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

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30S THE CHARLOTTE MEDICAL JOURNAL.<br />

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(4) Although we have used the method<br />

on most unfavorable cases, and taken desous,<br />

had gotten in the habit <strong>of</strong> taking about<br />

a half pint <strong>of</strong> whisky every evening; several<br />

per<strong>at</strong>e chances, we had only one de<strong>at</strong>h dur- <strong>of</strong> his friends congreg<strong>at</strong>ing <strong>at</strong> his house to ;<br />

ing the applic<strong>at</strong>ion and we are convinced play cards, imbibing a generous quantity<br />

th<strong>at</strong> in this particular case the method was <strong>of</strong> whisky during the evening. In no other<br />

j<br />

•<br />

not responsible for the f<strong>at</strong>al result. particular had the use <strong>of</strong> whisky appeared 1<br />

(5) As a cure or palli<strong>at</strong>ive in growths to cre<strong>at</strong>e disease or embarrassment.<br />

within the mouth it has proven <strong>of</strong> inestima- Evidently something more than a simple<br />

ble value, especially so on account <strong>of</strong> the prescription was here indic<strong>at</strong>ed. The cause<br />

inadequacy <strong>of</strong> the other methods <strong>of</strong> tre<strong>at</strong>- was explained to him with the advise th<strong>at</strong><br />

ment. We were able to harmlessly and he should instantly stop all alcoholic beveri<br />

i<br />

'.<br />

•<br />

i<br />

easily transmit the c<strong>at</strong>aphoric products to<br />

the site <strong>of</strong> the applic<strong>at</strong>ion by means <strong>of</strong> an<br />

ages. This he asserted would cause very<br />

little discomfort, since he had no desire for<br />

|<br />

(<br />

electrode <strong>of</strong> small caliber and special design,<br />

so insul<strong>at</strong>ed as to absolutely protect<br />

the healthy parts <strong>of</strong> the cavity, and yet<br />

the liquor, and only took it "because the<br />

rest did", and to enhance the pleasure <strong>of</strong><br />

the evening. I directed him to take the<br />

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i<br />

capable <strong>of</strong> definite and controllable diffusion pure alkaloid emetine, in a single dose to be i<br />

from the uncovered point <strong>of</strong> electrode. taken just after he had gotten into bed, be- ;<br />

In the cured cases, the cosmetic re- ginning with a milligram and increasing ',<br />

(6<br />

)<br />

|<br />

I<br />

,<br />

suits were excellent: the resulting scars are the dose until evidences <strong>of</strong> full action were<br />

much smaller than would'<strong>at</strong> first have been manifested in slight nausea. When this<br />

expected from the extent <strong>of</strong> the wounds oocurred he was to lessen the dose and keep<br />

after the separ<strong>at</strong>ion <strong>of</strong> the sloughs. They close to the point <strong>of</strong> nausea without touch-<br />

I<br />

i<br />

j<br />

are s<strong>of</strong>t, pliable, smooth and with practi- ing it, and to continue the remedy nightly |<br />

cally no degree <strong>of</strong> retraction.<br />

(7) Lastly, we are convinced, as a result<br />

until further direction.<br />

He was also given a supply <strong>of</strong> cicutine «<br />

<strong>of</strong> our experience in these cases, th<strong>at</strong> although<br />

we can expect some improvement<br />

hydrobromide, a milligram in each granule.<br />

This is one <strong>of</strong> those highly specialized wea-<br />

|<br />

I<br />

and occasional cures from this method in<br />

inoperable cases, th<strong>at</strong> it should not be reserved<br />

for such cases, but be used in oper<strong>at</strong>ive<br />

cases as early as possible, and before<br />

pons which modern science has provided<br />

us. Among the many the uses to which this<br />

agent can be put. Dr. Waugh has especially<br />

called <strong>at</strong>tention to its value when a person<br />

J<br />

;<br />

(<br />

the local disease becomes general, if we<br />

wish to obtain a large percentage <strong>of</strong> permanent<br />

cures. And we further believe<br />

th<strong>at</strong> such a result can be confidently exfeels<br />

the dread <strong>of</strong> approaching insanity,<br />

Wh<strong>at</strong>ever may be the p<strong>at</strong>hologic conditions<br />

which underly this special sens<strong>at</strong>ion, cicutine<br />

hydrobromide gives relief. One granj<br />

I<br />

|<br />

i<br />

pected. ule containing a milligram should be taken i<br />

every two hours until this special sens<strong>at</strong>ion I<br />

Chronic Alcoholism.<br />

disappears.<br />

By Geo. B. Simpson, M. D., Parkersburg, W. Va. A third <strong>at</strong>tack occurred a few days after i<br />

A gentleman recently applied to me for the p<strong>at</strong>ient applied to me, but four <strong>of</strong> the i<br />

tre<strong>at</strong>ment, telling me th<strong>at</strong> he feared he w^as granules succeeded in dissip<strong>at</strong>ing it com- ;<br />

about to lose his reason. On several occa- pletely. After th<strong>at</strong>, as the action <strong>of</strong> the i<br />

sions, without anyknown cause, he suddenly emetine upon the liver and the various di- ':<br />

felt pr<strong>of</strong>ound depression with a bewilder- gestive secretions became manifest, no fur- i<br />

ment and dread so pr<strong>of</strong>ound and strong as ther difficulty has experienced,<br />

to incapacit<strong>at</strong>e him for any exertion or However, this was only the preliminary<br />

amusement. After twenty-four to thirty-six tre<strong>at</strong>ment. A careful examin<strong>at</strong>ion into the i<br />

hours it would pass away. The only tre<strong>at</strong>- circumstances convinced me th<strong>at</strong> the true i<br />

ment he received was vigorous c<strong>at</strong>hartics, trouble was th<strong>at</strong> the gentleman had not sufwhich<br />

he took on his own prescriptions, ficiently hard or engrossing occup<strong>at</strong>ion for I<br />

thinking th<strong>at</strong> possibly sluggishness <strong>of</strong> the an exceedingly powerful and active intellect. |!<br />

liver might be the cause. This man was a His work stopped <strong>at</strong> 3 p. m., beginning <strong>at</strong> |<br />

tall, powerful individual, about forty-five 9 a. m., and while it would have been a<br />

years <strong>of</strong> age, in excellent health; and while severe task for a man <strong>of</strong> ordinary intelli- J<br />

his occup<strong>at</strong>ion is sedentery, he takes a gre<strong>at</strong> gence, it was not sufficient to fully occupy i<br />

deal <strong>of</strong> exercise. He has no business wor- his powers. During the summer his after- ;l<br />

ries, his family rel<strong>at</strong>ions are ideal. His noons and evenings were spent <strong>at</strong> golf and i<br />

financial affairs could not be in better shape, tennis, but during the long winter these ;!<br />

A most careful examin<strong>at</strong>ion failed to pastimes failed him, and cards and billards i<br />

show fecal impaction. The liver is slightly were the only resort. After examining the I<br />

enlarged. Further investig<strong>at</strong>ion showed m<strong>at</strong>ter thoroughly, I concluded it would be I<br />

th<strong>at</strong> for the past two years this gentleman, wise for him to undertake some business i<br />

;<br />

who had previously been perfectly abstemi- interest <strong>of</strong> sufficient magnitude to fully en- <<br />

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