One of us is now invited to extend a hand close to the tube. The operator then holds on the near side of the hand his fluorescent screen, which is nothing more than a framework supporting a paper smeared on one side with platino-cyanide of barium, a chemical that, in common with several others, was discovered by Salvioni of Perugia to be sensitive to the rays and able to make them visible to the human eye. The value of the screen to the X-radiographer is that of the ground-glass plate to the ordinary photographer, as it allows him to see exactly what things are before the sensitised plate is brought into position, and in fact largely obviates the necessity for making a permanent record.
The screen shows clearly and in full detail all the bones of the hand—so clearly that one is almost irresistibly drawn to peep behind to see if a real hand is there. One of us now extends an arm and the screen shows us the ulna and the radius working round each other, now both visible, now one obscuring the other. On presenting the body to the course of the rays a remarkable shadow is cast on to the screen. The spinal column and the ribs; the action of the heart and lungs are seen quite distinctly. A deep breath causes the movement of a dark mass—the liver. There is no privacy in presence of the rays. The enlarged heart, the diseased lung, the ulcerated liver betrays itself at once. In a second of time the phosphorescent screen reveals what might baulk medical examination for months.
If a photographic slide containing a dry-plate be substituted for the focusing-screen, the rays soon penetrate any covering in which the plate may be wrapped to protect it from ordinary light rays. The process of taking a shadowgraph may therefore be conducted in broad daylight, which is under certain conditions a great advantage, though the sensitiveness of plates exposed to Röntgen rays entails special care being taken of them when they are not in use. In the early days of X-radiography an exposure of some minutes was necessary to secure a negative, but now, thanks to the improvements in the tubes, a few seconds is often sufficient.
The discovery of the X-rays is a great discovery, because it has done much to promote the noblest possible cause, the alleviation of human suffering. Not everybody will appreciate a more rapid mode of telegraphy, or a new method of spinning yarn, but the dullest intellect will give due credit to a scientific process that helps to save life and limb. Who among us is not liable to break an arm or leg, or suffer from internal injuries invisible to the eye? Who among us therefore should not be thankful on reflecting that, in event of such a mishap, the X-rays will be at hand to show just what the trouble is, how to deal with it, and how far the healing advances day by day? The X-ray apparatus is now as necessary for the proper equipment of a hospital as a camera for that of a photographic studio.
It is especially welcome in the hospitals which accompany an army into the field. Since May 1896 many a wounded soldier has had reason to bless the patient work that led to the discovery at Würzburg. The Greek war, the war in Cuba, the Tirah campaign, the Egyptian campaign, and the war in South Africa, have given a quick succession of fine opportunities for putting the new photography to the test. There is now small excuse for the useless and agonising probings that once added to the dangers and horrors of the military hospital. Even if the X-ray equipment, by reason of its weight, cannot conveniently be kept at the front of a rapidly moving army, it can be set up in the “advanced” or “base” hospitals, whither the wounded are sent after a first rough dressing of their injuries. The medical staff there subject their patients to the searching rays, are able to record the exact position of a bullet or shell-fragment, and the damage it has done; and by promptly removing the intruder to greatly lessen its power to harm.
The Röntgen ray has added to the surgeon’s armoury a powerful weapon. Its possibilities are not yet fully known, but there can be no doubt that it marks a new epoch in surgical work. And for this reason Professor Röntgen deserves to rank with Harvey, the discoverer of the blood’s circulation; with Jenner, the father of vaccination; and with Sir James Young Simpson, the first doctor to use chloroform as an anæsthetic.
Photography in the Dark.
Strange as it seems to take photographs with invisible rays, it is still stranger to be able to affect sensitised plates without apparently the presence of any kind of rays.
Professor W. J. Russell, Vice-President of the Royal Society of London, has discovered that many substances have the power of impressing their outlines automatically on a sensitive film, if the substance be placed in a dark cupboard in contact with, or very close to a dry-plate.