242
[16th witness
Philip Francis Shelsley Court.]
1123.
44
I want to ask you a question about each of those wounds. I will take them in the reverse order. Can you express any opinion how the injury to the right foot might have been caused? I cannot be certain about how it was caused. 1124. Taking the second injury you told us about, the lacerated wound in front of the
left leg, can you express any opinion how that wound might have been caused? cannot say definitely.
I
1125. Lastly, taking the injury to the left foot, can you express any opinion how that might have been caused? It is a type of injury which one does not often see, in that the instep was torn away.
1126. Chairman: The whole of the instep including the bony structure?
of the instep including the bones the instep was torn away.
1127. Which requires great force? Yes.
The whole
1128. Mr. Whyatt: Can you express any opinion what sort of force might have caused this injury? It is consistent with a shell wound, I imagine, or a blasting wound or something of that sort.
1129. Did you take an X-ray photograph of the injury to the left foot? I had it done. 1130. Can you produce that photograph? Yes. (Photographs produced).
1131. Mr. Whyatt: Would it be convenient to mark those photographs as exhibits,
Mr. Chairman ?
1132. Chairman: They will all be exhibited.*
1133. Mr. Whyatt: Have you a copy yourself? Those are the only X-ray photographs
I have.
Do 1134. I just want to ask you a question about them.
of those photographs you any have there disclose the presence of a foreign body? They all do. 1135. Can you express any opinion as to the nature of that foreign body? They suggest
metallic fragments. The pictures suggest metallic fragments.
1136. Why do you say metallic rather than for example wooden fragments?
that
I say because the density of the shadow is that which is more like metal than wood. 1137. Can you illustrate that answer from anything in the photographs which you assume to be a wooden fragment? Yes, there is a metal frame in this photo- graph, and in a subsequent X-ray photograph I have the shadow of a wooden fragment.
1138. Of the same patient? Not of the same patient, but it does indicate the shadow
of wood.
I did not. 1139. Did you attempt to remove those foreign bodies? 1140. Tell us why. They are too small, and it would be difficult to find them in the
depths of the leg. It would be quite impossible to find them.
1141. What was the treatment which you thought necessary to apply to those wounds? The wounds were very severely septic. It was necessary to amputate the front part of the foot; for the rest we applied medical treatment with the object of cleaning them up.
1142. Chairman: On what day did you amputate? On the 2nd of October.
1143. Mr. Whyatt: What was the condition of the patient after the operation was
performed? He was severely ill, and septic.
1144. Did he remain under your care? He did.
1145. And what happened eventually? He died yesterday.
1146. As a result of these wounds, I take it? As far as I can say at the moment I have
not done the post mortem examination as yet.
1147. That is in all probability the cause of death? That is in all probability the cause
of death.
Exhibits P.F.S.C. I-VI (not reproduced).
45
[16th witness
Philip Francis Shelsley Court.]
1148. Will a post mortem examination be held? Yes. 1149. (The Chairman inquired of the witness whether Dr. Begbie or the witness himself would perform the post mortem examination, and the witness intimated that in all probability he himself would.)
1150. So much for that patient. Did you receive under your care another Chinese
patient on the 14th October, a woman named Chan Kwai-kam ? I did.
Yes. 1151. On the 14th October?
1152. Could you give me some idea of her age? Her age is about 27. 1153. What was she suffering from? She was suffering from two wounds on the right knee, one on the inner side of the knee just above the level of the knee-cap, and the other a small wound on the outer side just above the level of the knee joint. 1154. Taking the first wound you told us about, can you give us the dimensions of
that wound? It was about one and a quarter inches in diameter.
1155. Chairman: That is, externally? The diameter of the skin part of the wound was
about one and a quarter inches.
1156. Round? It was an irregular circle.
The
1157. Mr. Whyatt: Could you give us any idea of the depth of that wound?
bigger wound went through into the knee joint and shattered the lower end of the femur-the depth would be between two and three inches. It went down among the fragments of the femur.
+
1158. That is the first wound that you described. As regards the second wound, could you give us dimensions for that? It was a small wound about one quarter inch in diameter.
1159. How deep was the wound? It communicated with the knee joint, but there was a
fragment in the wound, which was quite superficial.
1160. I want the dimensions and depth? The depth of the knee joint from the skin was somewhere near half an inch. I cannot say what the exact depth was. It had gone into a cavity.
1161. What was the general condition of those two wounds? A very foul septic
condition.
1162. Could you form any opinion how old those wounds were from your examination?
I can only say roughly a matter of several days or so.
1163. Did you take an X-ray photograph of her knee? I had X-ray photographs
taken.
1164. Can you produce them. Yes. (Photographs produced).*
1165. Will you take those photographs and tell us what they show? They show the
presence of foreign bodies.
1166. From the photographs could you form any opinion as
to the nature of those foreign bodies? They have the appearance of being metallic foreign bodies and from the X-rays alone I could not say definitely what they were.
1167. However, subsequently, was an operation performed on this woman's knee? It
was.
1168. What was the date of that? On the 17th.
1169. Were you present at that operation? I was present.
1170. Did you see any foreign bodies removed from that woman's knee? I did, yes. 1171. Will you just look at those. (Exhibits handed to witness). What are those
things? Those are the foreign bodies which were removed from the knee. 1172. Chairman: The two of them? Two of them, yes.
* See footnote to question 1132 on p. 44.
243
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