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Vol. 60, 1909 - University of North Carolina at Chapel Hill

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224 THE CHARLOTTE MEDICAL JOURNAL-<br />

has considered the subject from a Southern the typical pupilary glare <strong>of</strong> the insane. ^<br />

standpoint. I am reluctant too, to conclude She subsequently improved under relief<br />

th<strong>at</strong> in their deductions they are invariably from worry, and <strong>at</strong> home finally regained |<br />

correct. I want us to investig<strong>at</strong>e this subject an apparent normal condition.<br />

j<br />

for ourselves. From a considerable number Now there are several points to be con- |<br />

<strong>of</strong> histories <strong>at</strong> my disposal, I select a few for sidered about these histories: Probably 4<br />

rehearsal, and 1 have concluded. none <strong>of</strong> these girls should have been accept- j<br />

Miss C, aged IS, family history nega- ed by any school until they had shown th<strong>at</strong> J<br />

tive, except th<strong>at</strong> a younger brother was they were physically qualilied to do college<br />

idiotic, very bright, led her classes until the work, but having accepted them, the school<br />

spring term <strong>of</strong> the Junior year, broke down, or college should have provided every safehad<br />

to leave college, married <strong>at</strong> 20, has guard to preserve wh<strong>at</strong> little health they<br />

been married 10 years, no children, has did have. Here we encounter the system<br />

been an invalid since breaking down <strong>at</strong> <strong>of</strong> classific<strong>at</strong>ion, and the fact th<strong>at</strong> they<br />

college. Cause: Nervous temperament, must keep up with their classes or drop behard<br />

work, no exercise, ozoena, chronic hind. When they are thrown in lowei<br />

indigestion and constip<strong>at</strong>ion. classes, then a "howl" is raised <strong>at</strong> home.<br />

Miss R.. blonde, entered college <strong>at</strong> 14, It is impossible to enforce cooper<strong>at</strong>ion upon<br />

family history excellent very close hard a faculty unless we have parental approval<br />

student, suffered from amenorrhoea, took <strong>at</strong> home and this, without an educ<strong>at</strong>ional<br />

exercise only when compelled— th<strong>at</strong> was ,'2 campaign, it seems almost impossible tc<br />

hour twice a week. Went from bad to obtain. The only altern<strong>at</strong>ive th<strong>at</strong> seemi<br />

worse, gradu<strong>at</strong>ed <strong>at</strong> 17, but died 8 months feasible to the writer is th<strong>at</strong> the<br />

l<strong>at</strong>er from tuberculosis. physician should have supreme power-<br />

Miss B., brunette, aged 20, mother died even power over and above th<strong>at</strong> <strong>of</strong> president;<br />

from tuberculosis, physical health good or teachers. To secure this we must again<br />

upon entering college, very hard student, educ<strong>at</strong>e the public to the extent th<strong>at</strong> boards<br />

but learned with difficulty, could not keep <strong>of</strong> trustees will give to their physicians unup<br />

with her classes, went to bed 3 months limited and unrestricted power in all m<strong>at</strong>after<br />

entering worrying over recit<strong>at</strong>ions, ters appertaining to the hygiene and sani<br />

spent most <strong>of</strong> the next <strong>60</strong> days in bed, was t<strong>at</strong>ion <strong>of</strong> our schools and colleges, as well<br />

then sent home; has been suffering from as in all m<strong>at</strong>ters <strong>of</strong> classific<strong>at</strong>ion, physical<br />

nervous prostr<strong>at</strong>ion since leaving school, culture and out <strong>of</strong> door exercise. Here, the<br />

Cause: Compelled to do work beyond her diet is an important consider<strong>at</strong>ion an^<br />

strength. should be constantly w<strong>at</strong>ched, altered auj<br />

Miss P., blonde, aged 18, entered college changed according to individual require<br />

suffering from menorrhagia, refused opera- ments.<br />

tion, continued work in spite <strong>of</strong> condition. One word more: A school should never<br />

family history good, went home <strong>at</strong> end <strong>of</strong> have a physician under the power <strong>of</strong> either<br />

session, with haemoglobin percentage <strong>of</strong> a president or a faculty. Personal preju- j<br />

<strong>60</strong> and in a st<strong>at</strong>e <strong>of</strong> chronic invalidism. dices play too important a part? A college<br />

Miss B.. blonde, aged 16, tuberculosis in th<strong>at</strong> has a physician only tor purposes <strong>of</strong><br />

family, developed broncho-pneumonia, re- tre<strong>at</strong>ing the sick had prebably better not;<br />

fused to go home after recovery, but con- have any regular <strong>at</strong>tendant <strong>at</strong> al'<br />

tinned her studies. Soon after her return any school oper<strong>at</strong>ing without a physicia<br />

to work had return <strong>of</strong> cough and microscop- ought to be tabooed by parents general^<br />

ical examin<strong>at</strong>ion <strong>of</strong> sputum showed tuber- having the welfare <strong>of</strong> their sons and daughj<br />

cle bacilli. ers <strong>at</strong> heart.<br />

Miss J., aged 17, family history good,<br />

broke down during year from over work, Carbuncles.*<br />

but continued studies in a desultory way. By J. G. Johnston, M. D., Chester, S C.<br />

In February developed broncho- pneumonia, ^ Carbuncle is a circumscribed inflai<br />

fo owed by empyaema which vvas in turn<br />

^^^^ extending through the skin into<br />

followed by pyaema, after 101 days in bed,<br />

^^u^i^, ^i,,^^, bene<strong>at</strong>h, and due, in n<br />

recovered, bu was for months compelled to<br />

,^ ,^^ Staphvlococcus.<br />

be wheeled ";^>erever she went<br />

, ^ It may occur in any part <strong>of</strong> the body, bu,<br />

Miss S., blonde family history bad,<br />

seems to have certain points <strong>of</strong> predilection.,<br />

mother insane, hard student, or<br />

^<br />

4 months<br />

^^^ ^^.^ ,^^^„„ ^j ^^,^^^^ -^ ^^^ back <strong>of</strong>i<br />

after m<strong>at</strong>ricul<strong>at</strong>ion couldn't sleep <strong>at</strong> night,<br />

^^^ ^^^^ j^ g^g,„, t„ „,^^, wherever therei<br />

became very melancholic was sent home<br />

j, ^„^ irrit<strong>at</strong>ion <strong>of</strong> the skin, and it may b«<br />

in unbalanced mental condition. As illns-<br />

^^<strong>at</strong> "the constant rubbing <strong>of</strong> the collar on<br />

tr<strong>at</strong>ion ot condition when she left school 5<br />

would pace the floor all night in th<strong>at</strong> long *Read before recent meeting <strong>of</strong> the Tri-St<strong>at</strong>i<br />

restless stride <strong>of</strong> mania and <strong>at</strong> times had Medical Society, Charleston, S C.<br />

,

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