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

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ORIGINAL COMMUNICATIONS.
ant ones for the curative are usually futile. The physician should, and usually does,
Ptophylaclic. Never employ chloroform try to get his patient well at the earliest
as an anesthetic in a case which has been possible moment. If this is his ambition,
deprived of carbo-hyduates for several davs then he will take kindly to the hypodermic
previous to operation. This covers the method.
present day Ochsner treatment for appeu- In our Southland alaria predominates.
I
dicitis.
believe that more time is lost from busi-
Always give carbo-hydrates some ness as a result of malaria than from any
form the day before chloroform anesthesia.
Beddard-- advises dextrose by mouth, or a
rectal enema of a ten to twenty per cent,
solution. I should prefer to give oat meal
one disease in the lower South. If we employ
the method I shall describe, this condition
will cease to exist.
In the lower South the countn,' doctor
will appreciate the advantages of this
per mouth
The lavage of stomach with a method, for it is he who sees and treats the
Curative
"
most virulent forms of malaria. Unfortun-
solution of sodium bi-carbonate. Carbo
ately the time of gathering the cotton crop
hydrate diet. Intra vneous infusions of
solutFon of"carbonate of soda 3.5 gm. to 1 is the scene of our most strenuous efforts.
liter of water. Inhalations of oxvgen. Malaria takes this time to strike the laborer
Conclmious. Acidosis following chloro- on the plantation. Their sickness means a
form Narcosis is due to fatty and necrotic loss of money to themselves as well as the
chan-es in the liver cells, with resulting landlord. Cotton is king indeed and waits
perve'^rsion of metabolism. for no man." If we can save the fever-
That chloroform is a dangerous anesthetic stricken laborer three days, or even one, in
and should never be the one of choice: and shortening his sickness, then we have paid
only should be used in cases which contra- three debts, to the patient, the planter, and
indicts the other anesthetics.
the world that deals m cotton.
That chloroform should never be given We may expect the following from the
to any patient in whose urine there is dia- hypodermic treatment: CD lime. 1 ati-
^"'^ '^^'^
cetic acid
return to work and the physician to
That in'everv case in which chloroform his office to rest; for he needs it during the
is to be used, it is the duty of the surgeon busy season. (2) If commenced early in
to see that the patient the dav before opera- the disease there is no danger of his losing
;„cr«tprl rarhn-hvdrates ill some his patient. (3) An absence of tinitus
tion has ingested carbo-hydrates in some
iim and otiier nervous symptoms. C4j
form.
Elks Temple, Rooms 201-204.
References:
1. Disorders of Metabolism and Nulrition
Arch. Exp. Path.
Hoston Medical Journal,
6.
l-23-l')ii9.
Archives of Int. Medicine, July, l'»n'
aun
No disturbance of the stomach, a thing to
be considered in the old way, especially if
the patient is a child or a very old person.
(,5) Worry. No danger of a return of the
original infection.
A great many physicians admire this
treatment, but are afraid of it on account
of the "terrible" abscess that sometimes
Arch, fur Gvnaekologie, Berlin. follows an injection of quinine. With the
Journal, A. M. A., May 8th, IVOV tablets of quinine that can be gotten from
Proceedings Michigan State Medical any reliable drug house, combined with
' '
"'
Society, 1909.
fair knowledge of sterilization, there ""
is no
8. Arch. f. Kinderheikunde.
excuse for an abscess.
9. Journal of Exp. Med. New York.
I treated last shmmer fifty-two cases of
10. Archive of Internal' Medicine, Chi- malaria by this method. Some of these
cago.
were given one and two hypodermics a
11. Proceedings Rochester Path., Soc, day, and out of over a hundred injections
February l.Hth, 1909.
I was afflicted with three abscesses. I de-
12. Lancet, London, March 14th. served every one of them. That you may
profit by my ignorance I state the cause.
The Hypodermic Treatment ol Malaria.
The first abscess was due to inserting the
By George K. Koniegay, M U., Clevelaiul, Mi.ss,
needle between the layers of the skin.
The hvi.odermic treatment of malaria is Given in this manner the quinine acts as a
so simple and gets such brilliant results powerful irritant and will always produce
that I cannot understand why it is so sel- an abscess. In the second case I used
dom used. (Juinine is pre-eminently the
p^^p water and in the third I tried to bring
treatment for malaria, and to get the most
(,^0 goimjon fifteen grains of quinine in the
satisfactory results is to give it in a way . * „f .„„ c,rr;„crA T Imrl a soluthat
it will do the most good in the quickest Au.d contents of my syringe. I 1^^^
^J^^
time-the hypodermic way. tion of a ropy consistency that was not ab-