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

242
the; charlotte medical journal.
or two days after a hemorrhage the amount believe in rabies, some others who are nc
of the patient's rational food, or,
the fluids.
at least, yet fully convinced that vaccination is us«
ful as a preventive of small pox, and man
;
Pleurisy.—Pleurisy may usually be con- of us were very slow in taking up the us
trolled by putting the patient to bed and of diphtheria antitoxin.
applying heat. Sometimes, it may be nee- ^^
essary to limit the excursions of the lungs Treatment of Severe Bums.— Pels- Leui
by applications of adhesive strips. These den ( Deutsche Med. Wochenscrift) believe
should be placed over the lower part of the it important to disinfect the burned area al
lung of the side affected, extending from thoruughly as in preparing for an asepti|
the lower part of the sternum to the back operation. In burns of small extent thiSJ
bone. There are occasional cases in which may he done under local anesthesia: in those
it is necessary to use a hypodermic of mor- covering a large surface, under spinal anall
phia. gesia or ether. Blebs are to be removed an^
Ciclture Products.—A remedy, which we the burned part and its surroundings cleans;
can reasonably hope will be of benefit in ed for ten minutes with hot water, soap and
the treatment of a given disease, should, brush, and then washed for another tw«!
we will all agree, be given a full and fair minutes with alcohol and sublimate or sub(
trial. In consumption , culture products is lamin solution, 1;1,000. It is then covered
such a remedy. The fact that it does in- with a guaze compress and an abundanc'.|
crease natural resistance to tuberculosis of absorbent cotton, over which is placed
and, at least, gives a partial immunity anotherlayer of non-absorbent cotton. Paiii
against it, seems to me so well established is to be relieved with morphin, although thil
that a multiplication of reference is un- is rarely necessary under the use of such
necessary. dressing. As soon as the cotton become
In this country, most of the private sani- saturated with serum it should be removei
tariums have been using it for years, and
claim that their results are many times betand
renewed, the gauze being left in place
and this is to be under the strictest asepsis
ter than before they commenced its use, In the course of ten to fourteen days thj
notably the Winyah Sanitarium at Ashe- dressings, including the gauze compress!
ville, N. C, and the Pottenger Sanitarium will become detached of their own accorc|
at Los Angeles, California. Many of the and in burns of the second degree epiderm]
State and city institutions also, such as the zation will take place rapidly and complete;
Henry Phipps Institute and its branches ly. The application of iodoform gauz;
and the Saranac Lake Sanitarium. directly to an extensive burned surface j
In the August, 1906, number of the Jour- dangerous, on account of the risk of absorn
nal of the American Medical Sciences, Dr. tion. This method, which was originatel
Trudeau states that he has used culture pro- by Tschmarke, has only the drawback th:]
ducts continuously since 1891. His tabu- because of its painfulness it requires to t
lated results show that in from 3 to 13 years carried out under anesthesia, but this i
after discharge, 2.5 per cent, more of his more than compensated for by the rapij
tuberculin-treated cases were alive and well curative results.
than those treated during the same period ^^^ Bactericidal Power oi Uving CellJ
with tuberculin.
In England, many favorable reports have A. Albergo-Berretta, after experiments c I
been published, notably those of Wright, animals by injections of emulsions of bact i
with which you are all familiar. ria to ascertain the power of the living eel
In Germanv, out of nearly 100 institutes to destroy bacterial life, gives us the follo\ •
;
i
i
:
^
for the treatment of tuberculosis, I am told ing conclusions: That the uninjured tissu i
that there are only two which do not use as long as they preserve their vital prope
culture products. ties are able to destroy all microorganisr
When we remember that these institutes that come immediately in contact with thei
are practically kept bv patients sent to them The microorganisms only find a conditii
by the industrial insurance companies, we adapted to their action in the presence
must think that the remedy is useful, be- injuries to the tissues, or in conditions i
cnuse these insurance companies have found which their vitality is lowered. In tl
out that by having their tuberculous risks destruction the phagocytes take an impc
treated with culture products they have been taut part, but they are not the only fact
j
saving many dollars. in this destruction of germs. There are sii
j
Those who wish to make a trial of cul- stances already contained in the protoplas I
•
ture products must not be deterred from so of the tissues which kill the germs, and ;
doing because many of the leading men in cells have the power of elaborating su !
tuberculosis work are not using it; for there substances when they are needed.— La Si i
are some reputable physicians who do not rimentale.
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