has been during this season, in charge of the labor at the New York Tower, and has performed his varied duties with skill and judgment, and to entire satisfaction. Mr. F. Mollard has had entire charge of the stone-yard at Red Hook, and during the year he has received from vessels and stored in the yard 25,000 cubic yards of stone, and has re-loaded on scows for the Towers over 21>000 cubic yards of stone, all with promptness and without accident. All of the men in charge of work for the Bridge Com- pany appear to take an active interest in the work, and evince a willingness and determination to forward it as rapidly as possible. RESUME. The Brooklyn Tower is now one hundred and sixty- four feet above high water, and the material is on hand to complete it to the springing lines of the arches, and the work is progressing regularly and rapidly. The New York Tower is now eighty- eight feet above high water, and material sufficient is on hand to complete it to the roadway, and everything is in good working order, and the work proceeding rapidly and successfully. The anchorage in Brooklyn is considerably farther ad- vanced at this time than was expected, and the timber will all be laid before July 1st, and the masonry will be commenced soon after. Very respectfully, WILLIAM C. KINGS LEY, General Superintendent. THE EFFECTS OF High atmospheric Pressur INCLUDING THE CAISSON" DISEAS By ANDREW H. SMITH, M. D., Surgeon to the New York Bridge Company, Member of the Academy of Natural Sciences, Philadelphia Corresponding Member of the Gesellschaft fur Heilkunde, Berlin; late of the Medical Staff of the Regular Army ; Surgeon to the Throat Department of the Manhattan Eye and Ear Hospital ; Physician to St. Luke's Hospital, etc. REPORT ON THE EFFECTS OF HIGH ATMOSPHERIC PRESSURE, INCLUDING THE CAISSON DISEASE. By ANDREW IT. SMITH, M. I)., Surgeon to the Company. To the Board of Director* of the New York Bridge Company : Gentlemen : — This Report was originally intended simply to present my own ex- perience as Surgeon to the New York Bridge Company during the sinking of the second caisson. But in endeavoring to compare this experience with that of others who had had opportunities of observ- ing the effects of high atmospheric pressure, I found that the litera- ture of the subject consisted only of isolated reports by different individuals, in different languages, and having little or no reference one to another, so that a great deal of research was required to obtain a connected view of the subject. It seemed to me, therefore, de- sirable not to add another to the list of disjointed fragments, but rather to incorporate my own observations with the existing mate- rial, and thus present in one view a resume of our actual knowledge upon the subject. This I have endeavored to do briefly in the follow- ing pages. For whatever is purely theoretical, however, and espe- cially as regards the pathology of the Caisson Disease, I must accept the entire responsibility, unless reference is made to other authority. CHAPTER FIRST. . HISTOKY. The discoveries of Torricelli, in 1643, which led to his invention of the barometer, and the further elucidation by Pascal of the principles of atmospheric pressure, five years later, were followed by confused and contradictory speculations on every hand as to what would be the effect upon animal life if the barometric changes so eagerly observed assumed a wider range. Dr. Henshaw, an English physician, published an essay in 1G64, in which he proposed to treat diseases by varying the pressure of the atmosphere by which the patient was surrounded. His idea was to have a room (domicilium) constructed of masonry, and made air- 2 18 tight, in which the sick person could remain in an atmosphere "which was to be either rarefied or condensed by the action of an organ bellows. He fancied that acute diseases would be benefited by an increased pressure, while chronic diseases on the other hand demanded a rare- fied atmosphere. His views seem, however, to have been purely theo- retical, as there is no record of any serious attempt to reduce them to practice. More than a century elapsed before the subject again awakened the attention of scientific men. In the year 1783 the Academy of Sci- ences of Haarlem offered a prize for a description of the best appara- tus for experimenting upon the effects of compressed air, with a record of experiments made by means of it on animal life, the growth of plants, and the inflammability of the different gases. This prize, however, was not contended for until more than half a century later. Diving-bells were brought into use as early as the beginning of the sixteenth century, but the condensation of the air within them does not seem to have attracted attention, at least as affecting the occu- pant. Indeed, whatever influence the increased pressure may have exerted was masked by the impurity of the air, which, in the ma- chines first employed, was not renewed. It was found that the strongest man could not remain under water longer than an hour ; but the ill effects experienced were attributed to the heat Avhich accumu- lated in the bell, and which was supposed to affect respiration. Sub- sequently, when an apparatus was added for supplying fresh air, it was remarked that the workmen felt no inconvenience whatever. The first observations of real value upon the effects of high at- mospheric pressure were made at Howth, near Dublin, in the year 1820, by a distinguished Russian physician named HameL In the course of some engineering work in which diving-bells were employed, Dr. Hamel had the opportunity of studying the effects of compressed air, not only upon the workmen, but also upon himself. In describing his own experience, he states that at the depth of five or six feet severe pain was felt in the ears, which was relieved in a measure by swal- lowing. At fifteen or sixteen feet, there was a noise in the ears like an explosion, followed by entire relief from the pain. His respiration was perfectly easy. The ascent was accomplished with much less inconvenience than the descent. Hamel states that one of the workmen became so accustomed to the air of the bell as to be uncomfortable under the usual atmospheric pressure.* * Bibliotheque de Geneve, 1820. 19 In 1836, Dr. Collation published observations made at the same time and place as the above. In winter the hours of work in the bells were five daily ; in summer, five and ten alternately. Toward the elose of the work, each day the men became very much exhausted, and were given a little brandy and a bit of bread. Those newly em- ployed suffered with pain in the head and ears, and were often affected with colic and diarrhoea, which last were attributed to cold and wet . Increase of appetite and augmentation of the urine were observed. In some cases, deafness was relieved, and one case of asthma was entirely cured. In 1835, Junod published the results of extensive experiments upon compressed air as a remedial agent.* This was the beginning of a series of memoirs upon this subject appearing in rapid succession in France and Germany. Institutions sprang up in various parts of the Continent designed to afford the most approved facilities for this mode of treatment, and the results obtained were, and continue to be, highly satisfactory. The "compressed air-baths" are especially useful in the treatment of pulmonary diseases and of dyspepsia. Rut as the pressure employed in these baths is comparatively slight, usually not more than eight or ten pounds to the square inch, the effects observed differ widely from those produced by the high pres- sure employed for engineering purposes. This difference is not only in degree, but also in kind, and therefore the literature relating to compressed air as a remedy. + although rich, and in itself very in- teresting, throws but little light upon the subject of this discussion. It is probable, however, that the investigations in this direction of Junot, Tabarie, and Pravaz first suggested the employment of com- pressed ail* as a substitute for pumps in mining operations. To M. Triger, a French engineer, belongs the credit of first con- ceiving and carrying out a plan by which atmospheric pressure was made to keep back the water flowing into a mining shaft. It had long been known that the valley of the Loire was underlaid by an ex- tensive bed of coal, but, inasmuch as in order to reach the coal it was necessary to pass through twenty metres of quicksand in commu- nication with the water of the river, the engineering difficulties had been considered, until the advent of Triger. as insurmountable. To keep a shaft dry by pumping was equivalent to pumping out the Loire. To meet this difficulty, Triger conceived the idea of sinking an iron tube through the quicksand, the interior of the tube being kept free from water during the excavation by condensing the air in * Archives Gcnerales de Medicine. t Those interested in this subject will find it exhaustively treated in an admira- ble work by Dr. Rudolf v. Vivenot : " Zur Erkenntniss der Physiologischen Wir- kung und der Therapeutischen Anwendung der Verdichteten Luft." Erlangen, May, 1S72. 20 the tube to the point of counterbalancing the pressure of the water. After some preliminary experiments made by the aid of Tabarie's remedial bath, the work was begun in 1839, near Chalonncs. A tube of iron, seventy feet long by three and one-half feet in diameter, was provided, with a box or chamber at the top, such as we now call an air lock, having a valve above opening inward, and another below opening downward into the tube. These valves were of such a size as to permit the passage of the workmen, and the removal of the ex- cavated material. The workmen having passed into the lock, tin upper valve was closed, and a cock opened communicating with the main tube, where the air was compressed sufficiently to keep back the water, the compression being effected by means of condensers worked by steam. The pressure in the lock having become equal to that in the main tube, the lower valve was opened and the workmen descended into the tube. In going out, or in sending out material, the process was reversed. The tube was forced down into the earth in proportion as the workmen excavated at the bottom. It will thus be seen that the first attempt at this mode of working embraced all the essential features of the method as now employed. In his undertaking, Triger was completely successful. The quick- sand was passed and the coal reached, and at the same time there was given to the world a new engineering resource of exceeding value. It is much to be regretted that these operations were not carried on under the eye of a competent medical observer. The onty report we have of them is by M. Triger himself,* and it is natural that the en- gineering rather than the medical aspect of the question should prin- cipally engage his attention. His notice of the effects of the com- pressed air upon the workmen is extremely meagre, and is summed up in the following points : "1. At the pressure of three atmospheres it is impossible to whis- tle, while a lower pressure does not produce this effect. "2. In the compressed air, every one speaks through the nose, and this is the more noticeable the higher the pressure. " 3. All the laborers remarked that in ascending the ladders they were much less out of breath Qmoi/is essouffles) than when mounting to a similar height in the open air. "4. A laborer who had been deaf since the seige of Antwerp, (1832.) always heard more distinctly in the compressed air than any of his comrades. "No illness was occasioned among the laborers except that two of them, after seven hours of labor in the tube, experienced severe pains * Comptes Rendues. T. XIII. 1841. "Memoire sur vm appareil a air com- prine pour le perceiiieut cles puits, etc. Par M. Triger. 21 in the arms and knees, coming on about half an hour after ascending into the open air." These are the first recorded cases of what I have named the Cttixxon Disease. About the year 1850 compressed air was first employed in the sinking of piers. A railway bridge was constructed over the Medway. between Rochester and Chatham, the piers of which rested on a basis composed of hollow iron piles, forty-two inches in diameter, each of Which was sunk in precisely the same manner as the tube of Triger. 1 have not been able to find any record of the effects of the com- pressed air upon the men employed, though some accidents due to this cause are stated to have occurred. The results obtained by Triger led, in 1845, to the application of the same principle to the working of the mine at Douchy, Depart- ment du Nord. The laborers iu this case were under the supervision of MM. B. Pol and T. J. J. Watelle, who published an extremely in- teresting memoir upon the subject.* The entire personnel comprised sixty-four men. who were employed at two different epochs, under different pressures. They were divided into gangs of six or seven each, laboring alternately four hours twice a day. At first, the time allowed for locking out was one-fourth of an hour, but as the pressure increased it was extended to half an hour. The maximum pressure was three and one-half atmospheres. After each shift the men bathed and put on dry clothes, when a cup of bouillon and a glass of Bordeaux were served to each man. As the number of cases of illness increased, a sort of ambulance, or temporary hospital, was established at the spot. At a pressure of two and three-quarter atmospheres, Pol experi- enced in his own person the pain in the ears while locking in, and the ease with which a ladder is ascended in the compressed air, confirm- ing in this latter particular the observation of Triger. The soot from the candles with which the ah* of the shaft was loaded, produced a troublesome cough, attended with black expectoration. The mucous membrane of the nose and throat became stained with it, and even the fa?ccs were blackened. While locking out there was experienced by all the men a feeling of suffocation. Pol was the first to perceive that the real danger was in passing from the condensed into the normal atmosphere, instead of in passing in the reverse direction. On emerging into the open air, he found that his pulse, which had fallen while in the caisson from seventy, its normal standard, to fifty-five, rose suddenly to eighty- five. When the pressure had increased to three and one-half at- * Memoire sur les Effets de la Compression tie 1'air, etc. Annales d' Hygiene Publique et de Med. Legale, 1S64. 22 mospheres, he again entered the caisson. The unpleasant sensations already referred to were found to be intensified. In blowing his nose he accidentally discovered that this operation gave much more perfect relief to the ears than the act of swallowing. In speaking he found that the tongue moved stiffly and with difficulty. Sounds were not heard with their usual intensity. The secretion of urine was decid- edly increased. After reaching home he was seized with severe pain in one arm and shoulder, and in the walls of the chest. Afterward, there were chills, followed by vomiting. Rest in the horizontal po- sition, and the use of sudorifics, restored him to his usual health by the following day. Of the sixty-four men employed, thirty-nine continued until the work was completed, and twenty-five were compelled to give up their places, not being able to support the effects of the compressed air. The most usual affection was muscular pains, occurring either alone or ushering in other symptoms. Pulmonary congestion occurred in several cases, but it may well be questioned whether the excessive impurity of the air, as evinced by the amount of soot it contained, may not have had much to do with the production of this otherwise unusual result. Other symptoms which he describes, such as great hebitude, incoherence of speech, tottering gait, etc., indicate the effects of carbonic acid, and as no mention is made of any provision for removing the products of combustion and respiration, this gas must have been present in considerable quantity. The conclusions arrived at by Pol are as follows : 1. A pressure of four and one-quarter atmospheres is not in itself dangerous, but the return into the open air may cause serious acci- dents, and even sudden death. The danger is in proportion to the previous pressure. 2. The pathological changes consist in visceral congestions, among which congestion of the lungs and brain take the foremost rank. 3. The tendency to these congestions increases with the age, at least between eighteen and fifty-five. 4. Not the period of greatest strength, which is between thirty and forty, but that between eighteen and twenty-six is that which is ex- posed to the least danger. 5. Experience teaches that the ill effects are in proportion to the rapidity with which the transition is made from the compressed air to the normal atmosphere. 6. Unimportant troubles, such as cough, gastric symptoms, etc.. may be due to the smoke from the lamps. 7. The treatment is not different from that which is usual when like symptoms arise from other causes. The first indication is to 23 bring about a reaction, which is in turn to be combatted when it ex- ceeds physiologies? limits. 8. One case seems to indicate that the quickest and safest means of restoration is an immediate return into the compressed air. 9. Cold to the surface is the best means for restoring the function of the skin. About the year 185G this method of excavation was employed in the coal mines at Eischweiler, near Aix-le-Chapelle. No phenomena were observed differing from those already described, except that bleeding from the nose occurred in several cases on emerging into the open air.* About 1858-9 excavation by the aid of compressed air was exten- sively employed in laying the foundations of piers for bridges. Among the first of these were the Quarantine Bridge at Lyons, the bridge at Macon, and the chain bridge over the Thiess. A report upon the latter is contained in the " Annales des Ponts et des Chaus- ses," for 1859. Kinging and pain in the ears were complained of by the laborers, as also pain in the teeth, and in the muscles generally. The sound of the voice was observed to be changed, and the breath- ing to be quickened. The return to the open air was often followed by bleeding at the nose. Men of several different nationalities were employed, and it was observed that the Hungarians and the French suffered least, while the Italians, Germans, and Sclavonians were most affected. In 1859, the mines at Eischweiler were re-opened, compressed air being again employed. The pressure did not exceed two and one- half atmospheres. The duration of the shifts was six hours. Exces- sive sweating was observed, followed by thirst after leaving the mine. There was generally impairment of appetite. t At the same time work was being carried on by similar means in the coal mines at Liittich. According to the statement of the super- intendent, the men became so emaciated that after a few months they could no longer be prevailed upon to continue the work, notwith- standing large wages were offered and the most nourishing food provided. Perhaps the most extensive work undertaken in Europe by the aid of compressed air was the bridge over the Rhine, at Strasburg. An account of this is given by Dr. Francois, who had medical charge of the workmen. X * Vivenot. Wirkung der Verdichteten Luft. t Ibid. X " Des effets sur les ouvriers travaillant dans les caissons servants de base aux piles du Pout du Grand Khin." Annales d' Hygiene Publique et de Med. Legale. T. XIV. 1SC0. 24 The caissons were fourteen in number, each seven metres long by live and eight-tenths wide and three and five-tenths high. The locks were two metres in diameter and four metres in height. Francois refers to the progressive impairment of hearing as the pressure increased in the lock ; to the increase of temperature from the compression of the air ; and to the accumulation of soot in the air-passages, which had been before observed by other writers. On going out of the caissons, intense pain in the ears sometimes occurred, together with muscular and arthritic pains. A very annoying itching of the skin was sometimes felt. Cerebral congestions, hoemoptysis, and bleeding at the nose, were also not uncommon. Sometimes these various affections occurred immediately upon leaving the caisson, while in other cases they were deferred for several hours. In two or three instances the men were able to walk home, and afterward fell li as if struck by lightning." The attacks usually passed off quickly. Only one death occurred, and that resulted from breaking the rule as to the length of time to be occupied in locking out. The rule established was to allow from four to five minutes in locking out when the pressure was one-quarter to one-half an at- mosphere ; six to seven minutes for one atmosphere ; ten for one and one-half atmospheres ; twelve for two atmospheres. A woolen vest was provided for each man to be put on when leaving the caisson, in order to guard against the effect of the sudden reduction of tempera- ture which resulted from the expansion of the air in the lock. It was observed that the foremen suffered much less than the laborers, since their superior intelligence enabled them to realize the necessity of observing the rules. Some other points observed by this writer will be referred to here- after in their proper connection. In the year 1863, Dr. Antoine Ed. Foley published a monograph comprising his observations upon the effects of condensed air as demonstrated during the sinking of the piers for a bridge at Argen- teuil.* The original work not being accessible, I avail myself of the resume contained in the treatise of Vivenot, of which I give a some- what condensed translation from the German. Foley observes that during the time that the pressure was increas- ing, the organs of hearing were always, without exception, affected. Occasionally neuralgic pains were felt darting through the forehead, the nasal cavities, and the jaws ; the voice acquired a metallic sound ; whistling became impossible ; in a few cases stammering was induced. Taste, smell, and the sense of touch lost their acuteness. There was experienced a sense of warmth in the skin, as if one were • " Du travail dans s'air coniprime, etude niedicale, hygienique et biologique, faite au pout d'Argenteuil." Paris, 1S63. 25 in a drying-room. The pulse became small and thready, sometime.-, imperceptible to the touch. The venous blood had a bright red hue. The lungs seemed to increase in development, while the motion of the ribs was less. Shortness of breath was not often observed. In- crease of appetite was soon experienced, but never thirst. While the pressure remained stationary, all subjective phenomena disappeared, to return again during the locking out. Ringing of the ears and bulging of the ear drums were observed ; taste and smell re- turned ; a prickling sense of warmth was felt in the nostril?, which was sometimes followed by bleeding at the nose. At the same time the rapid decline of the temperature from the expansion of the air caused extreme chilliness. At first the laborers remained in the compressed air four hours at a time, twice a day, with an interval of rest. But as the pressure in- creased it was found necessary to diminish the hours of labor. The ill effects upon the workmen were almost entirely confined to a distressing itching of the skin and painful congestive swelling of the muscles. They observed that the appetite was increased while thirst was diminished. The flow of urine was also greater than usual. A remarkable case is mentioned, in which a man, far advanced in consumption, with an enormous cavity in one lung, and suffering from nectic, persisted in working in the caisson, contrary to the advice of Foley, and at the end of two months had gained very much in flesh, was looking well, and feeling in the best of health. I shall have occasion hereafter, when treating of the Caisson Dis- ease, to refer more in detail to some of the experiences of this writer. In the year 1868 there was begun at St. Louis a work which involved the application of compressed ah- on a scale far exceeding anything before attempted. This was the sinking of two piers and two abutments for a bridge across the Mississippi. The magnitude of the work consisted in the great depth to which it was necessary to sink the caissons, in order to obtain a solid foundation. One of them, at the moment when it touched the rock, was 110 feet below the surface of the water. This implied a pressure within the caisson of oO lbs. to the square inch. The dimensions of the caissons, too, far exceeded those of any before constructed, the average superficial area being about 3,700 square feet. . A large number of workmen were employed, and an opportunity was presented for studying the effects of compressed air upon the human bod}' on a scale which dwarfed all former experiences into comparative insignificance. The physician in charge was Dr. A. Jaminet, whose report is extremely interesting.* It describes a number of valuable experi- * Physical Effects of Compressed Air. St. Louis, 1871. 20 ments upon the boiling point of water at various pressures, electri- cal phenomena, etc. , and proceeds to detail the physiological action of high atmospheric pressure as demonstrated upon himself and others. The writer then gives his own experience in an attack of paralysis resulting from a prolonged sojourn in the caisson— a paraly- sis from which he fortunately recovered by the following day. He next discusses the mode in which the pressure acts to bring about the morbid phenomena observed, and arrives at the conclusion, which the facts do not seem to me to warrant, that the ill effects are simply the result of exhaustion from too rapid tissue-change, caused by the absorption of an excess of oxygen. Following out this idea, he lays down a plan of treatment which consists simply of rest in a recumbent position, with the feet elevated, and the adminis- tration of stimulants and nourishment. He describes, more or less in detail, seventy-seven cases, in eight of which death took place. The post-mortem appearances in these are described. They were all characterized by congestion of the brain and cord, and of most of the abdominal viscera. Dr. Jaminet's observations are exceedingly valuable ; but some of his conclusions seem to have been arrived at without sufficient thought. It is especially to be regretted that his theory of exhaus- tion, framed at the outset, prevented the trial of remedial plans other than the routine administration of stimulants and beef-tea. The facts observed by Dr. Jaminet will be frequently referred to in the following pages, care being taken to give him credit for all that had not been anticipated by others. CHAPTER SECOND. THE XEW YORK CAISSON. Before the St. Louis Bridge was projected, a much more gigantic work had been inaugurated at New York, and plans and specifica- tions had been adopted which anticipated the leading features of the work at St. Louis. To cross a stream 1,600 feet in width with a single span was an idea never before entertained. But the difficul- ties were immensely increased by the fact that the towers to support this immense structure had to be erected under circumstances that rendered the usual methods for sinking piers impracticable. It was, therefore, determined to employ the method by compressed air, and caissons'* were constructed having the horizontal dimensions of the proposed piers, which, on the New York side, were 102 by 172 feet. Each caisson was in effect a wooden box turned bottom upward, the interior space being 9 feet high. The roof of the New York caisson (bottom of the box) was 22 feet thick, of solid timber bolted to- gether, and was supported by frames running from side U> side, which frames, together with the edges of the box, were to sustain the vast superincumbent weight, aided by the upward pressure of the con- densed air within the cai.sson. The area of the structure was equal to seven building lots of 25x100 feet each The caissons having been built on ways, were launched in the same manner as a ship, and were towed to the points where the piers were to be located. Courses of granite blocks M ere then laid upon the top of the caisson, by which it was sunk until it rested upon the bed of the river. Air was then forced into the chambers beneath by means of engines upon the shore, until the water was entirely displaced, and the river-bed left dry. The pressure was maintained at this point, the engines working day and night. The workmen obtained access to the chamber by means of two shafts w T kich extended above the surface of the water. At the bottom of each shaft were two air- locks, which were simply ante-chambers constructed of iron, into which the men entered from the shaft, and, closing an air-tight door behind them, admitted the compressed air from the caisson by means of a cock, until the pressure in the lock reached the same degree as that in the caisson, when a communicating door was opened, and the men passed into the chamber below. In going out, the process Avas re- versed, the compressed air in the lock being allowed to blow off through a cock into the open shaft. The control of these cocks was intrusted to men detailed exclusively for that work, and upon their proper management depended the comfort, if not the life, of every one in the lock. By a very ingenious arrangement, which it is not necessary to de- scribe here, the earth excavated from beneath the caisson was car- ried up to the surface without affording opportunity for the air to es- cape. In this way the earth was being constantly removed from un- derneath the caisson, and the vast mass settled day by clay down through the gravel and quicksand, which formed the bed of the river, until at a depth of 78 feet on the New York side, a solid foundation was reached. In proportion as the caisson settled the masonry upon it was built up, so that the top of the stone-work was always above water. When a solid foundation had been reached, the interior of the caisson was filled with concrete, and the 400,000 cubic feet of timber was left buried nearly 80 feet below the surface, where, prac- tically indestructible, it remains as the foundation of the tower. Of course the pressure of air required to keep the water out of the caisson increased in exact proportion to the depth. Thus, at the beginning of the work, the caisson being covered by forty feet of water, the pressure was about eighteen pounds to the square inch , while at the close of the work it stood at thirty-six poimds. 28 The air-locks were connected with the surface of the pier by means of a spiral stairway within the shaft. Ascending this was found to be exceedingly fatiguing as the depth increased, and the stair in one of the shafts was finally replaced by a steam elevator. Looking upon it merely from a sanitary point of view, I regard it as a serious mistake to have placed the air-locks at the bottom instead of at the top of the shafts, as by that arrangement the men were compelled to make a fatiguing ascent at the moment when the circulation was embarrassed and the system unstrung by the sudden removal of the pressure. All testimony is agreed upon the ease, on the one hand, with which exertion is supported while in the com- pressed air, and upon the unfitness of the system, on the other hand, to bear even the slightest fatigue during the period immediately fol- lowing the change to the normal atmosphere. These considerations should render the rule invariable that the air-lock is to be placed at the top of the shaft, unless an elevator is employed. In this view I am sustained by all the engineers connected with the work. The caisson was lighted by gas supplied by means of a force-pump. The combustion of the gas, together with the breathing of the work- men, gave rise to the formation of a large quantity of carbonic acid. It soon became evident that the amount of air which was required to supply the leakage and keep up the requisite pressure was not ade- quate to maintain a healthy standard of purity in the air respired. This conclusion, arrived at by observation and calculation, was con- firmed by trial. A rough, but satisfactory, test was supplied by tak- ing a bottle of lime-water into the caisson and passing the ah" through the water by means of an ordinary flexible rubber syringe. It was found that a few compressions of the bulb were sufficient to give the water a decidedly milky hue. This method has the advantage over that employed by Dr. Jaminet, viz. , merely shaking an open bottle containing lime-water — that it constantly brings new portions of air into contact with the fluid. By increasing the number of compressors by which the air was supplied, (the excess of air escaping beneath the edge of the caisson,) the atmosphere was brought to such a degree of purity as to contain only one-third of one per cent, of carbonic acid, as I determined by actual analysis. This amount of vitiation was found not to affect the men unfavorably. To maintain this standard, however, nearly 150,000 cubic feet of air were required per hour. The number of men employed at one time in the caisson varied from fif ty to one hundred and twenty-five in the day time, and from fifteen to thirty during the night. At first the time was divided into two "shifts" of four horns each, separated by an interval of two hours. As the depth increased the hours were reduced, until at last 2<) the two shifts comprised but four hours, divided by a four hours' interval. It was not until the pressure had reached about twenty-four pounds that any serious effect upon the men was observed. At this time I began my daily attendance of from one to three hours at the bridge. The first step was to prepare a set of printed rules, copies of which were posted conspicuously. These rules were as follows : 1st. — Never enter the caisson with an empty stomach. 2d. — Use as far as possible a meat diet, and take warm coffee freely. 3d. — Always put on extra clothing on coming out, and avoid ex- posure to cold. 4th. — Exercise as little as may be during the first hour after coming out, and lie down if possible. 5th. — Use intoxicating liquors sparingly ; better not at all. Gth. — Take at least eight horns' sleep every night. 7th.— See that the bowels are open every day. 8th. — Never enter the caisson if at all sick. 9th. — Report at once at the office all cases of illness, even if the}- occur after going home. I next subjected all the men to an examination intended to exclude all who were suffering from heart or lung disease, and those en- feebled by age or intemperance. All new men thereafter were re- quired to present a permit signed by me before they were allowed to enter the caisson. Though but few were actually rejected, the knowledge that they would be examined, doubtless deterred man}- who were not sound from applying for work. The 'personnel w T as therefore of the best, as it then appeared. Subsequent experience would, however, have modified my choice materially. On my recommendation a cup of good coffee was served to each man immediately upon leaving the caisson. It appeared to relieve, in a measure, the nervous prostration which marked. the return to the open air ; and possibly, by the effect which coffee is known to have, it may have done something, also, to check the tendency to too rapid tissue-change. A large room in the yard was fitted up with bunks and benches, which afforded the men an opportunity of resting while the changes were going on in the system which were required to bring it into its normal condition after coming up. Connected with this room were conveniences for hot and cold bathing, and also lockers in which each man kept a change of dry under-clothing, to be put on immediately 30 on coming up. Each man was supplied by the company with a pair of long rubber boots, which were rendered necessary by the work re- quiring them to stand more or less in the water. The physical conditions to which the men were subjected in their work were very peculiar. In the first place, in passing through the lock in going clown, there was a very sudden rise of temperature from the condensation of the air This rise amounted to upwards of 30° F. in many cases, and not infrequently, when the outside tempera- ture was low, to 50° or 60°. This change in the temperature was coincident with an increase of atmospheric pressure of from 18 to 36 lbs. to the square inch. At the same time the men passed from an atmosphere of the usual dryness to one saturated or super-saturated with moisture. The labor required in the caisson was not unusually severe. After from two to four hours passed in the compressed air, the men repaired to the locks, where in the space of from seven to fifteen minutes the pressure was reduced to the normal standard. As the result of the expansion of the air in the lock, the temperature fell as rapidly as it rose in the former case. This, which was felt to be a serious inconvenience in the Brooklyn caisson, was remedied on the New York side by surrounding the interior of the lock with coils of pipe heated by steam. The steam was shut off at all times except while locking out. The moisture of the atmosphere of the caisson, referred to above, was caused partly by the "water-packing" used in the condensers which supplied the air, and partly by the water with which the soil underneath the caisson was saturated. From the 25th of January, 1872, when I assumed medical charge of the men, until the 31st of May, when I resigned the position, 110 cases of sickness occurred which were fairly due to the compressed air, and were of sufficient severity to come under treatment. Of these, three proved fatal. The sick were treated in the first instance at the yard, where a room was set apart as a temporary hospital. Cases occurring dur- ing my absence were treated by the engineer on duty, according to a specified plan: or, if the case was severe, I Avas summoned. Serious cases were ultimately sent to the public hospitals or to their homes. The ages of the men ranged from 18 to 50. They were of almost all nationalities, but I did not find that any sensible difference in ability to bear the work resulted from nativity, as observed by Pol. The habits of many of the men were doubtless not favorable to health, but everything which admonition could do, was done to restrain them from excesses. Many of them slept in crowded lodging- houses, where the beds or bunks were arranged in tiers, one above Q1 the other ; iii rooms in which there was scarcely an attempt at venti- lation. One of them fell a victim to spotted fever, contracted from such surroundings, and his death was at once ascribed by his com- rades to the effects of the condense^ air. Serious inconvenience was occasioned to the men in the caisson by the large amount of unconsumed carbon from the gas, which floated in the air in the form of smoke. The inhalation of this produced more or less irritation of the air-passages, and gave rise to a very characteristic black expectoration. This continued for an astonish- ingly long period after the work in the caisson was terminated. At the time of my writing, nearly six months after the work was com- pleted, some of the men are still coughing up sputa, streaked with black. "Where this carbon could have been lodged for so long a period, is a question which I am not prepared to answer. The smoking of the gas was found by some experiments of Mr. Collingwood, one of the engineers, to be due to the comparative immobility of the compressed air, which prevented the formation of the currents necessary to bring new supplies of oxygen to the flame. By reducing the aperture of the burners, and at the same time giving it such a form that the gas escaped in a thin sheet, a relatively great- er surface was secured for contact with the air. This obviated almost entirely the tendency to smoke, and added also to the illuminating power of the gas. The sinking of the caisson was begun on the 12th of December, 1871, and the filling in with concrete was completed on the 20th of July. 1872 ; the duration of the submarine work being 221 days. During this period I was in the habit of frequently entering the caisson, remaining from one to two hours at a time. Yet in my case, with the exception of occasional slight pain in the maxillary sinuses, not the least inconvenience was experienced. CHAPTER THIRD. EFFECTS OF COMPRESSED AIR. The effects of a highly condensed atmosphere upon the system may be divided into those which are physiological or consistent with health, and those which are pathological, and constitute or induce disease The physiological effects will be considered according to the organs or functions in which they are exhibited. Effect on the Hearing.— It is a law of acoustics that within the limits of mobility the denser the medium through which the sound waves are communicated, the larger the wave, and therefore the 32 louder the sound. This supposes, of course, that the ear itself re- mains under normal conditions. Such, however, is not the case when the observer is in a highly condensed atmosphere. The un- usual pressure upon all parts of the auditory apparatus opposes a mechanical obstacle to the freedom of vibration, which is essential to perfect hearing * Hence, although larger sound waves may strike upon the ear-drum, feebler impressions are communicated to the auditory nerve, and the sound appears to be fainter than in the open air. Thus, by repeated experiments, I found that a watch that could be heard distinctly at a distance of 18 inches in a very noisy place in the open air, could not be heard at a greater distance than two inches in the comparative silence of the caisson. At the same time the velocity of the waves of sound is greater, and hence the pitch is higher. A deep bass voice is changed to a shrill treble, and the prolonged, heavy sound of a blast is so modified as to resemble the sharp report of a pistol. This modification of sound is very striking, and is almost the only thing to remind the casual observer that he is moving about in an atmosphere three or four times as dense as that to which he is accus- tomed. A curious fact, noticeable under these circumstances, and one which was long ago observed in diving-bells, is that it is impossible to w r histle. The utmost effort of the expiratory muscles is not suffi- cient to increase materially the density of the air in the cavity of the mouth, and hence on its escape there is not sufficient expansion to produce a musical note. A similar difficulty, though in a less degree, is experienced in speaking, and for this reason protracted conversa- tion is very fatiguing. Effect upon Respiration. — In a highly compressed air, the frequency of the respiration is increased. Dr. Jaminet gives the rate as 21 per minute, with a pressure of 33 lbs., which accords with my ow T n ob- servations. He ascribes this increase of three or four per minute to an increased absorption of oxygen. Experiments show, however, that simply increasing the supply of oxygen, diminishes the frequency of respiration instead of increasing it. The true explanation, I think, is to be found in the fact that the quantity of carbonic acid held in solution by blood, as by water, is in proportion to the pressure to which the gas is subjected ; and hence with the pressure existing in the caisson, the elimination of carbonic acid from the blood would not be as perfect as under normal circumstances, unless the air in the lungs were more frequently changed. As observed by Frangois and Dr. Jaminet, the depth of the inspirations is also increased. With * An analogous fact was observed by Foley, viz., that his watch invariably lost time when taken into the caisson, thus showing that the movements of the bal- ance-wheel were less free in the compressed than in the normal air. 33 the view of appreciating the amount of increase of the respiratory movements, as well in amplitude as in frequency, I devised the fol- lowing plan : By a very simple contrivance attached to a steel band placed around the chest, a measuring tape was made to traverse with each inspiration a distance corresponding to the increase in the cir- cumference of the chest. The aggregate distance traversed in a given time was made the standard of comparison, and of course indicated the combined frequency and amplitude of the respirations. A number of trials with this instrument made upon myself in the open air, gave a very uniform result of \h inches of tape unwound every two minutes. On repeating the experiment in the caisson under a pressure of 33 lbs., 2f inches were unwound in the same time. Effect upon the Circulation. — It has been shown by numerous ob- servers that under a slightly increased pressure, such as is employed in compressed air-baths, the pulse loses in frequency from the first. This is doubtless due to an increased absorption of oxygen by the blood, which thus affords a sufficient supply to the tissues without the necessity of keeping up the usual activity of the circulation. In the course of some experiments undertaken nearly four years ago, I demonstrated that the same effect results under a normal pressure from adding oxygen to the air inhaled. But as the pressure in- creases, the question is transferred from the domain of chemistry to that of mechanics. The condensation of the tissues from the pres- sure to which they are subjected, and the consequent narrowing of the vessels, oppose a physical obstacle to the circulation, which is felt before the blood has time to become surcharged with oxygen, and while there is still a necessity for an active circulation. The labor of the heart is thus increased, and its action, in consequence, excited. I have frequently seen the pulse rise to 120 immediately upon enter- ing the caisson, where the pressure was*from 30 to 35 lbs. to the inch. But after the lapse of a period varying in different cases from half an hour to two hours, the pulse falls back to its normal standard, or even, it may be, below it.* The blood has now become saturated with oxygen, and consequently a less active circulation is demanded. Doubtless, if the pressure were very gradually admitted, the pre- liminary rise in the pulse would not take place, the favorable chemi- cal action keeping in advance of and counteracting the unfavorable mechanical conditions. The effect of high atmospheric pressure upon the volume of the pulse is always, according to my observation, to diminish it. This is easily accounted for by the pressure exerted upon the artery, which prevents its yielding readily to the expanding force of each successive * My experience in this corresponds precisely with that of Dr. Jaminet. 3 34 wave of blood. Hence the pulse is small, hard, and wiry. These characteristics are independent in a great degree of the frequency of the beat, although as the heart recovers from the irritable con- dition into which it is thrown by the sudden increase of the pressure, and settles down, so to speak, more calmly to its work, it contracts with more force, and the pulse gains somewhat in volume. These changes in both the frequency and fullness of the pulse are well shown in the annexed tracings, taken in the Brooklyn caisson. The upper line represents in each case the normal pulse, the lower line that in the compressed air. (L a The difference in the readiness with which the process of adapta- tion to an increased pressure is accomplished in different persons is shown by the pulse-rate of eleven men taken an hour and a half after going into the caisson when the pressure was thirty-five pounds. The figures are arranged in the order of frequency. 116-116—106—104—96—93—88—76—74—68—52. These figures give an average of ninety. On another occasion, with a pressure of thirty-two pounds, and a sojourn in the caisson of two and a half hours, the average was eighty. Whether a longer expo- sure to the same pressure would have produced a further decline in the frequency of the pulse is a question which the horns for working did not allow me to determine. 35 It is remarkable that the wide variations in the pulse-rate above mentioned were not accompanied by any symptoms appreciable to the individual. A man with a pulse of fifty-two, and another with one of one hundred and sixteen, felt equally well, and each was en- tirely unconscious of anything unusual in the heart's action. The effect of the pressure upon the cutaneous vessels is shown by the pallor of the face, which is very marked, and continues for fif- teen or twenty minutes after leaving the caisson. The hands, too, feel shrunken, and the palmar surface of the fingers is often shriv- elled, as if soaked in water. The pressure acting upon all sides of the fingers empties them to a considerable extent of blood, rendering the skin apparently too large for them. The veins, too, on the back of the hand seem to be effaced. This absence of blood from the surface implies necessarily an ex- cess in the interior of the bodj r , where the effect of the pressure is not as great. This point will come up again in considering the pathology of the Caisson Disease. Effect upon Temperature. — In none of the reports upon the effects of high pressure as employed for engineering purposes, have I been able to find any records of temperature. J. Lange,* however, found that under the comparatively slight pressure which is used as a reme- dy, the temperature of the body suffered a slight decrease. This is, no doubt, due to an increased absorption of oxygen, which has been shown by Mr. Savory and also by experiments of my own to produce this effect. During the work in the New York caisson when the pressure was about 32 lbs., I took the temperature of seven of the men an hour and a half after entering the caisson, and found that it averaged 99 6° F., exactly one degree above the normal standard. At first I ac- cepted this as the result of the increased interstitial change so strong- ly insisted upon by Dr. Jaminet, but subsequent observation led me to interpret it differently. The temperature of the body in health is kept at about 98.6° F., by the constant evaporation from the surface. But in the caisson, as already mentioned, the air was always nearly or quite saturated with moisture, so that evaporation from the surface must have been prac- tically suspended. With the temperature of the air at 76°, as it was at the time of the observations, and the men engaged in severe labor, it is easy to see how the absence of the cooling process of evapora- tion from the surface would lead to a rise of one degree of the ther- mometer. This view is strengthened by the result of three observa- tions on a subsequent occasion, when the temperature in the caisson stood at 81°, instead of 76°. The average in this instance was 101°. * Vivenot. 3G A rise of five degrees in the temperature of the air could not sensibly affect the rapidity of tissue-change, but if not counteracted by evap- oration from the skin, it would soon tell upon the temperature of the body. The influence of the hygrometric condition of the atmosphere upon the temperature of the body is a matter of daily observation. On a clear, dry day, with a high barometer, we are surprised to find the thermometer indicating a temperature much higher than our sen- sations would lead us to expect, while on the contrary, on a cloudy day, with a low barometer, we can scarcely persuade ourselves that the temperature is not many degrees higher than the thermometer in- dicates. In the dry, clear air of New Mexico I have supported a tem- perature of 110°, without inconvenience, while in the humid atmos- phere of the Florida Keys I have found it almost unbearable at 86°. Effect upon the Respiratory Function. — Several writers have ob- served that it is immediately remarked by every one entering a caisson that the secretion from the skin is apparently immensely increased. It is noticeable even when the temperature of the air is moderate, but as this increases it becomes a very serious annoyance. The clothing quickly becomes saturated, which, besides the discom- fort it occasions, exposes to great danger of taking cold on going out into the open air. But a little examination served to show me that in the New York caisson, at least, there was really no increase of the secretion from the skin, but that, instead of evaporating, the moisture accumulated upon the surface, and thus simulated excessive sweating. This was owing to the moist condition of the atmosphere already mentioned, which rendered the d^ing of the surface by evaporation impossible. The atmosphere possessed to an extreme degree the quality of "muggi- ness," and the apparently profuse perspiration was merely an exag- geration of what we suffer from in very damp weather, even though the temperature be not extreme. So far from the perspiratory glands being stimulated by the density of the atmosphere, it is probable that the ana?mia of the skin already described, as resulting from the pressure upon the surface, would tend to lessen the secretion by diminishing the supply of blood to the glands. That there is not an undue amount of fluid carried off through the skin, is shown by the absence of thirst so generally remarked. The foregoing explanation of the apparent increase of perspiration is important, as it bears upon the theory of excessive waste of tissue, in which the perspiration is supposed to aid. Effect upon Digestion. — Nearly all authors who have written upon the effects of compressed air agree in stating that for a time, at least. 37 it increases the appetite to a remarkable extent. Indeed this is one of the first and most favorable results observed -where compressed air is applied remedially. With this experience my own observations in the main agree. It was frequently remarked by the men working in the New York caisson that their work made them unusually hungry, that they " could not get enough to eat," etc. Of course, it w r as not possible to obtain any exact data as to the relative amount of food consumed, but from careful inquiries I arrived at the conclusion that it was considerably in excess of what is usual in the case of men engaged in similar labor in the open air. Still, there were many exceptions to the general rule, especially among those who had been long engaged upon the work, and whose general tone w r as beginning 1o deteriorate. Among these, loss of appetite was often complained of. The fact of this generally increased appetite seems to point to an increased waste of tissue, to be supplied by a greater consumption of food. An increased absorption of oxygen such as w r e assume to take place, seems from the observations of several authorities* to imply greater activity of tissue-change as the ultimate result. But in this case I think it is scarcely safe to accept this explanation at once as conclusive and sufficient. It may well be questioned whether during the actual sojourn in the caisson the functions of digestion, absorp- tion, and assimilation proceed normally under the wide departure of the system from its natural conditions. If it could be shown that a considerable portion of the food taken before entering the caisson is but imperfectly digested or assimilated, the subsequent hunger would be readily accounted for. I am not aware that this point has ever been investigated, but I can scarcely believe that such an increase of appetite as is described could depend wiiolly upon increased inter- stitial change without giving rise to marked elevation of temperature and other symptoms denoting unusual chemical activity. On the contrary, I think it highly probable that an examination of the de- jecta would show them not to be entirely exhausted of nutritious material. At all events, until this point is subjected to rigid tests, it will be unsafe to regard the amount of food consumed as a measure of the metamorphosis of tissue. If the metamorphosis of tissue is really greatly accelerated through the influence of compressed air, it should be apparent in a more prompt healing of wounds. The following experiment was intended to test this point : Four pigeons were selected, as much alike as possible in size and vigor. Under the wing of each a wound w r as made by removing a circular piece of the integument about half an inch in diameter. Two of the pigeons were then sent down into the caisson, the other * " New York Medical Journal." April, 1870. 38 two being retained in the hospital on the wharf. The conditions in other respects were the same. At the end of six days the wounds in the two below were perfectly healed. Of the two above, in one the wound was perfectly healed, while in the other it was still covered by a scab, which fell off two or three days later. The result of this experiment would not indicate any considerable difference in the activity of the vital processes. I may remark that the workmen never spoke of the wounds or injuries they received as healing more rapidly than when working in the external air. Effect upon the Urinary Secretion. — Dr. Jaminet, in his observa- tions at St. Louis, found that the amount of fluid secreted by the kidneys was very much increased, in some instances nearly doubled, while the specific gravity was but little, if at all, below the usual average. This shows that the solid matter excreted was also in much greater quantity than usual.* But I cannot agree with him in attrib- uting this exclusively to the excessive waste of tissue from over-oxyd- ation of the blood. The explanation is to be found, I think, chiefly in the fact that the skin, as already stated, performs its function very imperfectly, owing to the impossibility of evaporation from the surface when the air is already loaded with moisture, and hence a portion of its duty is forced upon the kidne}\s, organs always ready to act vicariousl} T for the skin or the mucous surfaces. Furthermore, the excretion of a large amount of urea indicates a relatively deficient oxydation of tissue, and is one of the characteris- tics of those diseases in which respiration is suddenly embarrassed, as, for instance, pneumonia. Another circumstance not to be lost sight of, is that the pressure upon the surface acts mechanically to congest all the abdominal vis- cera, and that congestion of the kidneys, within physiological limits, produces increased secretion of urine. From what precedes it will be inferred that I am not willing to ac- cept the view which practically sets no limit to the amount of oxygen that the system will appropriate in a sufficiently condensed atmos- phere. Even if absorbed by the blood, it does not follow that the excess of oxygen is received into the normal vital relations with the tissues. It may be held in simple compulsory solution in the blood, as in any other liquid ; it may even give rise to chemical changes in the blood, and solid tissues as in dead matter, and thus act as a poison, as asserted by M. Bert,t but we have no warrant for believing that it so acts as to cause the removal of particles not yet effete, and which but for this would have remained normal active constituents of the * These observations accord with those of Foley, J. Lange, Pol, Pravaz, and others, t L'lustitut, July 3, 1ST2. 39 bod}-. Behind mere chemical action lies a vital principle in accord- ance with which each molecule is born, as it were, into the economy, reaches maturity, performs its function, becomes effete, and is suc- ceeded by a new molecule ; and to break in upon this order is to strike at the very essence of life. I do not intend by this to deny that an atmosphere highly oxygen- ated, either by the addition of oxygen or by compression, is capable of accelerating the vital processes within certain limits. I only contend that these limits correspond with the extreme limit of physiological demand — that the capacity of the system to appropriate and use oxygen has a definite relation to the possible wants of the system under natural conditions. For a contingency beyond these, nature has made no provision. CHAPTER FOURTH. PATHOLOGICAL EFFECTS. The pathological effects of high atmospheric pressure comprise certain phenomena easily explained upon mechanical principles, and in addition to these, a group of symptoms, having a definite relation to each other, and constituting a specific affection, which, from the peculiarity of its origin, I propose to call the Caisson Disease. The affections, which are of a purely mechanical nature, relate to the cavities communicating Avith the nasal passages, such as the ears and the frontal and maxillary sinuses, etc. Affections of the ears are mentioned by nearly every writer on the subject of compressed air, and are extremely common. They depend, for the most part, upon closure of the Eustachian tubes, b}- which communication of the cavity of the middle ear with the external air is cut off. The men under my charge were warned most strenuously not to go into the lock unless they were able, when holding the nose and blowing forcibly, to feel the air enter both ears, thus insuring that the tubes were pervious. Nevertheless, cases often occurred in which this precaution was neglected, and the indi- vidual was, as a consequence, " caught in the lock," unable to " change his ears." This inability to equalize the pressure upon the two sides of the ear-drum, caused extreme pain, and sometimes entailed serious results. The effect is two-fold. The pressure upon the outside of the drum being greater than upon the inside, the mem- brane is pressed inward with a force, which, if it does not produce a rupture, at least causes a degree of tension which so delicate an organ as the ear is not fitted to bear with impunity, and which may be the starting point of an acute inflammation. (See Case L, p. 57.) 40 Bat the pressure may be so great as to rupture the drum at once, as iu Case II., p. 57. When there is continued exposure to the effect of compressed air, with closure of the Eustachian tube, the structures within the cavity of the tympanum not being acted upon by the increased pressure, are placed relatively in the same position as the skin under a cupping- glass, and the sauie result follows, viz., intense congestion, which may, in this case, lead to inflammation. Indeed, the difference in pressure within and without is much greater than in the case of the cupping-glass, since in the latter it cannot exceed one at- mosphere, while in the former it may be two or three atmospheres. The stoppage of the Eustachian tube may very frequently be over- come by forcing in air through the nose after the method described by Politzer. In this way a great many of the men under my care were enabled to continue their work, who otherwise could not have done so, without incurring serious risk. This simple operation was constantly called into requisition, as many as four or five of the men sometimes presenting themselves in the course of my visit to have their " ears blown out," and it rarely happened that they experienced any difficulty afterward on entering the lock.* Three cases of extreme deafness came under my notice, two of them in laborers, and one in the person of a gentleman, who was ad- vised by a physician to visit the caisson with the hope that he might receive benefit from the action of the compressed air. In all these cases the hearing was very much improved while in the caisson, but on returning to the open air the former degree of deafness immedi- ately returned. A number of cases of otities are mentioned by Frangois, as occur- ring under his observation during the sinking of the caissons at Stras- burg.t His favorite remecty was oil of jasmine dropped into the ear. He also employed leeches and fomentations. He condemns catheterism of the tubes, on theoretical grounds, while admitting that he had never employed it. Pain, more or less severe, in the frontal or maxillary sinuses was sometimes experienced. This was doubtless caused by a temporary closure of the passage leading to the nasal cavity. In one case, in which the frontal sinus was affected, the pain, though not severe, was very persistent, continuing for several days. In one case pain in the frontal sinus was felt as the pressure was increasing in the lock, and again, and more severely, as the pressure was reduced in returning to the open air. This latter pain was ac- companied by a discharge of bloody mucous from the nose. In this case there was doubtless closure of the passage into the sinus, thus * I am under obligations to Dr. Roosa for valuable hints in reference to the treat- ment of these cases, t See page 23. 11 preventing the equalization of the pressure, and giving rise to the pain first felt. There resulted also congestion of the lining mem- brane, followed by an increased flow of mucous and extravasation of blood. But in the course of the two hours passed in the caisson, the air gradually filtered through the obstruction, and when the outside pressure was removed, the air thus imprisoned forced a way out, car- rying before it the mucous and blood that had accumulated in the sinus. (See Case IV., p. 57.) It becomes an interesting question what degree of condensation of this atmosphere will prove directly fatal. Dr. Richardson, of Lon- don, told me recently that he had experimented largely upon this subject, and that for the small animals which he had employed, such as rabbits, cats, dogs, etc., the limit of endurance seemed to be be- tween six and seven atmospheres. He found, however, that the re- sult varied widely, with comparatively slight variations of tempera- ture, such as would have no appreciable effect upon vitality under other conditions. CHAPTER FIFTH. THE CAISSON DISEASE. Definition. — A disease depending upon increased atmospheric pres- sure, but always developed after the pressure is removed. It is charac- terized by extreme pain in one or more of the extremities, and sometimes in the trunk, and which may or may not be associated with epigastric pain and vomiting. In some cases the pain is accompanied by paralysis more or less complete, ichich may be general or local, but is most fre- quently confined to the lower half of the body. Cerebral symptoms, such as headache and vertigo, are sometimes present. The above symp- toms are connected, at least in the fatal cases, with congestion of the brain and spinal cord, often resulting in serous or sanguineous effusion, and with congestion of most of the abdominal viscera. SYMPTOMS. Neuralgic Pains. — These constitute in general the first and most characteristic symptoms, and are very seldom absent. The accession is often very abrupt, as if the patient "had been struck by a bullet." At other times the pain is slight at first, but rapidly increases in intensity. In well-marked cases the suffering is extreme, men of the strongest nerve being completely subdued by it. It is " as if the flesh were being torn from the bones." The pain is usually of a remittent or paroxysmal character, the exacerbations occurring at short intervals, especially if the patient attempt to move. Though usually designated as " cramps," these pains are rarely accompanied by muscular spasms. They generally begin in one or both of the 42 nees. shifting to the legs or thighs, and then perhaps creeping up along the trunk to seize upon the shoulders and arms. Not unfre- quently the severest pain is felt in the spine, and especially in the lumbar portion. There is usually some degree of tenderness with the pain, so that the patient will complain if friction be applied too vigorously. There is also a painful stiffness in the affected limbs, that precludes motion in the absence of actual paralysis. In some cases, there are swelling and heat as well as tenderness, indicating engorgement of the tissues, and this may persist for seve- ral days, being followed occasionally by discoloration, as if from a bruise. (Case VII. , p. 58.) Francois mentions a case in which the engorgement was followed by suppuration. In two of my cases, minute spots of extravasated blood in the substance of the skin at the seat of pain, gave the sur- face the appearance of being spattered with red ink. (Case XL. p. 59.) A curious case of the swelling of the mammary gland recurring each day is given among the Illustrative Cases. Xo. IX. Francois relates a similar instance. The Pu.Ue. — At the outset of the attack the pulse will differ according to the time which has elapsed since leaving the caisson, being, as a rule, quicker and more frequent in proportion as the time is shorter. Dr. Jaminet observed that if the attack occurred imme- diately after coming up, the pulse usually ranged from 95 to 115, while, if it Mere delayed for half an hour, the pulse would be slow — perhaps as low as 60. But as these rates do not differ from those in healthy persons at the same periods after leaving the caisson, they do not possess any special significance in those taken sick. The subsequent character of the pulse is simply indicative of the general condition of the patient. The Skin is usually cool at first, often of a slightly leaden hue. and nearly always covered with a profuse cold perspiration, standing out in beads upon the surface. This perspiration is very characteristic. At first I supposed it to be owing to the excessive pain which the pa- tient was suffering : but subsequently it occurred in several cases in which the pain was slight or entirely absent. (See Case VI.) I was. therefore, inclined to attribute it to a relaxation of the cutaneous capillaries through some nervous agency analagous in its action to what we see in cases of extreme terror, and having its origin in the general disturbance of the nervous system which characterizes the disease. In several instances in which I ascertained the temperature in the axilla, it was found to be normal. 43 Epigastric Pain a?id Vomiting. — Pain at the pit of the stomach, usually, but not always, attended by vomiting, is of frequent occur- rence. It occurred in 24 per cent, of my cases. This is a much smaller percentage than that observed by Dr. Jaminet, who found the gastric symptoms to be present in 66 out of 77 cases. This may be owing to the pressure being greater at St. Louis than at New York, nearly all of Dr. Jaminet's cases occurring under a pressure of 40 lbs. and upward, while the pressure at New York did not rise above 36 lbs. The pain in the epigastrium, if not relieved by treatment, is gener- ally followed within a brief period by vomiting, which may continue witli great persistence even after the pain has ceased. In most cases* however, the vomiting is limited to the ejection of the contents of the stomach. In a few instances I observed the occurrence of vomiting without the usual preceding pain. In these cases there was also dizziness, in- dicating that the vomiting was of cerebral origin. Paralysis — This occurred to a greater or less degree in 47 out of 77 cases observed by Dr. Jaminet. This is at the rate of 61 per cent. At Xew York it occurred in only about 15 per cent, of the cases ; the difference being due, no doubt, to the difference of pressure. The paralysis affects most frequently the lower half of the body, but it may include the trunk or one or both arms. In rare instances the arms alone are affected. The paralysis usually comes on a short time after the beginning of the pains, but it may occur where there is very little if any pain. (Case XXY.) It affects sensation as well as motion. The patient does not, however, obtain relief from his suffering, since the pain in the limbs will continue after pain from other sources is no longer felt. Thus a leg, for example, may be en- tirely insensible to pricking or pinching, while at the same time it is the seat of extreme suffering. In fact, the neuralgic pain and the paralysis seem to be so far independent of each other, that either may exist separately as well as both together. The degree of paralysis may vary from mere weakness of the limbs, with slightly impaired sensation, including a loss of "hold upon the ground " in walking, to complete loss of motion and sensa- tion in the affected part. Even the minor degrees generally involve the bladder, and in two or three of my cases the paralysis, after the first day or two, was confined to this organ. Cerebral Symptoms. — Symptoms of a transient character are often observed, which have their origin in the brain. They consist of headache, dizziness, double vision, incoherence of speech, and some- times unconsciousness, the last from syncope. They are usually of very short duration, passing off in a few hours. In the fatal cases. 44 however, a condition of profound coma is the usual forerunner of death. The occurrence of this symptom leaves but little hope of the patient's recovery. Prognosis. — The duration of the Caisson Disease varies from three or four hours to six or eight days. When paralysis takes place, this may continue for weeks, or it may pass off within twelve hours. The cases marked only by neuralgic pains do not generally last more than twelve hours, though some continue five or six days. Death occurs only in cases which are severe from the first, and are marked by symptoms of serous or sanguineous effusion about the brain or cord. Morbid Anatomy. — The constant lesion in fatal cases of Caisson Disease is congestion of the brain or spinal cord. This congestion may be evenly distributed, or it may vary in intensity in different localities. This is especially true as regards the cord. The conges- tion affects both the meninges and the substance of the brain or cord. In some instances extravasation of blood takes place, as in Case XXVI., chapter 6. In most of the published cases there was found also more or less serous effusion in the arachnoid. The tissues of the scalp and those surrounding the spinal column are sometimes engorged. Dr. Jaminet describes a case in which the tissues over the spine were congested, the vascularity increasing regularly as the dissection proceeded deeper toward the vertebral column. When sufficient time elapses before death, there may be softening of the brain, occurring in spots. This is probably clue to occlusion of the vessels by coagula formed during the primary congestion. Congestions also occur in other localities, and especially in the solid abdominal viscera. The liver and spleen have been found engorged in nearly every case. The kidneys, too, are usually con- gested, and in several cases described by Dr. Jaminet, clots of blood were found extravasated in the organ. The mucous membrane of the stomach, intestines, and bladder is often found injected and marked with ecclryinotic patches. The lungs, in cases of true Caisson Disease, seldom present any other change than simple hypostatic congestion. Pathology. — It is probable that the pathology of this disease is not entirely uniform in all cases. Doubtless, the chief element in it is the congestions already described, and especially of the brain and spinal cord. The mechanism, therefore, of these congestions, be- comes a subject of paramount importance. It is obvious that if the blood were exposed to an equal pressure in all parts of the body, there would be no change in its distribution. * Physical Effects of Compressed Air. P. 34. It is equally clear that the blood, if free to move, will pass from a place where the pressure is greater to one where it is less. The body is made up of structures of different densities, and presenting a varying resistance to compression. But permeating these structures in every direction are vessels in perfect communication throughout the entire system, and filled with a mobile fluid, which is free to change its locality in obedience to any force which is brought to act upon it. Now, when the surface of the body is subjected to an even pressure on all sides, the tendency is to a distribution of this pressure toward the centre. If the body were composed entirely of solids, this could be effected only by the compression of those solids, and a point would very soon be reached where the resistance would balance the compressing force, and the parts lying more toward the centre would remain unaffected. But the presence of a fluid in the structures, with free channels in which to move, changes all this. While the solid tissue resists compression, the fluid blood retreats from the surface to the centre, and accumulates there imtil an equi- librium of pressure is produced. Hence Ave deduce the law, that under high atmospheric pressure the centres will be congested at the expense of the periphery. But, aside from location, vessels coursing through dense and resist- ing organs, will be less exposed to external pressure than those pass- ing through soft and, yielding structures. Hence a second law, that firm and compact structures will be congested at the expense of those more compressible. But there are structures very soft and j-'elding in themselves, yet enveloped in a rigid casing of bone which entirely shuts off the influ- ence of external pressure Hence the establishment of the equilib- rium in them is wholly dependent upon an afliux of blood. This gives us the third law% that structures within closed bony cavitu ?s are congested at the expense of all others. In accordance with these laws, we shall find that while in the cais- son, the condition of the different parts in regard to the supply of blood will be as follows : The skin and the superficial structures will be anaemic* The cen- tral portion of the limbs and the interior organs of the body will be congested. The solid viscera of the abdomen will be especially en- gorged on account of both situation and structure. The brain and spinal cord, and the interior of the shaft of the long bones, will be congested to a high degree from the operation of the third law. These changes are not perfected until a considerable time has been passed in the compressed air. The circulation up to this point goes on everywhere with vigor, the change being in the relative calibre of * This is shown by the pallor which is very characteristic. See p. 35. 46 the vessels, not in their tension. The counter-pressure becomes uni- form throughout the whole vascular system, but this counter-pres- sure supersedes the natural muscular resistance or tone of the vessels, which have become passive tubes. The blood is distributed not in accordance with the physiological demands of the different parts, but in obedience to overpowering physical force. This is the condition of the circulation at the moment that the pro- cess of locking out begins. Yet the changes which have taken place up to this point are not the cause of the morbid phenomena which constitute the Caisson Disease, else the attack would take place while in the compressed air, instead of after leaving it. It is evident that the removal of the pressure, and not the pressure itself, is the immedi- ate cause of the seizure. This removal is effected in the few minutes which are occupied in locking out. But it is not to be supposed that the vessels will in- stantly assume their normal condition. They are in a state of relax- ation, not only in the congested, but also in the anaemic parts ; in the former, because of over-distension — in the latter, because the museu- lar coat cannot at once recover from its inaction. The aggregate capacity of the vascular system will, therefore, be in excess, com- pared to the volume of blood to be conveyed ; or, in other words, there will be a lowering of vascular tension. Hence, the circulation will be languid, and the congested parts will not readily empty themselves of the excess of blood which they con- tain. Especially will this be the case in the brain and spinal cord, where the conditions are most favorable for the production of con- gestion. The capillaries being clogged with effete blood, the nutri- tion of the part must suffer, and disturbance of function will result. It is to this, I think, that the delirium, and the transient loss of consciousness, which occasionally occur, are to be attributed. When the spinal cord is the seat of this condition, pain in the parts deriving their nerves from that section of the cord may result, or paralysis more or less complete may follow. This appears to me to account for the phenomena in those cases in which the local symptom is paralysis or pain of a transient or shifting character. These cases may, I think, be considered as entirely spinal in their origin. But in many cases there are evident local changes such as tumefaction, rise of temperature, etc., which indicate local irritation, and which are probably due to obstruction of the vessels of the part as a sequel to the local congestion. This explanation is applicable also to those cases in which the pain is fixed in one locality, which may be very much circumscribed, and where it persists for days without intermission, feeling, as the patient expresses it, " as if it were in the bone," where it very likely is Such a pain presents a 47 marked contrast to those shifting pains which have been described, and if considered of spinal origin, would indicate a si rioUS 1( sion con- fined to a minute portion of the cord. That such a circumscribed lesion might occur as a very rare exception, must be admitted ; but that it should be present in a considerable proportion of cases is in the last degree improbable. The testimony of all observers is, that the liability to attack is di- rectly as the duration of the stay in the caisson. This admits of an easy explanation on the theory which I have advanced. The more thoroughly the system has become adapted to the change in the circulation, the less readily it will resume its normal condition when the pressure is removed. The congested vessels, especially, will lose their contractility in proportion to the time their muscular fibres have been upon the stretch. It was suggested by Francois, that the morbid phenomena result- ing from high pressures might be due to the liberation of air which had been absorbed by the blood while under pressure, but which was set free again when the pressure was removed. The same idea has since been advanced by Prof. Rameaux, of Strasburg. Within the past year M. Paul Bert has communicated to the French Academy* the results of a series of experiments made upon animals with very high pressures, reaching sometimes to 19 at- mospheres. He shows that when death is the direct result of the pres- sure it is induced by an excessive absorption of oxygen, which then enters into chemical union with the blood, and acts as a poison. He found that the gas which escapes from the biood after the pressure is removed, is composed of a mixture of nitrogen and carbonic acid, with scarcely a trace of oxygen, the oxygen being retained by the blood. This poisoning by oxygen, however, produces its effect while in the compressed air, and therefore cannot be a factor in the pro- duction of the Caisson Disease. But M. Bert re-asserts the theory of Franc-ois and Prof. Rameaux, with this difference : that he claims that bubbles of nitrogen instead of air are the cause of the interruption of the circulation. These bub- bles he has discovered after death in the vessels of the brain and cord. But he states that when the pressure does not exceed five atmospheres, three minutes allowed for the restoration of the nor- mal pressure will be found to prevent the formation of these globules of nitrogen. Xow, we find the Caisson Disease occurring when the pressure does not exceed two atmospheres, and when six to eight minutes are allowed for locking out. It would seem that under these conditions, the gas should escape through the lungs as * Comptes Rendus, August, 1S72, and February and March, 18T3. 48 rapidly as it is disengaged from the blood. Moreover, we find that in the Caisson Disease the attack often comes on several minutes or even hours after leaving the compressed air. During this interval, if any free nitrogen were circulating with the blood, it should constant- ly become less by diffusion through the pulmonary membrane, and it is scarcely conceivable that if the quantity at the moment of emerg- ing into the open ah' were not enough to produce obstruction of the circulation, such an effect could take place at a later period. It is also very difficult to reconcile with M. Bert's theory the fact of the comparative immunity from danger which results from re- peated exposures to the effects of compressed air. If the action be that of purely physical causes, habit could make no difference. The obstruction of the vessels described by Bert is a condition of which the system could never become tolerant by frequency of repetition. On the other hand, it is perfectly conceivable that vessels which are required to receive a varying quantity of blood at different times may acquire the power of more ready adaptation to these changes of quantity, since this is only an extension of the ph}*siological prin- ciple which we see exemplified in all organs which have an intermit- tent function. Hence this objection, which lies against the explana- tion of M. Bert, does not apply to the views as to the pathology of the disease which I have advanced. Thus, while recognizing the value of M. Bert's observations, I am still of the opinion that he is in error in applying them to the com- paratively low pressures and gradual decompression which are con- sistent with the production of the Caisson Disease. In order further to test this question, I performed the following- experiment : The pressure in the caisson being about 35 lbs. to the square inch, a dog was sent down, and allowed to remain seven hours in the compressed air. At the end of that time I went down, and after killing the animal with prussic acid, I opened the vessels of the neck, and allowed four ounces of blood to flow into a six ounce vial. The space above the blood was then completely filled with olive oil, and a cork, pierced by one leg of a small U-shaped tube, was forced tightly into the bottle, displacing a portion of oil, which escaped through the tube. By this arrangement every particle of air was excluded from the apparatus, even the tube, which extended a little below the cork, being entirely filled with oil. The object of the oil was to avoid the difficulty which would arise from coagulation of the blood in the tube if blood only were emplo3 r ed. The apparatus thus arranged was then taken into the open air. While passing through the lock five minims of oil escaped from the tube, which amount was increased during the next half hour to eight minims. The temperature of the caisson and that of the external 49 air were almost exactly alike, so that the result obtained could not be influenced by contraction or expansion due to temperature. The eight minims, therefore, represented the bulk of air which was disen- gaged from the blood in consequence of the removal of the excess of pressure. This is only t | fl of the bulk of the blood experimented upon. Now the experiments of Demarquay* show that from 80 to 150 c. centimetres of oxygen can be thrown into the veins of a me- dium-sized dog in the space of four or five minutes, without pro- ducing serious consequences ; and other observers have demonstrated that air slowly introduced into the veins escapes through the lungs, and that a large quantity can be injected in this way without danger. Hence with the small amount of air which my experiment shows to be disengaged from the blood, and with the process extended over eight or ten minutes at least, it seems clear that we cannot explain in this way the phenomena observed in the Caisson Disease. Cames. — The one essential cause, without which the disease can never be developed, is the transition to the normal atmospheric pres- sure, after a prolonged sojourn in a highly condensed atmosphere. Hence we have to consider two elements, pressure and time. As the mo- mentum of a moving body is found by multiplying the weight by the velocity, so the danger in these cases is as the degree of pressure to which the person has been exposed, multiplied by the duration of the exposure. But inasmuch as a prolonged sojourn in the caisson does not in every case produce the disease (many of the men employed escaping it entirely), it follows that there must be concurrent causes which de- termine its development. This is what we observe in many other diseases of a specific origin. Thus the essential cause of intermit- tent fever is exposure to a peculiar malaria, yet only a portion of those so exposed are affected by the disease. The first of the concurrent causes of the Caisson Disease is a special predisposition. This is occasionally strongly marked, some persons being affected by a short exposure to a low pressure from which there would generally be experienced no inconvenience what- ever. The study of these cases has led me to the suspicion that they afford a key to the singular, though veiy common, predisposition to pains in the limbs on the approach of a storm. These pains are gen- erally considered to be of a rheumatic character, and to depend upon the dampness of the atmosphere. But inasmuch as the disease we are considering affords examples of pains precisely the same in char- acter, but immensely intensified in degree, resulting from the diminu- tion of an atmospheric pressure to which the system had adapted it- * Pneuniatologie Medicale. P. 664. 4 50 self, and irrespective of any question of humidity, analog}' suggests that the so-called rheumatic cases are simply exaggerations of a pre- disposition, identical in kind with the one under discussion, and are produced by the low barometric condition of the atmosphere which precedes a storm, and not by the influence of moisture. It is true that the change in the pressure is insignificant when compared with that which produces the Caisson Disease, but it is supplemented by the immensely greater duration of the higher pressure to which the sub- ject has been previously exposed. Persons suffering in the manner referred to, regard themselves as walking hygrometers, and are ac- customed to say, " I feel the dampness in my bones." I would sug- gest that they are rather barometers, perhaps quite as sensitive as the instrument of Torricelli. Perhaps the most frequent exciting cause of the Caisson Disease is too rapid locking out. Indeed, it is altogether probable that if suffi- cient time were allowed for passing through the lock, the disease would never occur. But what is sufficient time for one is too short a time for another, and as no work could be accomplished if the time in the lock M r ere indefinitely prolonged, all that can be done is to fix upon a duration for the process of locking out which shall be propor- tioned to the pressure, and as great as is consistent with the circum- stances, and then to see that the rule is rigidly observed. The natu- ral impatience of the men to reach their homes, makes the delay in the lock irksome, and great firmness is required on the part of the lock-tender to prevent the escape-cocks being opened more widely than is consistent with safety. In locking out, at least five minutes should always be allowed for each additional atmosphere of pressure. Newness to the Work. — Unquestionably the liability to the Caisson Disease is greatest in those exposed for the first time to the influence of the compressed air. New hands are very apt indeed to suffer more or less during the first week, and a number of the severest cases that came to my notice, occurred in men who had worked but a single watch, though first attacks were much more likely to occur after the second watch of the first day. Those least affected were such as began work when the pressure was comparatively slight, and contin- ued without intermission as the pressure increased. It seemed that the system after a time became adapted to the changed conditions, and was protected, in a measure, from their effects. Nevertheless, some serious cases occurred among the old hands, especially when for an}* reason their stay in the caisson was prolonged beyond the usual time, thus showing that their immunity was merely relative. A sudden increase of pressure, also, even though very slight, was cer- tain to develop new cases — men thoroughly inured to the work often being affected under such circumstances. 51 F/iUnes* of Habit. — After the work in the New York caisson had been some months in progress it was observed that there was a pre- ponderance of stout, heavily-built men among those taken sick. This led me to examine my records carefully in reference to this point. I found that up to May 22, they embraced 8G cases of well- marked Caisson Disease. These I divided into three classes, accord- ing to the build of the individual. Those who were tall in propor- tion to their weight, and rather lean in flesh, were classed as spa/re ; those who were thick-set and muscular, without being fat, were set down as medium ; and those with prominent abdomen, full cheeks, and general tendency to obesity, were styled Jieavy. The 86 cases of Illness were found to be distributed among these three classes as fol- lows : Spare, 28 ; medium, 22 ; heavy, 30. Considering that among laborers below the age of 45 (and none of the cases were above that age), the class described as heavy are very much in the minority, these figures were sufficiently striking. In order to arrive at the converse of this I desired the time-clerk to prepare a list of those who had lost least time from illness, i.e., those least affected by the work. The figures in this case were even more striking. The list comprised the names of 42 men, who were classified as follows : Spare, 25 ; medium, 14 ; heavy, 3. I next separated the severer cases of illness, which were marked by paralysis 5 of these there were 13: Spare, 2; medium, 3; heavy, 8. Those who had died up that time, three in number, were all heavy men. These results may be tabulated as follows : Spake. Medium. Heavy. Total. Lost little or no time from sickness. . . 25 14 3 42 22 36 86 2 3 8 13 Died " 3 3 These figures show unmistakably that a tendency to fullness of habit renders work in a compressed atmosphere much more hazard- ous. Persons of this build have more fluids in the body, the distribu- tion of which is changed by the pressure, in the manner before stated, and it is therefore not surprising that the effect upon them should be greater than upon lean and sinewy persons, whose bodies contain a minimum of fluid. ■ Severe Exertion Immediately after Leaving the Caisson. — As at the moment of going out of the compressed air the system undergoes a 52 violent reaction, it is manifestly unfitted to bear in addition a severe tax upon the muscular strength. Hence, the ascent of a long flight of stairs, immediately after leaving the air-lock, is as wrong in theor}' as it has proved bad in practice Dr. Jaminet has described most graphically the ill effects arising from this cause at St. Louis, and the relief experienced when the men were saved the necessity of climbing the steps by the substitution of a steam elevator.* Con- trast this with the experience of M. Triger, whose apparatus at Cha- lonnes was so arranged that the ascent of the ladder took place m the compressed air, the lock being placed at the top instead of the bottom of the shaft. He found that the men ascended a distance of 70 feet without becoming in the least out of breath ; making the ascent, in fact, much more easily than if it had been in the open air. I hoped at one time that an opportunity would be afforded at the New York caisson for obtaining some data bearing upon this point. During the earl}' part of May an elevator was arranged, but unfortu- nately just at that period great changes took place in the force, and at the same time various interruptions in the work occurred, so that the matter was hopelessly complicated, and no data for comparison could be obtained. The Abuse of Alcohol. — Several writers have remarked that habit- ual drinkers are more likely to be affected by compressed air than those who used spirits moderately or not at all. It is stated by the director of the work at Douchy* that the attacks from which the men suffered were ' ' almost always coincident with some excess com- mitted in the interval of the shifts." It is easy to perceive that as the disease is characterized by cerebral congestion, the abuse of alco- hol, which has a tendency to produce the same result, would act as a predisposing cause. Although no cases directly attributable to this cause came under my observation, I have no doubt that there is danger from it; and I therefore rejected several men who applied for work in the caisson, for no other reason than that their appearance indicated an habitual excessive use of alcohol. Entering the Caisson Fasting. — Dr. Jaminet insists very strongly upon the influence of this cause, and cites instances to prove his position. Several cases corroborative of his views occurred under my observation. One of the rules for the men working in the New York caisson, prohibited entering the compressed air without having taken food, and in addition to this each new hand was especially cautioned as to the danger of disregarding this precaution, and the foremen were directed to use every effort to secure its observance. Yet notwithstanding all this a number of very severe attacks were *See Dr. J.'s Report, p. 120. t Annates d'Hyg. Pub. et de Med. Legale, 1S54. 53 found to be coincident with, if not dependent upon, violations of this rule. In these cases epigastric pain and retching were prominent symptoms. (See Case XXI., p. 01.) Treatment. — The treatment of this disease will depend upon the severity of the case, and the presence or absence of gastric symp- toms or of paralysis If we have to deal with the neuralgic pains only, the chief reliance must be upon anodynes, administered with a liberal hand. Fortunately the pain, though very severe while it lasts, is in most cases of short duration, the attack passing off usually in a few hours. It is, therefore, quite practicable to keep the patient under the influence of morphine during the whole time, and thus enable him to escape entirely all extreme suffering. But large doses will be required, the intense pain inducing a remarkable tolerance of the drug. It was my habit to give half a grain of morphine at the outset, and a quarter of a grain every half hour afterward until relief was obtained. When employed hypodermically, which is the method affording most prompt relief, somewhat smaller doses may be used. In some instances I have obtained the very best results from hypo- dermic injections of atropine at the seat of pain; but m other cases it failed to procure relief, and, upon the whole, I consider it inferior to morphine. Dr. Jaminet, regarding the affection as wholly the i*esult of exhaustion, relies entirely upon stimulants and concentrated nourish- ment, ignoring the aid of anodynes altogether. I can see no reason for this, even admitting to the fullest extent his theory of the dis- ease, for nothing can be more exhausting than the intolerable pain which characterizes this affection, and nothing could act more promptly as a restorative than an efficient anod} r ne. Starting from the theory already given as to the mode in which the disease is produced (a theory which was constructed wholly upon the observations of others), I was led to the idea that benefit would be derived from the use of an agent that would induce contraction of the capillaries, and thus correct the w T ant of tone which I considered to lie at the foundation of the difficulty. For this purpose I pro- posed the use of ergot before I had ever seen a case of the dis- ease I reasoned that it would be useful, first, by contracting the ves- sels of the brain and spinal cord, and relieving their congested state ; and secondly, by restoring tone to the superficial vessels, and thus imparting vigor to the circulation. An extended trial warrants me in saying that the results have jus- tified the theory. In my hands, though not always successful, ergot has certainly been very useful in a considerable number of cases. 54 I have seen very severe pain completely relieved within half an hour after the administration of a drachm of the fluid extract. In other instances, unsteadiness of the limbs, which seemed about to usher in paralysis, has yielded promptly to one or two doses. But perhaps the best evidence of its usefulness is to be found in the preference for it of the night-porter, who had charge of the hos- pital at night, tand who was instructed in the use of the few medi- cines emplo3 r ed, and treated such cases as occurred among the men composing the night gangs. Having both morphine and ergot at hand, he gradually, and of his own accord, almost abandoned the former, declaring that the ergot was more prompt and certain in relieving the pains. This from an intelligent, unprejudiced, non- professional source, is strong testimony in favor of the efficiency of the drug. I was in the habit of giving a teaspoonful of Squibbs' fluid extract, and repeating the dose in half or three-quarters of an hour, unless the pain was relieved. In one case ergotine was injected hypoder- mically ; but so much irritation was caused at the point of insertion that the experiment was not repeated. Frictions, with or without stimulating liniments, are very generally resorted to, and seem sometimes to give momentary relief, but it ap- pears to me to be rather by occupying the attention of the patient than by any action occasioned in the part. In one of my cases of pain in the knee, compression of the femo- ral artery with the fingers was tried. The pain was considerably re- lieved for a few minutes, but soon acquired its former severity. In another case a tourniquet was applied so as to interrupt the venous as well as the arterial circulation, but with no better result. In some instances where the pain was confined to a particular lo- cality, I had the part immersed in hot water, with the effect of caus- ing temporary relief. But the use of the general hot bath was not advised, as I considered it unsafe to increase the already existing re- laxation of the vessels. In several of Dr. Jaminet's cases paralysis came on while in the hot bath, and he therefore interdicted its use. Toward the last of my experience I applied cold to the spine in two cases, with apparent benefit in each. In one of these cases, in which there was paralysis of the bladder, the improvement after a cold douche to the spine was marked. In one case of paraplegia, dry cups applied to the spine in the lum- bar region were unmistakably beneficial. Electricity was tried by Dr. Jaminet at St. Louis, but was found to be useless. Epigastric pain is almost always relieved at once by the use of an alcoholic stimulant with ginger, as employed by Dr. Jaminet. 55 Vomiting is best treated with sinapisms to the epigastrium, and swallowing small bits of ice. A full dose of calomel was effectual in one of my cases which resisted all other treatment. When paralysis occurs, it is to be treated on general principles. Cups or leeches, with douches and frictions to the spine, may be use- ful ; and if the case be protracted, the use of strychnine may be called for. The bladder will almost certainly be involved, requiring the constant employment of the catheter. The cerebral symptoms which occasionally occur, arc, with the ex- ception of coma, so transient in their nature as to call for no special treatment. Coma, when it takes place, is to be managed according to the circumstances of the case, as when proceeding from other causes. If accompanied by a full, strong pulse, venesection may be expe- dient. There remains to be considered a plan of treatment originally sug- gested by Pol, and carried out to some extent by Foley, viz., return- ing the patient at once into the compressed air. It frequently happened under my observation, that pains not suffi- ciently severe to deter the men from returning to work, were promptly dissipated on entering the caisson, to return again on coming into the open air. Indeed, I do not remember a single exception to the rule, that any pain which may have been felt before, disappeared almost immediately on going below. Foley says, as the result of his experience : "A true specific is re- turning to the caisson, through which means all such accidents (pains, vertigo, etc.,) speedily disappear. It is to be resorted to unhesitat- ingly in all threatening cases, and the pressure should be admitted rapidly. " But the means of access to the caisson are usually such that it would be difficult to remove a patient into it, even if he could be comfortably cared for while there, or if his presence would not in- terfere with the work. It would, therefore, be desirable to have facilities for employing compressed air at some point above ground which would be easily accessible. My plan would be as follows : Let them be constructed of iron of sufficient thickness, a tube 9 feet long and 3£ feet in diameter, having one end permanently closed, and the other provided with a door open- ing inward, and closing air-tight. This tube to be placed horizon- tally, and provided with ways upon which a bed could be slid into it. Very strong plates of glass set in the door and in the opposite end would admit the light of candles or gas jets placed immediately out- side. This apparatus should be connected by means of a suitable tube with the pipe which conveys the air from the condensers to the caisson. An escape-cock properly regulated w r ould allow the constant 56 escape of sufficient air to preserve the necessary purity of the at- mosphere within. The bed containing the patient having been slid into the chamber, the door is to be closed, and the pressure admitted gradually until it nearly or quite equals that in the caisson. This should be continued until the patient indicates by a signal previously concerted, that the pain is relieved. The pressure should then be reduced by degrees, carefully adjusted to the effect produced, until at last the normal standard is reached. By occupying several hours, if necessaiy, in the reduction of the pressure, it is probable that a return of the pain could be avoided. The apparatus once provided, there would be no difficult)' in car- rying out the plan in any case of such severity as to resist other treatment. I should expect the very best results from it in cases of extreme pain, or in the very outset of paralysis not dependent upon extravasation of blood. Of course the secondary conditions which arise in protracted cases w ould not be capable of direct relief by simply reproducing the phys- ical conditions existing in the caisson. The most that might be hoped for in such cases would be that the pressure might result in giving a new impulse to the circulation in the congested part, and thus favor resolution. Reasoning from his view of the pathology of the disease, M. Bert lias proposed the inhalation of oxygen, in order to displace the free nitrogen from the blood by diffusion. Experiments upon animals demonstrated that the sounds produced in the heart by the presence of free nitrogen, speedily disappeared when the animal was made to inhale oxygen, the nitrogen diffusing into this gas much more readily than into common air. But though immediate death was averted by this expedient, paralysis nevertheless occurred, and post mortem examination showed the presence of bubbles of nitrogen in the vessels of the cord. A tendency to pulmonary congestion seems to be induced by high atmospheric pressure in certain rare instances. Such cases are men- tioned by Francois and Jaminet, and two instances came under my own observation, one of which was almost instantly fatal. (Case XXX.) The mechanism by which these congestions are produced is not apparent. If in every instance they occurred immediately upon passing from the caisson into the open air, it might be inferred that the expansion of the air contained within the lung produced, in some way, an interference with the pulmonary circulation. But inas- much as a rapidly fatal congestion may come on an hour or more after leaving the caisson, this explanation is not sufficient. The 57 subject is involved in obscurity, which can be removed only by the study of a larger number of cases than have occurred as yet. CHAPTER SIXTH. ILLUSTRATIVE CASES. The following cases have been selected from my notes as illustrat- ing the various affections resulting from compressed air which have been described in the foregoing text. Also, a few cases, as will be seen, have been borrowed from other sources. Case I.— John Campbell, lock-tender, on the 11th of February, was ••caught in the lock, " i. e., found himself unable to equalize the pressure in the left ear. The pain, however, not being severe, he completed his day's work. The following night was taken with very severe pain in the ear, which continued without intermission until the 20th, when a profuse discharge of pus from the external ear set in, affording relief from the pain. Under the use of carbolic acid injections the discharge soon ceased, leaving the hearing unim- paired. Case II.— John Hicks. Taken on the 17th of May, while in the lock goiug down, with severe pain in the right ear, followed by a slight discharge from the external meatus. No sensation as of an}'- thing giving way in the ear. He completed his watch and then reported to me. On examination, the drum of the ear was found to be ruptured at its upper edge. The opening was nearly circular, and rather less than a line in diameter. The patient preferred to give up his place at once, and did not report again. Though he stated that he had had no previous trouble with the ear, the fact of the discharge when the membrane was ruptured, leads to the suspicion that there was catarrh of the middle ear, which probably accounted also for the stoppage of the Eustachian tube. Case III. — (Frangois).* Patient at Argenteuil seized with otalgia on coming out of the caisson, where the pressure was 13 lbs. to the inch. Pain persisted for 15 days without intermission, notwithstand- ing the most active treatment, including purgatives and the applica- tion of leeches and antimony behind the ear. Condition of the tube or of the drum not stated. Case IV.— Patrick O'Farrell. Reports March 11th, that he was taken four days ago, on going down into the caisson, with pain in the region of the frontal sinus. On coming up, the pain was in- creased, and there w r as bleeding from the nose. The pain has con- tinued ever since. Ordered anodynes and hot fomentations. * Annates d'Hygiene Publique, et de Med. Leg. T. XIV. I860. 58 14th. Reports for duty. Case V.— Hugh Rourke. March 12th, while going home in the evening, was taken with severe pain in the right knee. Pain continued all night. On the following morning he returned to his work, when, on entering the caisson,, he found that the pain ceased at once. On coming up again it returned with increased severity. Controlled by morphine. Case VI. — John Roland. Taken on March 8th, while in a car going iiome. Dizziness and loss of strength ; feet cold, head hot ; unable to stand, but still not paralyzed — simply weak. No pain. Profuse cold perspiration. Recovered perfectly in a few hours with- out treatment. Case YII. — Alfred Symes. Suffered somewhat with pain in the right knee, on coming up from the caisson on the 10th of May. On the 11th he worked as usual, experiencing no pain. On the 12th (Sunday), not having been in the caisson since the day previous, he Avas taken with severe pain in the same knee. When he reported to me, on the 14th, he was suffering with a swelling of the knee, ac- companied by heat and extreme tenderness, especially just above the patella. He was ordered to apply fomentations, with a hot solution of bicarbonate of potash. Under this treatment the pain and swell- ing soon subsided. On the 15th, there was a greenish yellosv tinge of ecclryniosis over the front of the knee, for a space as large as the palm of the hand. Case VIII. — Samuel Mitchell. Worked for one watch only on the 14th of May, being his first experience in compressed air. After the first watch,. on the 15th, he was taken with pain in both the upper and lower extremities, and also in the chest and bowels. This was followed by giddiness and vomiting. There was paralysis of the left leg and -weakness of the right arm. Profuse sweating. Pulse 80. Ergot and chloral given. Paralysis passed off in two hours, leaving slight pain in the arms and wrists. The bowels had not been opened for several days. Case IX. — John Kennedy. This patient had engorgement of the left mammary gland, recurring each day after coming out of the caisson, and especially after the second watch. There was marked swelling and tenderness, which disappeared during the afternoon and evening, to recur again on the following day. This continued for more than a week. Case X. — Joseph Hatch. Taken sick on the 17th of Ma}^, after his first watch. Epigastric pain and pain in the legs and arms, fol- lowed by paraplegia. Treated with ergot only. At the end of four hours he had recovered the use of his limbs, and the pain had ceased, but there remained a giddiness which prevented his standing. By 59 the following day ho was able to walk about, but the giddiness had not entirely disappeared when I last saw him. -May 21st. Case XL — E. Riley. Taken siek Feb. 16th, one hour after leaving the caisson. Pressure 20 lbs Epigastric pain and pain in the legs. No loss of sensibility. Profuse cold perspiration. Pulse, when I saw him, two hours after the commencement of the attack, was 9G. The pain, which at first was very severe, had by this time become much less. Gave him an ounce of brandy and a teaspoonful of fluid extract of ergot. In 10 minutes the pulse had fallen to 82. Was able to resume work next day. Case XII. — Joseph Brown, foreman, American, aged about 28. Taken on the 28th of February, about an hour after coming up from a three hours' watch. Excessive pain in left shoulder and arm, com- ing on suddenly, "like the thrust of a knife." Pain continued until he went down again for the afternoon watch, when it ceased imme- diately. On the following morning there was a spot on the shoulder and one on the arm, at the points where the pain had been most severe, where the skin was speckled with minute bright red points of extravasated blood. Had had no pain since the day before, but the parts were tender to the touch, with at the same time a feeling of numbness. Casf XIII. — Henry Stroud, a diver by occupation, began work on the morning of April 2d. Half an hour after coming up from the first watch, was taken with numbness and loss of power in the right side, also dizziness and vomiting. This was followed by severe pain over the whole body. Excessive perspiration. Was treated with stimulants and ergot, and in five hours was well enough to re- turn home. Case XIV. — John Barnabo, Italy, 42, reports that on the 13th of March, while in a car returning home, he was taken with severe pain in both arms. This was followed by dimness of sight and partial unconsciousness. Extremities very cold. Remained in this condi- tion for two hours. Was obliged to keep his bed for three days. For a week afterward was unable to work, feeling very much op- pressed about the chest. Had no medical attendance. Had a simi- lar but less severe attack about a month previously. Case XV. — J. Avers. Taken on the 7th of April with very severe pain in both knees, coming on within a few minutes after leaving the caisson. A drachm of the extract of ergot Avas given every hour for three hours, then two more doses at intervals of two hours, after which he was completely relieved. Case XVI. — Frank Murphy. Taken siek April 8th, after the sec- ond watch of his first day in the caisson. Extremely severe pains in both knees and in the right shoulder; of a grain of atropine wa< 60 injected beneath the skin of the shoulder, but afforded no relief. Half a grain of morphia by the mouth did not check the pain. Legs placed in hot water, which gave immediate relief. Ergot was also given in drachm doses hourly. Returned home much better, but the pain subsequently returned, and was very severe at times for several days. Case XVII. — Charles Peterson. Taken on the 11th of April with severe pain in both legs and in the right arm. Was relieved by ergot, but had severe pain each day afterward on coming up. On the loth he was ordered a teaspoonf ill of the fluid extract of ergot, four times a day, after which there was no further complaint. Case XVIII. — Card, foreman. Taken on the 17th of April, after the first watch, with quivering in the thighs, followed by loss of power in the lower extremities, and anasthesia. There was also partial paralysis of the bladder. These symptoms con- tinued until the 19th, when they disappeared, leaving great sore- ness of the muscles of the calves. After the paralysis had passed off in a measure, he went down again into the caisson and remained for a short time with decided benefit. The improvement continued after returning to the open air. He had no other medication than two doses of ergot. Case XIX. — James Heffener. Attacked May 2d, soon after leav- ing the caisson, with pain in the limbs and in the epigastrium, fol- lowed by vomiting of large pieces of undigested meat. Eyes swollen and very much injected ; extreme giddiness ; pulse 80, and small. Vomiting continued at intervals for 24 hours. Bowels had not been moved for 48 hours. Was treated with morphia and ergot, but the vomiting continuing, a scruple of calomel was given on the 3d, which had the effect of quieting the stomach, and at the same time of relieving the bowels, after which the patient quickly recovered. Case XX. — Thos. Kirby. Taken April 30, with severe pain in the right forearm. The patient was seen by Dr. G_ M. Beard, at whose suggestion I injected into the middle of the palmar aspect of the forearm two minims of a solution of ergotine, each minim con- taining a grain of the drug. The following day, considerable swell- ing had taken place at the point of puncture. The original pain still continued, though less severe. On the 4th clay of May, the patient presented himself with a similar, though more exhaustive, swelling on the other side of the arm, the previous swelling having disappeared. This secondary swelling followed very closely upon the first. It sub- sided promptly under the use of cold applications ; but on the 10th, another similar swelling appeared on the part of the arm above the elbow. It was excessively hot and painful. By the continuous use of ice, it was soon dissipated without suppuration. The patient did not enter the caisson from the time of the first attack until his final recovery. Case XXL— Brune Wieland, Germany, aged 23. Attacked on the 8th of May, after working two hours in the caisson, which he entered for the first time, and without having taken food. The attack began with pain in the epigastrium, and vomiting soon followed by para- plegia, and great depression. Respiration 40, pulse 100, and very feeble. Stimulants brought about a prompt reaction. The power of motion was soon regained, but there was not sufficient strength in tin- legs to stand. Paralysis of the bladder. On the following day he w a> perfeetly comfortable, though still too weak to stand. Bladder still paralyzed. Sent to the hospital, after which there is no record of his case. Case XXII. — Patrick Rogers, Ireland, aged 40, reported at my office at the pier that the day previous he was taken while on the ferry-boat going home, with pain in the right side, soon followed by loss of feeling and power to move or stand. This was about tkrec- quartevs of an hour after leaving the caisson, where the pressure was 26 lbs. to the inch. On the arrival of the boat he was placed in a hack, and taken home. According to his account, he was for four hours completely paralyzed in the legs, and partly so in the arms. A physician was called, who gave a medicine which caused vomiting, after which there was profuse cold perspiration. Symptoms grad - ually passed off, and by 3 P. M. of the following day he was well, with the exception of weakness and a numb feeling of the skin. A drachm of the fluid extract of ergot was ordered to be given every hour until four doses had been taken. On the 17th, he reported him- self as much better. Soon after taking the first dose of ergot, he found his strength improved. He now felt well, except a ' ; trembling ? in the chest. Advised not to resume work in the caisson. Case XXIII. — Charles Ward. Began work May 17th, and con- tinued through both watches, though advised to omit the afternoon watch for the first day or two. , After coming up the second time, he felt some pain in the legs. Did not work again until the 20th, when, after the first watch, he was taken with numbness in the left leg, and partial loss of motion. When I saw him on the 21st, the sensi- bility in the affected part was very much blunted, but the power of motion was fully restored. Temperature to the hand sensibly lower than in the other leg. No pain. Complaint of a ''want of hold upon the ground " in attempting to walk. Cold water was poured upon the lower part of the spine for several minutes, after which there was a decided improvement in the leg. He was able to walk home ; but did not report again, and I lost sight of the case. G2 Case XXIV.— Fred. Wilkinson. Taken May 21st, after the second watch, with pain in the right knee. Considerable swelling above an 1 internal to ths patella. Slight elevation of temperature. Re- lieved by the cold douche. The minutes of the following case were kindly furnished me by Dr. Walter Reed, of the Brooklyn City Hospital, and are so interest- ing that I transcribe them in full : Case XXV. — "Michael Madigan, age 36, Ireland, laborer, admitted March 26th, 1872. A large, robust man ; states that he has been working on the East River Bridge for three months past, and that for several weeks past has been under a heavy atmospheric pressure (about 30 lbs.) "March 25th, about noon, after coming up from the caisson, was taken with cramps in his stomach, which required a dose of medi- cine for their relief. He then went to his dinner, after which he re- turned to work, but felt so weak in the legs and in the small of the back that he was compelled to leave off. Was carried home and put to bejel. Did not have m-ich pain in the legs or back, but a feeling of extreme weakness. Slept but little during the night, and in the morning found that his legs were powerless, nor could he pass his water, which had to be drawn with a catheter. On admission there was found to be paralysis of the legs, with slight diminution of sensibility. No pain in limbs. Slight tenderness on pressure over the lumbar vertebra?. Paralysis of bladder. Urine drawn off ; quantity, 8 oz. Acid reaction : no albumen. Dry cups applied to the lower part of the spine. Ordered liq. amnion., acetatis, to be re- peated in an hour. At bed time potas. bromid. grs. 40. "March 27th. Find patient improved. Slept well during the night. Took some breakfast. Can move his right leg to a considerable ex- tent ; left leg powerless. Has slight pain in the back. Urine drawn off, 8 ozs.; acid. P. M., to re-apply dry cups to spine. " March 28th. Can move both legs very well. Is able to stand, but his knees soon bend under him. Urine drawn off. Cups re-applied. "March 29th. Can stand up and walk a few steps, though this re- quires some exertion. Cups again to the spine. Urine drawn off. " March 31st. Still improves ; walked to the water-closet and had a movement of the bowels. This is the second movement since admis- sion. The first was an involuntary evacuation in the bed. " April 2d. The patient has regained the power over his bladder, and passes his urine twice a day. Feels much stronger. "April 5th. Patient has been walking about the yard. Says he feels well, except a slight weakness in his back. Discharged cured.' For some time after his discharge from the hospital, this patient re- mained very feeble, and the catheter was occasionally required to re- 63 lieve the bladder. He was confident that he received great benefit from the dry cups while in the hospital. Feeling better each time as soon as the}' were applied. In this statement Dr. Reed concurred. Case XXVI. — Reardon, England, 38, corpulent, began work on the morning of May 17th ; was a dvised to work only one watch the first day, but, nevertheless, feeling perfectly well after the first watch, went down again in the afternoon. The pressure at this time was about 35 lbs., the duration of the morning shift 2i hours, that of the afternoon shift 2 hours. Immediately after coming up from the second watch Reardon Avas taken with very severe pain in the stomach, followed by vomiting. In a few minutes the pain seized upon the legs, which soon lost the power of motion, though they con- tinued to be the seat of extrems pain, and were not entirely insensi- ble to pinching or pricking. The vomiting continued all night, and toward morning he was removed to the Centre street Hospital, where he gradually sank, and on the 18th died. The autopsy showed a slight engorgement of the lungs. All the other thoracic and abdominal viscera, as well as the brain, M ere healthy. The spinal cord was found to be intensely congested, and opposite the two lower dorsal vertebra?, there was an extensive effu- sion of blood pressing upon the cord. Case XXVII. — Patrick McKay, Ireland, 50. Had been four months at work in the caisson, and had not complained of ill-health. On the 30th of April he remained in the caisson half an hour beyond the usual time, at the second watch, the pressure being about 34 lbs. Some other persons who were with him in the lock, when about leav- ing, found that he was sitting with his back against the wall of the lock, quite insensible. He was at once carried up to the surface, and removed to the Park Hospital, where I saw him shortl}' afterwards. He was there in an unconscious condition ; face pale and dusky ; lips blue ; pulse irregular and feeble. Under the administration of stimu- lants, he recovered some degree of consciousness, and begged inces- santly for water. The urine was drawn with a catheter, and found to be intensely albuminous. Paroxysms of convulsions soon set in, in one of which he died, nine hours after the attack. The autopsy, at which I Avas not present, showed that all the organs were healthy, except the kidneA's. which were the seat of Bright s disease, and were very much altered in structure. In this case the effect of the compressed air was merely to hasten an event which, at best, could not have been very long delayed. Case XXVIII. — (Francois). Mirant. Had suffered previously from severe pains in the chest and limbs, which compelled him to give up work. Sometime afterward, when the pressure was 4 at- mospheres, he resumed work for a single day — the labor being exces- G4 sively severe. He suffered no inconvenience apparently, however, and after leaving the caisson, washed his face and hands as usual. A moment after he fell senseless, and in 15 minutes was dead. The autopsy was made by a medical commission appointed by the authorities of Valenciennes. The menniges were found to be inject- ed, and the sinuses distended with dark blood. The brain itself was also congested. The spinal canal was not opened. The lungs were somewhat congested, especially at the base, where they were less crepitant than natural, though still floating in water even when cut into small pieces. There was general congestion of the abdominal viscera. (Annales d'Hyg. de Pub. et Med. Legale, 1860.) Case XXIX. — The following description of the post-mortem ap- pearances in a case occurring at St. Louis, is from Dr. Jaminet's re- port, and may be taken as a type of the morbid anatomy of the Cais- son Disease. " Henry Krausman, 27 years ; nativity, Germany ; admitted into the hospital March 22cl ; died the 23d. The whole contents of the cranium were found highly congested, with effusion beneath the arachnoid, the vessels of the latter membrane being highly injected. Blood oozed freely from the substance of the brain on section. The spinal cords presented pathological conditions precisely like those of the brain, with the addition of the existence of clots of extravasated blood at different points inside the dura mater. There was also a congested condition of the thoracic contents, less marked probably in the lungs than in the other organs. The abdominal viscera were very highly congested, with extravasation of blood in the kidneys. The mucous membrane of the bladder was healthy, and a small quantity of bloody urine was in the bladder." Case XXX. — John Myers, aged about 40 years, a native of Ger- many, of a stout, heavy build, commenced work in the caisson for the first time on the 22d of April, 1872, the pressure then being about 34 lbs. to the inch. He worked during the morning shift of 2$ hours without in- convenience, and remained about the yard for nearly an hour after coming up. He then complained of not feeling well, and started for his boarding-place, which was but a few rods distant. As he passed through the lower stoiy of the house, on his way to his own room, which was on the second floor, he complained of pain in the abdo- men. While ascending the stairs, and when nearly at the top, he sank down insensible, and was dead before he could be laid upon his bed. The autopsy, which took place at the morgue, was made by Dr. Janeway. It showed that the brain, heart, kidneys, and larynx were perfectly normal. The only lesion discovered was in the lungs, which 65 were congested to a very remarkable degree. The entire extent of both lungs presented an appearance closely resembling that of a highly congested spleen. The spinal eanal was not Opened ; but nothing was found elsewhere to account for the sudden engorgement of the lungs. CHAPTER SEVENTH. SUGGESTIONS. As it is now demonstrated that the method by compressed air is ap- plicable to a great range of engineering operations, and offers many peculiar advantages, it is extremely desirable that the principal ob- jection to its employment, viz., the discomfort and danger to the workmen, should be reduced to a minimum. To this end I would of- fer the following suggestions, drawn from my own experience and that of European and American observers, to whose writings I have had access. It is exceedingly desirable that the men should be under control to a certain extent during the intervals of work. Excessive use of in- toxicating liquors should be prevented ; regular hours for sleep and for meals insisted upon, and sufficient nutritious, digestible, and properly cooked food should be provided. The men should sleep in comfortable beds and in properly ventilated apartments. All this is manifestly unattainable if the men live in homes of their own choosing. If, therefore, any great work by the aid of com- pressed air is to be undertaken, the preparations for it should include whatever is necessary for housing and feeding the men at a conven- ient place near to the work. For this purpose temporary barracks may be erected in an enclosure, which the men should not be permit- ted to leave except under proper restrictions. The food should be furnished by the employers, be of good quality, embrace a sufficient variety, and be prepared by competent cooks. Sleeping apartments should be provided, allowing at least 800 cubic feet of air-space to each man, and with facilities for efficient ventila- tion. A hospital should be arranged with a sufficient number of beds, and fitted with every appliance necessary for treating patients during tlieir entire illness. The hospital to be in charge of a competent steward, under the supervision of a physician, who should attend a portion of each day. Of course this implies that only single men shall be employed; and that they shall agree at the outset to submit to a quasi military rule. 5 GG Where the number of men is considerable, as would be the case in any large work, the company could carry out the above suggestions economically to themselves, and after deducting the cost from the pay of the workmen, there would remain to the latter more than they would have left after paying their board in the usual May. At the same time the men would be so much more comfortable than if left to provide for themselves, that they would value the position, and the fear of being discharged would be a sufficient restraint upon them. The tendency, too, would be toward securing at the begin- ning of the work a set of men who would continue to the end. These men commencing when the pressure was slight, would not be affected by its gradual increase, thus avoiding the great danger which attends those who begin work for the first time after the pressure has at- tained a high figure . I am satisfied that it is by attention to this point more than by anything else, that the suffering and danger re- sulting from the use of compressed air may be diminished. (See page 50.) New hands should not be allowed to work in the caisson more than one watch in each clay for the first Aveek, after which half the usual second watch might be added for another week, at the close of which the full time could be entered upon. Since much of the work on the pier above, as well as in the caisson below, is unskilled labor, it could readily be so arranged that the gangs could w r ork on alternate days in the compressed and in the external air. The advantage of an interval in the caisson work is immediately apparent, the cases of sickness being notably diminished by even a single day's intermission. The rules given at p. 29 are important, and their observance should be strenuously insisted upon. The men should be selected as far as possible from those who are of a spare and wiry build, and no one should be accepted who has a tendency to corpulency. The lock-tenders should be selected with special reference to their trustworthiness, and, if it is found that they cannot be depended upon, the air-cocks should be so arranged that the aperture can be graduated from time by the engineer in charge, so as to prevent the possibility of a too rapid change of pressure. In entering the caisson, at least three minutes should be allowed in the lock for each additional atmosphere of pressure, and at least five minutes in coming out. As for the number of hours of work daily, the rule given by Mr. Collingwood will serve as a general guide. " Taking it for granted that 12 hours is the extreme time that a man can labor without detri- ment to health, in an ordinary atmosphere, then with a pressure of 67 two atmospheres, or 15 lbs. additional pressure, he can labor about one-half that time ; with three atmospheres, about one-third of that time; and with four atmospheres about one-fourth of that time. In other words, the time is inversely as the pressure."* Whenever, for any cause, a sudden increase of pressure is demand- ed, the watch should be shortened to a corresponding extent. The air-locks should be placed at the top rather than at the bottom of the shaft, in order that the stair may be climbed in the comprenxed air, instead of immediately after leaving the lock, when the system is more or less prostrated by the change taking place in the circula- tion. If, for any reason, it is impracticable to have the air-lock at the top of the shaft, an elevator should be employed to lift the men to the surface. ' Care should be taken to maintain the air in the caisson at a suffi- cient degree of purity, as there may be a wide difference between the amount of air required to supply the necessary mechanical condi- tions for carrying on the work, and the quantity demanded for the health of the workmen. A rough but useful test for the presence of carbonic acid in the air has already been described at p. 28. This is very easily applied, and should be frequently resorted to when there is the least doubt as to the sufficiency of the air supply. A compari- son of the results with those obtained in some fairly ventilated apartment, will give an idea of the amount of impurity in the air of the caisson. The comparison will be aided b}^ allowing the carbonate of lime formed to settle to the bottom of the test tube, where the quantity can be more readily appreciated. ANDREW EL SMITH. * Trans. Am. Society of Civil Engineers, p. 133. 69 A. Statement of the Cash Receipts and Expenditures of the New York Bridge Company to and inciadino April 3", 1873. RECEIPTS. Capital stock (paid in) $3,684,600 00 Rent 14,599 00 Material sold 33,318 72 Interest 34,240 12 Wharfage 3,587 71 Total $3,770,345 55 EXPENDITURES. Engineering, (salaries, etc.) $157,980 93 Rent 32,166 66 Office expenses, (salaries, etc.) 33,230 01 Timber and lumber 351,023 19 Construction 834,988 68 Contingent expenses 13,254 89 Tools 15,463 96 Labor 526,953 63 Machinery 116,512 00 Freight, cartage, and towage 12,713 09 Printing and advertising 2.101 37 Land, land damages, and buildings 456.259 83 Limestone 241,166 5s Granite 703,125 67 Insurance 2,526 37 Scows 28,660 57 Interest 5,498 89 Ho:ses, wagons, and harness 3,955 34 Taxes 7,138 42 Office furniture 5,404 23 Bonds of the city of New York, (loss) 9,296 02 Bodwell Granite Company, freight 10,776 07 South Brooklyn Steam Engine Works, on account. . 3.000 00 Total $3,573,196 40 Total cash receipts , $3,770,345 55 Total cash expenditures 3.573.196 40 Balance of cash account $197,149 15 70 Cash in Brooklyn Tmst Company $166,383 71 " in Atlantic State Bank 24,652 48 ** in Long Island Bank 4,359 88 " on hand in petty cash 753 08 Check on hand 1,000 00 Total $197,149 15 JOHN H. PRENTICE, Treasurer. Brooklyn, May 1, 1873. Statement of Assets and Liabilities of the New York Bridge Company, other than those contained in the State- mknt of the cash receipts and expenditures, may 1, 1873. ASSETS. Due for installments on capital stock $315,400 00 " for material sold 17,227 20 Total $332,627 20 LIABILITIES. Due on granite $10,757 75 " for land damages 15,000 00 " for land and buildings 50,000 00 " for land 202,000 00 " for limestone 4,027 59 " for machinery 11 20 Total $281,796 54 B. Receipts from May 1, 1872, to May 1, 1873. For installments on capital stock $922,200 00 For rent 10,039 00 For material sold 30,563' 87 For interest 3,918 42 New York city bonds, par value 12-8,000 00 From Bodwell, "Webster & Co., for freight charged in April, 1872, transferred to granite account. 2,232 71 $1,096,954 00 71 Receipts over expenditures from May 1, 1N72, to May 1, 1873 $178,914 38 Cash on hand, May 1, 1872 18,234 77 Cash on hand. May 1, 1873 $197,149 15 c. Expenditures from May 1, 1872, to May 1, 1873. Engineering $31,971 07 Rent 11,358 33 Office expenses 10,228 79 Timber and lumber 18,459 09 Construction 112,096 98 Contingent expenses 3,095 10 Tools 1,829 78 Labor 157,890 87 Machinery 8,357 81 Freight, cartage, and towage 3,096 03 Printing and advertising 1,008 86 Land, land damages, and buildings 123,586 18 Limestone 69,889 49 Granite 331,168 23 Insurance 1,084 50 Scows 720 00 Interest 3,500 00 Hordes, wagons, and harness 2,193 16 Taxes 3,365 66 Office furniture 67 00 Loss on bonds of the city of New York 9,296 02 South Brooklyn Steam Engine Works, on account. 3,000 00 Bodwell Granite Co., freights paid on account 10,776 07 $918,039 62 DETAILED STATEMENT OF THE RECEIPTS OF THE NEW YORK BRIDGE COMPANY, FROM MAY 1st. 1872. TO MAY 1st, 1873, TOGETHER WITH A STATEMENT OF THE AMOUNT BEOEIVED PREVIOUS TO MAY 1st. 1872. i o D. Capital Stock. Capital stock paid in as per statement of May 1, 1872 $2,762,400 00 Henry C. Murphy $4,800 00 Isaac Van Anden 2,500 00 William Marshall 500 00 Seymour L. Hosted 5.000 00 Arthur W. Benson 200 00 Alexander McCue 2,500 00 J as. S. T. Stranahan 4,700 00 John H. Prentice 500 00 The city of New York 300,000 00 The city of Brooklyn 000.000 00 Demas Barnes. 1,000 00 W. H. Vanderbilt 200 00 Abram S. Hewitt 100 00 W. H. Appleton 100 00 Lloyd Aspinwall,... 100 00 8922,200 00 §3, 084, GOO 00 Kent. 1872. Amount as per statement of May 1, 1872, $4,560 00 May 6.— W. H. Marston 82,275 00 Aug. 5.— " " 2,500 00 Nov. 7.— " " 2,500 00 Rent of 2 and 4 Market st 118 00 Dec. 0.— " " " 116 00 1873. Jan. 9.— Kent No. 2 Market st 30 00 Feb. 12.— W. H. Marston 2,500 00 10,039 00 814,599 00 Material Sold. 1872. Amount as per statement o r May 1, 1872, 82,754 So May 1.— T. C. Murray, for gas cylin- ders * 8100 00 " 3. — T. C. Murray, for gas cylin- ders 100 00 " 20. — T. C. Murray, for gas cylin- ders 100 00 June 29. — McCaffrey & AVilson, for gas cylinders 140 00 Carried forward 8440 00 82,754 85 7G Brought forward $440 00 $2,754 85 T. C. Murray, for gas cylin- deiM 200 00 July 13. — Levi Hayden, for dredge buckets 800 00 " 15. — Schooner A. M. Bird, for rope 3 00 ' : 30. — One stove, tin pails and dip- pers, old boots 26 50 Jas. Williamson & Co., pig- iron 1,624 20 Aug. 1.— N. Kane, old iron 302 18 " 5. — Lucius Hart & Co., pig lead. 7,116 54 " 6. — Premium on gold check from L. Hart & Co 1,080 00 " 15. — A. T, Briggs, cement barrels. 487 83 " 16. — A. S. Cameron & Co., one steam pump 1,000 00 " 31. — T. C. Murray, for gas cylin- ders 20O 00 Sept. 11.- A. Inslee, old iron 15 68 Phelps S: Kimpland, oak- pile 6 00 " 16. — E. Sweet & Co., on account of air compressor 2,500 00 « 20. — T. & A. Walsh, coal tar. ... 3 50 " 23. — Eclipse Lubricating Oil Co., on account of water and supply shafts 100 00 " 24.-^Bigelow Blue Stone Co.. hose 53 20 " 30. — Three barrels of cement. ... 5 25 < )ct. 2. — Fisher & Xorris, on account of boiler and fixtures. ... 50 00 " 16. — Francis Hibbard, one air compressor 1,821 00 " 17. — N. Kane, old rope - 72 36 " 21. — New York Iron Mine, one boiler ; 500 00 " 31.— T. & A. Walsh, coal tar 3 50 C. Leverich, oil barrels 3 00 James Downey, oil barrels. . 14 00 M. Walsh, " "... 4 00 J. T. Tracy, old pillows 5 62 Nov. 7. — Hussey & Howe Mining Co.. on account of compressor and fixtures 500 00 " 12.— Eclipse Lubricating Oil Co., on account of water and supply shafts 1,500 00 « 30.— Oil barrels 3 50 Cairied forward 77 Brought forward £20,440 05 Kindling wood 14 00 Dec. 4. — Fisher & Norris, balance on boiler and fixtures 467 62 5.— -Burleigh Rock Drill Co., two compressors 3,400 00 «« 6. — New Jersey State Lunatic Asylum, two boilers 1,000 00 New Jersey State Lunatic Asylum, old pipe and fix- tures 227 18 Hussey & Howe Mining Co., balance on compressors and fixtures 2,602 66 « 12 — Department of Docks, New York, granite 89 33 " 13. — Eclipse Lubricating Oil Co., balance on water and sup- ply shafts 535 24 « 31.— Old pipe 22 25 1873. Jan. 7. — J. A. Roebling's Sons, old iron 324 68 " 15. — A. T. Briggs, cement barrels. 296 24 " 30.— Rope 1 50 Feb. 8.— Old buildings on James st.. . 978 30 " 17. — T. F. Rowland, iron pipe. . . 155 31 Mar. 31.— J. D. Martin, old pipe 63 44 Kindling wood 9 00 Sand 10 00 April 30.— " 147 75 $30,875 45 Less for lightering pig-iron.. . $25 50 Less for weighing lead 50 00 Less for handling pig-iron.... 8 88 84 38 s2,7.-) l 85 Less amount added to interest account Interest. 1872. Amount as per statement of May 1, 1872. July 30. — On deposits in Atlantic Bank $618 77 Oct. 16. — On deposits in Brooklyn Trust Co 828 30 Carried forward $1,447 07 30,791 07 $33,545 92 227 20 $33,318 72 $30,321 70 $30,321 70 78 Brought forward $1,447 07 $30,321 70 Dec. 3.— -On deposits in Brooklyn Trust Co 1,870 89 1873. Feb. 8. — On deposits in Atlantic Bank 373 26 3,691 22 $34,012 92 Add amount transferred from material sold 227 20 $34,240 12 Wharfage as per statement May 1, 1872 $3,587 71 Total receipts to May 1, 1873 $3,770,345 55 I) ET AIL E I) STATE M E \ ' OF THE EXPENDITURES OF THE NEW YORK BRIDGE COMPANY, FROM MAY 1st, 1872, TO MAY 1st. 1873, TOGETHER WITH A STATEMENT <>F THE AMOUNT EXPENDED PREVIOUS TO MAY 1st, 1872. SI E. Engineering. 1872. Payments as per statement of May 1, 1872... . $12G,009 2(5 May 0.— Salaries for April 2,709 32 June 10. " " May 2,7(50 32 July 2. " " June 2,770 82 Aug. 7. " " July 2,800 32 Sept. 3. " " August 2,814 32 Oct. 8. " " September 2,805 32 Nov. 4. " " October 2,811 32 Dec. 9. " " November 2,334 82 1873. Jan. 0. " " December 2,325 82 Jan. 31. " to Horatio Allen, in full G83 33 Feb. 3. " for January 2,348 32 March 4 " " February 2,338 32 April 7. " " March : 2,343 32 Total $157,980 93 Rents. 1872. Payments as per statement of May 1, 1872... . $20,808 33 Mav 0. — Atlantic Dock Co., rent of stone yard 1,250 00 S. S. & B A Haff, " " 750 00 Brooklyn Union, " offices 825 00 Aug. 1.— " " " 825 00 " 3. — S. S. & B. A. Haff, " stone yard 750 00 7.— Atlantic Dock Co., " " 1,250 00 Nov. 0.— " " " 1,250 00 S. S. & B. A. Haff, " " 750 00 Brooklyn Union, " offices 825 00 1873. Feb. 1.— " " " 825 00 Atlantic Dock Co. , " stone yard 1,250 00 S. S. & B. A. Haff, " " 750 00 " 5. — A. Inslee. use of sidewalk and part of shop, corner of Water and Dock streets 58 33 Total $32,100 06 Office Expenses. 1872. Payments as per statement of May 1, 1872. . . $23,001 22 May 6 —Salaries for April 791 60 " 31. — Miscellaneous items 89 19 June 10.— Salaries for May 791 00 Hosford & Sons, stationery 29 80 " 11. — Brooklyn Eagle, books and stationery 49 50 " 12.— Benoit & Wood, drawing materials 20 00 Carried forward $24,779 03 82 Brought forward 824.779 03 June 19. — K. M. Whiting, Jr.. stationery 21 45 " 29. — Miscellaneous items 112 37 Juh' 2. — Salaries for June 791 G6 ' : 31. — Miscellaneous items 95 G8 Aug. 7. — Salaries for July 791 66 " 12.— Hosford & Sons, stationery 39 60 " 31. — Miscellaneous items 116 88 Sept. 3.— Salaries for August 791 66 " 10. — Benoit & Wood, drawing materials 45 70 " 30. — Miscellaneous items 81 03 Oct. 8.— Salaries for September 79166 Hosford & Sons, stationery 34 15 " 10. — Brooklyn Eagle, time books 45 00 " 31. — Miscellaneous items 144 08 Nov. 4.— Salaries for October 666 66 " 7. — Hosford & Sons, stationery 16 70 Benoit & Wood, drawing materials 25 30 30. — Miscellaneous items 67 06 Dec. 9.— Salaries for November 666 66 31. — Miscellaneous items 80 67 1873. Jan. 6.— Salaries for December 666 66 " 15. — Hosford & Sons, stationery 25 45 " 31. — Miscellaneous items 75 16 Feb. 3.— Salaries for January 666 66 " 27.— Keuffel & Esser, stationery 13 58 Expenses by Paine 568 01 " 11.— Phoenix Iron Company, iron bars.. $1,749 7G 56 92 Nov. 0. 1873. Feb. 8. " H " — 19 15 1872. j u ) v io.— Neafie&Leavy, labor on steel bars. $1,111 37 1873. Feb. 3. 461 00 1,806 68 Jane 10.— Pugsl w & Chapman, wheel-barrows 13 50 i9. —Clark, Wilson & Co., hardware w 1U n 29.— Goodyear India-rubber Glove Manufacturing Co., rubber coat J uu u 29 — Wm. Taylor & Sons, iron work.... $5 49 July 2'. " " w 227 14 An£ 7 " " 4i •••• 16057 Oct 8 " " 4i .... 41 29 Dee 11 » " " - 22 90 476 54 1.572 3" 1872. j u i v 6.— P. M. McGovern, storage of timber 30 00 » 5.— J. H. Telfair & Co., oil $28 20 1873. April 9- " 1 " ^ 69 50 1872. July 30.— Jas. McFarlan, Jr. , repairs to boiler $5 00 1873. Jan. 31. " • " 2 40 ? 40 1872 ' July 30. — A. M. Ingersoll, oars, etc 5 34 Aug. 9.— C. B. Hardick & Co., rep'ng pumps $78 77 Carried forward $836,959 99 91 Brought forward $78 77 $806,959 99 Nov. 30.— C. B. Hardick & Co., rep'ng pumps 10 45 89 22 Aug. 8.— T. & A. Walsh, stone $614 90 Bept. 20. " " 929 00 1,648 90 Aug. 8.— J. Cochrane, Ag't, lewises and bolts $498 20 Oct. 9. " 38 40 53G 60 Aug. 7.— New York and Brooklyn Saw-Mill and Lum- ber Co.. sawing timber 270 08 Aug. 31. — Jas. L. Moore, repairing harness. . $1108 1873. Jan. 1G. " 44 ... 11 70 22 78 1872. Aug. 31. — E. Lyon, packing $4 50 Sept. 30. " " 3 00 1873. Feb. 27. " 44 6 00 13 50 1872. Aug. 31.— Van Pelt & Moore, oiled clothing 90 " 31. — Salamander Grate-Bar Co., grate bars $13 8G Oct. 2G. " " " 19 34 33 20 Sept. 10.— Thos. Leslie, speaking-tubes, etc 68 00 44 18.— Fowler. Crampton & Co., oil $39 90 1873. April 9. 44 " 44 41 75 81 65 1872. Sept. 23. — Nicholas Kane, rope, canvas, etc 44 95 44 12.— D. W. Richards & Co., iron rails 141 05 " 30.— R. I. Powell, tin-ware 2 00 44 30. — Richardson, Boynton ct Co., repairing stove 1 50 Oct. 2G.— Isaac G. Johnson & Co., iron sockets $43 23 Dec. 19. " 44 " 36 92 80 15 Oct. 8.— John Merry & Co.. galvanizing... . $33 23 Nov. 11. " 44 " .... 33 85 67 08 Oct. 10 — Eckford Iron Works, iron cleats 18 90 44 10.— Thos. Weddle & Co., paint 68 58 " 11.— J. B. Carr & Co., chain 33 88 44 8. — Phelps &Kimpland, rafting timber 10 93 Nov. 9. — Ebenezer Smith, hard-wood rollers 15 00 Carried forward $810,115 90 <)2 Brought forward $810,115 90 Nov. 9.— Hoffman & Co., cement 15 00 " 6.— C. W. Comins, roofing 165 CO " 30.— C. Donohue, horse-shoeing $11 99 1873. April 30. " " 7 48 19 47 1872. Nov. 30.— Mica Roofing Co.. felting $4 00 Dec. 31. " " 2 00 C 00 Nov. 30. — C. F. Ketcham, parchment 4 40 Dec. 24. — W. K. Hinman & Co., ship-chand- ler's supplies $40 27 1873. April 7. " " 15 88 50 15 1872. Dec. 9.— Cooper, Hewitt & Co., railroad iron 75G 99 " 9.— Wm. Wharton, Jr., steel rails, etc. $2,026 22 1873. April 8. " " " 300 00 2,326 22 1872. Dec. 10. — John Moss, patterns 18 50 12.— Nugent & Fanning, dies 39 00 " 17. — Benjamin nay wood, railroad iron 36197 " 20.— W. Ames & Co., spikes 118 50 " 11.— Midvale Steel Works, steel bars, plates, etc. 8,867 40 " 31. — John Bowie, brass castings 3 38 " 31.— Tuck, French & Goddard, drill socket $6 66 April 30. " " " 10 58 17 24 Dec. 31.— E. W. Barnes, plank 4 50 1873. Jan. 17. — M. J. Brien, plumbing work 24 10 Jan. 13.— G. C. Ehrsam, iron work $58 62 April 8. " " 14 40 73 02 Jan. 10.— Murphy & Co., iron swivels 378 00 " 10.— James Binns, car wheels $753 30 Mar. 6. — " " axles, rails, etc Ill 40 864 70 Jan. 31. — Christian & Hughes, cement 18 00 Feb. 27.— F. Hoffmann, belting $1 97 April 7. " " 21 96 23 93 Feb. 27.— R. H. Allen & Co., wheel and hook 2 20 Carried forward $824,280 23 93 Brought forward $824,280 28 Feb. 27.— C. & R. Foil Ion, spruce poles 4 00 Mar. 4. — Francis Pidgeon, removing sand $55 00 April 11. " " " " 346 00 401 00 Mar. 10.— W. M. Tebo, dredging 250 00 Mar. 11. — David Fithian, sashes and doors... $28 00 April 9. " " " 74 05 102 95 Mar. 14.— Chronic Steel Company, steel $177 90 Apl. 29.— " " " " " 35 00 212 96 .Mar. 31.— Union Chemical Works, felting 9 88 April 30. — W. C. Kingsley, keeping 1 horse 19 months... 475 00 " 7. — George Hudson & Sons, plumbing 171 03 " 8. — Marshal LeffertS, Jr., galvanizing 17 29 " 9.— J. A. Boukcr & Co., use of scows 217 00 " 9. — Union White Lead Manufacturing Co., white and red lead 37 90 " 30. — Jacob Out water, iron doors, etc 315 00 " 30.— W. C. Kingsley, salary from July 12, 1872, to April 1. 1873 7,166 66 1872. May 28.— N. Y. Gas-Light Co. , gas $375 00 June 19. " " " 267 60 Aug. 14. " " " 186 60 Sept. 23. " " " 35 10 864 30 June 11. — Nassau Water Department, water 80 47 April 30.— J. W. Kissam, one mouth-piece 1 50 Miscellaneous Items. 1872. May 28. — From pettv cash account $3 50 June 29. " " " 31 73 July 31. " " 13 45 Aug. 31. " " 30 Sept. 30. " " 54 75 Oct. 31. " " 78 50 Nov. 30. " " 2 90 Dec. 31. " " 58 52 1873. Jan. 10. " " 7 50 " 31. " " 2 50 Feb. 4. " " 27 00 " 27. " " 42 44 Mar. 31. " " 162 58 485 67 835,092 84 Less discount from Eggleston Bros. & Co $103 66 " J. H. Mumby 50 104 16 Total $834,988 68 1)4 Contingent Expense-. 1872. Payments as per statement of May 1, 1872... 810.159 79 May 7.— Dr. A. H. Smith, for sernc «, Mar. and April 320 00 44 H. — Funeral expenses of John Meyer 43 so 31.— Dr. A. H. Smith, for services in May 167 00 Donation to widow of Patrick McKay 100 00 Funeral expenses of " " " 60 00 Medical services of " " 5 00 " C. H. Palmer 25 00 Thos. Derby 2 00 Medicines and food for sick men 24 20 June 10. — Funeral expenses of D. Riordan 60 00 -12.— - " of L. Walsh 50 00 29.— Donation to Mrs. Pat Hesler 20 00 44 Mrs. Griffith 40 00 Medicines and carriage hire 18 10 July 2. — Dr. A. L. Vandewater. for services in June... 160 00 " 5. — Funeral expenses of Chas. Brown 61 50 •• 31.— Donation to John Kelly 50 00 Medicines and carriage hire 15 45 Aug. 8. — Dr. A. L. Vandewater. for services in July... 150 00 44 31. — Medicines and doctor's bill 31 75 Sept. 30.— Donation to Pat Hesler 20 00 Oct. 12. — E. L. Alexander. expenses in reference to • -Waterman's patent " 323 40 " 31. — Dr. A. L. Vandewater. for services 10 00 C. C. Martin, expenses to Boston 22 50 Nov. 6. — S. A. Holmes, photographs of works 169 00 44 7. — E. B. Valentine, framimr pictures of Bridge. 19 50 " 33.— Donation to Pat Hesltrr. 5 00 4 B. Higgins 25 00 Medical services and medicines 11 00 C. C. Martin, expenses to Philadelphia 13 Sp 1873. Jan. 9. — Keller ifc Blake, retainer fee " in suit of J. B. Eads"... 500 00 . 44 20.— Dr. J. T. Conklin, for services 133 00 Feb. 3. — Estate of Dr. Georg? Cochran, for services. . 32 00 44 13— T. W. Shearman, f or privilege of erecting guy post..: 50 00 August Otto, forprivilege of erecting guy post 75 00 i% 25. — Andrew Burke, fixtures, and possession of shop in James street Market 100 00 44 23. — G. W. Mumby. for fixtures, and possession of stable in James street Market 125 00 " 27.— Donations to poor families for removing from James street 27 50 April 8. — E. B. Valentine, framing three large drawings 26 00 •• 30. — Carriage hire to hospital for medicine 7.. 4 00 Total £13,254 89 Tools. 1872. Payments as p r statement of May 1, 1872. ... $18,684 18 May 28. — E. Lvon 280 00 '« 15.— Old Colon v Iron Go 7(5 00 • 15.— Wm. A. Dodire A: Co 40 50 " 15.— H. Boker & Co *17 08 June 13. " 11 59 Sept. 23. " 13 86 1873. April 23. " 36 00 78 53 1872. May 15.— Hyatt & Spencer 22 80 M 15.— Clark. Wilson &Co $232 70 June 10. " " 92 07 Aug. 14. " " 58 23 Sept. U. " " 40 17 Nov. 7. " " 20 22 1873. Jan. 17. " " 64 20 April 9. " " 116 45 644 04 1873. May 31.— J. W. Kissam 6 25 '* 31.— Davis & Hiker 3 00 '? 81.— Pugsley & Chapman $9 00 July 30. " 9 00 18 00 Mav 31.— Wm. Porter's Sons 5 30 Aug. 12. — R. H. Allen & Co 22 40 Sept. 30.— Swan & Brombacher 4 00 V 30.— Fitter & Lins 82 60 1873. April 30. " " 4 13 6 73 1872. Nov. 7.— H. G. Healy 129 20 Dee. 30.— James O. Morse 17 25 i; 30.— W. H. Paine 12 50 1873. Jan. 11.— W. L. Chase & Co 365 75 " 17. — W. K. Wood & Co 29 23 " 31.— P. A. Frasse & Co 8 50 P. C. Coffin & Co 10 so 1872. Oct. 31.— R. L Powell 2 o 31.— J. A. Tucker 2 30 1873. Mar. 4. — Ebcnezer Smith 15 30 Carried forward Brought forward $15,434 56 April 14.— Ebenezer Smith 20 40 " 30.— Swett & Co 9 00 Total $15,403 90 Laboe. 1872. Payments as per statement of May 1, 1872.. . $369,002 70 May 6.— Pay roll to May 2 9,664 54 il 18. " " 16 9,400 38 June 1. " " 30 11,584 26 " 15. " June 13 12,496 88 " 29. " " 27 12,342 34 July 13. " July 11 9.230 85 " 27. " 4i 25 7,695 63 Aug. 10. " August 8 6.614 51 " 24. " " 22 6,353 67 Sept. 7. " September 5 6.869 07 " 21. " " 19 6,393 68 Oct. 5. " October 3 5.667 02 " 19. " " 17 5,685 16 Nov. 2. " " 31 4,377 98 "16. " November 14 4,156 45 " 30. " " 28 4,020 62 Paid B. Sigismund 5 00 Dec. 14.— Pay roll to December 12 3,875 11 " 28. " " 20 2,339 69 1873. Jan. 11. " January 9 1,876 03 " 25. " " 23 1,865 74 Feb. 8. " February 6 1,778 54 " 21. " " 20 2,340 71 Mar. 8. " March 6 2,896 72 " 22. " " 20 4,596 87 " 24. — John Stevenson, on account of mason work... 150 00 " 29.— W. T. J. Sankey, " " ... 100 00 April 5.— Pay roll to April 3 5,776 43 " 12. — John Stevenson, on account of mason work... 200 00 " 19.— Pay roll to April 17 7,090 71 John Stevenson, on account of mason work... 100 00 " 22.— W. T. J. Sankey, balance of mason work 273 00 $528,098 35 Less received for labor 1,144 72 Total $526,953 03 Machinery. 1872. Payments as per statement of May 1, 1872.... $108,154 19 June 10. — Pioneer Iron Works, one concrete mixer 330 00 " 11. — Burleigh Rock-Drill Co., two compressor valves 16 50 Carried forward $108,500 69 97 Brought forward #108,500 69 July 8. — Feteler Portable Railroad Co., two rail cars * 1 1 5 00 Peteler Portable Railroad Co., one turn-table 02 65 177 65 6, — Divine Burtis, Jr., repairs to pile-driver 145 80 Nov. 11. — Louis Osborn & Co., one double hoisting engine 2,575 00 44 30. — C. II. Delamater, two 48-inch shieves and fixtures 270 13 1873. Feb. 3. — Louis Osborn «fc Co., one double hoisting engine 2,550 00 Jan. 10. — James Binns, car v\ heels, axles, etc 6G1 72 Mar. 6. — James Binns, truck wheels, axles, etc 1.003 77 April 14. — W. L. Chase & Co., lathe, chuck, and dogs... 021 74 Total $116,512 00 Freight, Cartage, and Towage. Payments as per statement of May 1, 1872 $9,617 06 1872. A. C Nicker son. May 24.— Towing scows in April $194 00 Jane 11. " " 41 May 175 00 July 9. " " " June 132 00 Aug. 30. " > ; " Julv 314 00 Sept. 12. " " " August 379 00 Oct. 9. " " 44 September 427 00 Nov. 5. 44 44 44 October ." 350 00 Dec. 1 1. 44 44 44 November 259 00 1873. Jan. 13. 44 44 ' 44 December, 1872. 87 00 Mar. 12. 44 " 44 February 8 00 April 16. " 44 44 March G9 00 12.011 06 1872. May 31. — Sundry items from petty cash 21 87 June 22.— Freight on steel bars from Philadelphia 90 05 Aug. 31.— Sundry items from petty cash 4 50 Sept. 30. 44 44 44 44 44 9 60 Oct. 31. 44 ' 4 4 4 44 2 60 Nov. 8.— Hauling timber at Brooklyn tower 15 00 " 30. — Sundry items from petty cash 2163 Dee. 10.— J. D. Martin, bill of cartage 66 75 Marston & Son, use of horse and cart 8 25 ;i 31. — Sundry items from petty cash 118 58 1873. Jan. 10. — Marston & Son. carting material 51 90 11.— J. D. Martin, bill of cartage 55 00 Carried forward $12,476 79 7 98 Brought forward $1 2,47(5 79 Jan. 31. — Freight on steel plates from Philadelphia 40 32 Feb. 4. — J. D. Martin, bill of cartage 56 50 4i 27. — Freight on sundries ('» 65 |[a£ 21.— J. D. Martin, bill of cartage 60 00 " 31. — Freight on sundries 20 20 •• 31.— J. D. Martin, bill of cartage 33 00 April 22.— Marston & Son, 24 00 " 12.— J. D. Martin, " in March 45 50 " 30. — Freight on iron bars 16 33 Towing timber from basin 11 00 $12,790 20 Less received for freight 77 20 Total #12,713 09 Printing and Advertising. 1872. Payments as per statement of May 1, 1872. ... $1,092 51 June 11.— Advertising notice of election 322 18 Julv 31.— ' ; " 12 50 Aug. 8.— Printing reports 300 00 specifications for stone 13 50 Advertising for proposals for stone 9 00 Aug. 14. — " old material for sale 44 00 ** 31. — " for proposals for stone 10 00 Sept. 11.— " " " 94 50 " 30.— " old material for sale 18 30 Nov. 30.— " " 8 50 Dec. 20. — Printing specifications for iron work 19 75 1873. Apr. 7.— Brooklyn Eagle, specifications, etc 46 50 8. — J. N. Hudson, advertising for proposals 102 13 " 30.— Brooklyn Union. " " 8 00 $2,101 37 Land. Land Damages, and Buildings 1872. Payments as per statement of May 1, 1872... $ 332, 673 65 Oct. 30. — M. G. O'Brien, on account of property in James and Market sts 9,268 17 • • 3i. — Aj rs . Bella Palmer, on account of property in James st 50 00 M. G. O'Brien, on account of property in James and Market sts 108 78 ]S[ OY> 4. — jj. G. O'Brien, on account of property in James and Market sts 4,116 65 7. — A. G. Wust. on account of land corner Front and James sts 7,018 14 A. G. Wust, on account of land corner Front and James sts '.. 481 86 Carried forward $353,717 25 99 Brought forward IW9»717 35 Nov. 30. — M. G. O'Brien, on account of land in Janu s and Market sts 6 40 Dec. 81. — Mrs. Bella Palmer, on account of property in James st 25 00 1873. Jan. 28. — Silas Ludlam, appraiser of land at Fulton Ferry, Brooklyn WO 00 John Studwell, appraiser of land at Fulton Ferry, Brooklyn 250 00 R. Sands Tucker, forpropert y in James St.... 1,250 00 MaryMcGrath, i; .... 2,750 00 John McKague, " .... 340 00 George G. Sickles. " .... 12.090 00 James Campbell, " .... 8,810 00 James Larkins, " .... 90 00 Ray, Forder&Co., " .... 10,850 00 Wm. C. Barrett. " .... 7.504 17 Henry Lewis, tl .... 1,245 83 Mason & Yon An. " .... 11. GOO 00 John W. Dawson, " .... 50 00 Oscar Freigang, " .... 06 Geo. F. Bonn," " .... 00 Thos. McGrath, " .... 06 The city of Brooklyn, for James st. Market property 25,000 00 Mrs. Bella Palmer, balance for property in James st 3,425 00 Silas Ludlam, fee as appraiser 500 00 Isaac Badeau, " 500 00 Wm. J. Osborne, " 500 00 Jan. 31. — John T. Martin, appraiser of property at Pier 29, N. Y 250 00 John Prentice, appraiser of property at Pier 29, N. Y.. 250 00 Feb. 15. — John L. Brown, on account of property bought of the city of New York at Pier 29 15,000 0( I Total .$450,259 83 1873. May 1. — Amount due on property bought of W. H. Marston (bond and mortgage) 850.000 00 Amount due John L. Brown, Feb. 13. 1874. on property bought of city of New York./. 815.000 00 Amount due city of New York on property located m Brooklyn... 8160,000 00 Amount due city of New York on property located at Pier 29, New York 842.000 00 KM) Amount due the Bridge Co. from the city of New York, for in- stallments on capital stock $202,000 00 Lime Stone. 1872. Payments as per statement of May 1, 1872... . $171,277 09 May 9.— Noone & Co $20,162 13 June 12. 44 8.272 70 July 16. " 12.077 53 40,512 36 June 20.— Lake Champlain Blue Stone Co $3,050 GO July 10. " " 12,401 19 Aug. 1G. " " 2.921 34 Sept. 30. • " 3,349 96 Oct. 31. " " 535 35 Nov. 30. " " 558 62 22.823 00 June 13.— Read Morrell G. 554 07 Total $241,166 58 GliAXlTE. 1872. Payments as per statement of May 1. 1872... . $871,957 44 .May 1.— Freight charged Bod well, Webster & Co. . as per statement of May 1, 1872 $2,232 71 " 1.— Bodwell, Webster & Co., freight... 209 89 " 6. 44 " " ... 4.205 66 " 7. 44 " " ... 471 69 44 8. " " " ... 437 14 " ... 447 68 44 9. 44 " " ... 486 00 " 10. " " cashonacc't 10.416 01 44 14. " 44 freight... 425 89 " 15. 44 " " ... 1.184 62 " 18. u 44 " ... 445 50 " 20. " " " ... 377 35 " 22. " 44 44 ... 154 82 44 24. 44 44 44 ... 535 98 44 31. " " " ... 464 42 June 1. 44 " 44 ... 345 86 44 5. 44 44 44 ... 804 05 44 7. " 44 44 ... 744 28 44 8. 44 44 44 ... 860 00 44 10. 44 " 44 ... 419 00 cash onacc't 22.224 73 • 4 15. 44 44 freight... 1.796 99 44 17. 44 44 44 ... 298 57 44 20. " 44 44 ... 145 00 44 22. 44 44 44 ... 780 42 44 25. " 44 44 ... 806 28 44 26. 44 44 44 ... 470 57 Carried forward $52,191 11 $371,957 44 101 Brought forward $52,191 11 $371,957 44 June 87.— Bodwell, Webster A: Co., freight.*. 2(>4 28 " 28. " 44 44 ... 961 29 " 29. " " " ... 218 85 July 2. " ' " " ... 90G 57 "8 " " 44 133 75 " " cash on acc't 21.919 39 "9. " 44 freight... 800 00 " 10. " " " ... 1,582 52 " 11. " " " ... 200 00 " 13. " 44 " ... 1,430 89 " 17. " " 44 ... 350 25 44 18. 44 " 44 ... 346 00 44 19. 44 44 44 ... 341 15 44 22. 44 44 44 ... 885 87 44 24. 44 44 44 ... 670 62 44 ... 908 04 " 30. 44 ' 4 labor 77 02 44 31 . 44 - 4 freight... 195 18 Aug. 3. 44 44 44 ... 363 12 " 7. 44 44 44 ... 296 50 44 9. 4 4 44 cash on acc't 31,203 40 k - 10. " 44 freight... 675 75 " 12. 44 44 44 ... 1,032 19 44 14. " 44 44 ... 348 13 44 15. " 44 " ... 422 00 44 19. 44 44 44 ... 339 25 44 24. 44 44 44 ... 380 38 " 29. 44 44 labor 37 20 44 31 . 44 44 freight... 1.004 38 Sept. 2. 44 ... 176 68 44 3. 44 44 44 ... 695 75 44 4. 44 44 44 ... 723 38 44 7. 44 44 44 ... 506 37 44 10. 44 44 44 ... 450 37 44 11. 44 44 44 ... 295 00 4 4 4 4 cash on acc't 21,661 75 44 12. 44 44 freight... 194 37 44 13. 44 44 44 ... 541 25 44 14. 44 44 44 ... 363 88 44 16. 44 44 44 ... 375 00 44 25. 44 44 44 ... 630 50 44 28. 44 44 44 ... 500 00 Oct. 2. 4k 44 44 ... 275 00 44 3.— Bodwell Granite Co., 44 ... 491 50 44 8. 4 4 44 cash on acc't 18,932 16 44 10. 44 44 freight... 1.100 00 44 11. 44 44 " ... 432 28 44 16. 44 44 44 ... 1.000 85 44 22. 44 44 44 .. 1,005 35 44 24. 44 4 4 44 ... 44 8 57 • 4 25. 44 44 44 ... 380 85 44 26. 44 44 44 ... 404 28 Nov. 1. 44 44 44 ... 834 75 44 4. 44 " cash on acc't 34,114 17 44 6. 4 4 44 freight... 450 00 Carried forward 6207,469 14 $371,957 44 102 Brought forward $207,469 14 $371,957 44 Nov. 8.— Bod well Granite Co.. freight... 926 73 " 9. " " " ... 437 46 " 16. " " " ... 514 00 " 25. " " "... 300 00 " 30. " " " ... 1.772 58 Dec. 2. " " " ... 1.527 09 " 4. " ... 400 00 " 5. " " " ... 475 07 " ... 274 50 " 9. " " cash on acc't 17.548 69 "13. •• " freight... 993 53 " 16. " " " ... 562 17 " 18. " " " ... 537 10 " 23. " " " ... 719 84 " 24. " " " ... 1.476 10 " 26. " " " ... 363 85 " 27. " " " ... 1.355 55 " 28. " " " ... 473 48 " 31. " " labor 639 90 1873. Jan. 8. • " cash on acc't 18.814 25 " 9. " " freight... 430 28 " 10. " " " ... 549 80 " 14. " " " ... 922 50 " 25. " " " ... 323 84 " 28. " . " " ... 321 10 " 31. " " cartage.. 3 00 Feb 3. " " cash on acc't 31.246 72 " 1.-,. " " freight... 1.015 35 " 18. " " " ... 926 40 " 20. " " " ... 375 89 March a " " "... 385 71 " 4. " " " ... 437 33 " cash on acc't 5.202 00 "8. " " freight. . 105 35 " 15. " " " ... 423 21 " 18. " " cash on acc't 500 00 "19. " " freight... 465 53 " 24. " " " ... 511 78 " 28. " " " ... 521 60 " 29. " " " ... 332 13 " 31. " " " ... 436 40 April 1. " " " ... 382 62 - 2. " " " ... 497 85 " T. " " cash on acc't 8.710 83 995 54 313.603 79 1872. May 1 1 . —Pierce & Ro we . freight $249 46 • : 22. " " 333 04 June 14. " cash 1.230 27 " 20. " freight 325 72 Julv 8. " " 215 89 Carried forward $2,354 38 $685,561 28 L03 Brought forward £2 351 3s £085.501 23 July 10.- Pierce & Howe, freight 381 2ft " cash 088 17 18 •• freight 154 72 •• 19. " " 259 60 44 24. " 187 57 81. " " 104 79 Aug. 9. M cash 2,782 7!) 0.803 88 May 17.— Jos. Wescott & Son. freight £313 57 June 4. 44 " 428 70 « 10. - cash 2.213 84 "15. •• freight 450 85 July 10. " cash 1.394 70 ••15. •• freight 482 00 •• 17. 44 4 " 428 5G •• 19. " 44 308 00 Au<'\ 9. " cash 3.375 33 • : 29. 44 freight 318 14 1873. Feb. 3. 44 cash 987 42 10,701 11 Total £703.125 67 Insurance. 1*72. Payments as per statement of May 1, 1872. ... £1.441 87 Dec 31.— On buildings in Market and James streets 21 00 1873. Feb. 3.— Builder's risk on 21 Water street 16 00 On property Water street. Brooklyn, and Pier 29. New York 1.047 50 Total £2.520 37 Scows. 1872. Payments as per statement of May 1. 1872. ... £27,940 57 May 7.— T. A. Scott, raising sunken scow at Pier 29. . 200 00 Divine Burtis, Jr., repairing scow 247 07 Oct. 9.— 44 44 in August.... 148 14 4 4 4 4 in September 124 79 Total £28,000 57 Interest. 1872. Payments as per statement of May 1, 1872. ... £1.998 S<> Aug. 1. — On bond and mortgage to Bowery Savings Bank, 6 months, to date 1.750 00 Carried forward $8,748 89 104 Brought forward $3,748 89 1873. Feb. 1.— On bond and mortgage to Bowery Savings Bank, 6 months, to date 1,750 00 Total $5,498 89 Horses, Wagons, and Harness. 1872. Payments as per statement of May 1, 1872. ... .$1,762 18 Aug. 7.— W. B. Davis, repairing wagon $90 00 Oct. 15.— Brewster & Co., " 97 50 31.— W. B. Davis, " 4 65 1873. April 7.— xV. Strauss, seven horses 1,800 00 " 8. — J. L. Moore, six sets harness, etc.. 159 01 Thomas Moore, six collars 42 00 2,193 16 Total $3,955 34 Taxes. 1K72. Payments as per statement of May 1, 1872. ... $3,772 76 Dec ] 28.— Taxes on Pier 29, for 1872 $203 11 " 30. — Taxes on property bought of W. II. Marston, for 1872 1,687 60 Taxes for 1872 on property bought of Union Ferry Co 1,065 86 Taxes on property corner of Front and James streets, Brooklyn, for 1872 177 64 Taxes for 1872 on property in James and Market streets, Brook- lyn 227 39 " 31.— Default on taxes for 1872, at Pier 29 4 06 3,365 66 Total $7,138 42 Office Furniture. 1872. Payments as per statement of May 1. 1872. ... $5,337 23 j une 13. _J. W, Vandewater, one desk $38 00 July 17. — J. W. Kissam, two water-coolers... 29 00 67 00 Total $5,404 23 Bonds of the city of New York bought at par $248,000 00 Net proceeds of sales of above bonds 238,703 98 $9,296 02 105 Bodwell Granite Co., freight <>n stone deliv- ered in April , *io.77<5 07 South Brooklyn Steam Engine Works, on ac- count of anchor-plate No. l $8,000 oo Total expenditures to May 1, 1873 $3,573,196 40 JOHN II. PRENTICE, Treamrer. O. 1\ QUINTAttD, Secretary. F. Cash Kkckiyko in .May. 1ST:}. On capital stock $500 <> - For material sold 4,98G 27 il rent 2.500 00 li interest 2.508 17 " labor 77 (50 " discount on bill of iron 10 92 Total #10,577 90 Cash on hand May 1. 1878 197,149 15 Total #207,727 11 Cash expended in May, 1873 89,685 71 Cash on hand June 1, 1873 £1 18.041 40 Cash in Brooklyn Trust Co.. June 1 $109,293 28 il in Atlantic State Bank. " 5.510 OS " in Long Island Bank, " 2.575 20 on hand in petty cash, " (502 84 Total #118,041 40