A man had been accidentally shot in the chest by another man with a gun on the Ogowé. The native doctor who was called in made a perpendicular incision into the man's chest, extending down to the last rib; he then cut diagonally across, and actually lifted the wall of the chest, and groped about among the vitals for the bullet which he successfully extracted. Patient died. No anæsthetic was employed.
I came across a minor operation. A man had broken the ulna of the left arm. The native doctor got a piece—a very nice piece—of bamboo, drove it in through the muscles and integuments from the wrist to the elbow, then encased the limb in plantain leaves, and bound it round, tightly and neatly, needless to say with tie-tie. The arm and hand when I saw it, some six or seven months after the operation, was quite useless, and was withering away.
Many of their methods, however, are better. The Dualla medicos are truly great on poultices for extracting foreign substances, such as bits of iron cooking-pot—a very frequent form of foreign substance in a man out here, owing to their being generally used as bullets. Almost incredible stories are told by black and white of the efficacy of these poultices; one case I heard from a reliable source of a man who had been shot with fragments of iron pot in the thigh. The white doctor extracted several pieces and said he had got all out, but the man still went on suffering, and could not walk, so, at his request, a native doctor was called in, and he applied his poultice. In a few minutes he removed it, and on its face were two pieces of jagged iron pot. Probably they had been in the poultice when it was applied, anyhow the patient recovered rapidly.
Baths accompanied by massage are much esteemed. The baths are sometimes of hot water with a few herbs thrown in, sometimes they are made by digging a hole in the earth and putting into it a quantity of herbs, and bruised cardamoms, and peppers. Boiling water is then plentifully poured over these and the patient is placed in the bath and is covered over with the parboiled green stuff; a coating of clay is then placed over all, leaving just the head sticking out. The patient remains in this bath for a period of a few hours, up to a day
