Add MS 56149

Army notebook ‘129’ with a hard, green cover. Label on the front cover has ‘A Fleming, Wounds, 1917’ on it. There is also ‘II’ written on the notebook in red pencil crayon.

Throughout the notebook are various graphs of which the majority show the reaction of B. coli with various broths.

This notebook was used in France while at a casino in Boulogne during World War One.

Notebook includes:

Section one: Patients with wounds

Notes include previous treatments, subsequent treatments and bacteriology of samples taken from the wounds.

1. f. 3. Gray: Flesh wound right thigh; 17-22 Nov. 1917.

2. f. 3v. Daniells: Through and through right thigh; 17-25 Nov. 1917.

3. f. 5. Agneu: Flesh wound right thigh; 17 Nov.-2 Dec. 1917.

4. f. 4. Rossiter: Three wounds in the leg midway between knee and ankle; 19 Nov.-2Dec. 1917.

5. f. 7. Jones: Wound to the buttock; 19-21 Nov.

6. f. 7v. Unknown: Wound to the shoulder; 19-22 Nov.

7. f. 9. Searle: Amputation stump; 23-26 April 1918.

8. f. 9v. Lane: Amputation of left leg at CCS; 13 Nov.-1 Dec. 1917.

9. f. 11. Haddrell; 2 Dec.

10. f. 11v. Mitchell; 2Dec. 1917.

11. f. 13. Evans; n.d.

12. f. 13v. Vahey: Through and through wound of the fibular region of the left leg, no bone injury; 1-5 Dec. 1917.

13. f. 15v. Tulloch: GSW right thigh, through and through; 3-5 Dec. 1917.

14. f. 17v. Sharp: GSW left arm; 1-5 Dec. 1917.

Section two: 27 March-[6 April 1918].

ff. 24-29. Iso-octyl hydro cuprien

Range of experiments relating to its antiseptic and inhibitory action on bacteria that have been crossed through and marked out as ‘wash out’. Final experiment in this section has not been crossed out, which involved testing a sample from the Medical Research Committee of iso octyl di-hydro cuprien hydrochloride.

Section three:

ff. 108-108v. Notes on articles by Kenneth Taylor

i) The ‘Treatment of Pyocyaneus Infection’, Journal of the American Medical Association, 25 Nov. 1916, Volume LVVII

ii) ‘Tissue Fragments and Wound Infections’, Annals of Surgery, Dec. 1916

iii)‘Incidence of Organisms in Wounds’, Lancet, 24 Dec. 1917

Section four: n.d.

f. 114v. Notes of the Committee Report on trench fever, including a list of symptoms.

Section five:

ff. 115-127. Clinical charts for patients

i) Figgis

ii) Cornish

iii) Chidlow

iv) Haynes. Written on the back of the chart are notes relating to vaccination experiments, in particular ‘the effect of vaccine very satisfactory, supply taken by patient to England’ possibly written and signed A. Wright, dated 4 June 1918.

v) Pitcher

Links with other notebooks:

• 56148: Although no direct links, the work on the treatment of wounds with antiseptics could have been developed from the work in this notebook
• 56150: War wounds and bacteriology
• 56183: Patient Cornish.

includes:

• ff. 3-5, 7, 9, 11, 13, 15, 17 Scientific method: Clinical charts of A. Fleming's patients: n.d.
• ff. 3-5, 7-7v, 9-9v, 11-11v, 13-13v, 15-15v, 17-17v Scientific method: Notes by A. Fleming on patients with wounds, collated during World War One whilst working at a hospital housed in a casino in Boulogne, some entries have charts, diagrams and x-rays: 1917-1918.
• ff. 24-29 Chemical compounds: Experiments by A. Fleming rel. to iso-octyl hydro cuprien: 1918.
• ff. 108-108v Lancet; scientific journal: Notes by A. Fleming on an article by K. Taylor entitled 'Incidence of Organisms in Wounds': n.d.
• ff. 108-108v Annals of Surgery; journal: Notes by A. Fleming on an article by K. Taylor entitled 'Tissue Fragments and Wound Infections': n.d.
• ff. 108-108v Journal of the American Medical Association: Notes by A. Fleming on an article by K. Taylor entitled 'Treatment of Pyocyaneus Infection': n.d.
• f. 114 Pathology infectious diseases: Notes on the Committee Report for trench fever, including a list of symptoms: n.d.
• ff. 115-127 Scientific method: Clinical charts of A. Fleming's patients during World War One: n.d.