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

344 THE CHARLOTTE MEDICAL JODRNAL |
Excretion of Veronal-Sodlum. fije rest must be very complete when the |
P. Fischer and J. Hoppe found that traces temperature is high and must be continued I
of veronal appeared in the urine, when as long as there is the slightest trace of I
veroual-sodium was given per mouth, in fever. The patient must be carefully tau^Iit |
forty minutes; per rectum, in thirty min- liow to avoid relapses.— British Medioal i
utes; and subcutaneously, in fifteen min- Journal. I
utes. Sleep will set in about the same time. or. Cook and tbe North Pole.
Veronal is detected in the urine as follows: ,^ „ , . , . ^ , , ,.
200 Cc. of urine are precipitated with lead
^r Frederick A. Cook has discovered
acetate, and the latter removed with sulphu-
^he North Pole, it is said. Hovvever, to ;
retted hydrogen. After filtering, the urine establish it beyond doubt it vvill be neces- j
is evaporated to 60 to 80 Cc, decolorized f^-^y ^°' ^''"^ to furnish further proof than 1
with animal charcoal, and diluted to 100 ^is interviews in the public press. These ^j
Cc. Salt is then added and the fluid sha- have been interesting and some o the most i
ken out with ether. The veronal is recov- Prominent scientists of the world have con- I
ered and weighed after the ether has evap- ^^^''^ '" ^'^' ^'"^ '^ would seem at this j
orated. If given continuously, it was found time that we have no right to challenge his I
that during the first four days a small "^^"^ «'"^%lie, ^''».«7« ^ deterniination to ;
amount of veronal remains in the body; P^f^ al of the information which he has ,
later, however, the excretion runs parallel before the authorities of the Lniversily of ;
with the amount taken, so that with rela- Copenhagen. . ,
.
,
I
Robert Peary, an explorer also claims |
lively small doses, and where the kidneys
are normal, there is no danger of intoxica-
^° ^^''^ discovered the North Pole at a later
^'^^e than the one given
lion. With
by Dr. Cook m his
larger doses, particularly in the
interviews,
aged, and where the kidneys
which is April
are
21
affected, 1908 Al-
greater care is necessary, since the excretion |^°"g'^ the expense of Peary s expedition I
l^asbeen paid by the Government and he is »
is not so uniform, and a cumulative effect
is possible.-Muench. Med. Woch. a public servant possessing knowledge that I
the people have a right to know, yet he |
„ .^ ^ sulks and acts like a sorehead, which in
The Temperature as a Guide to the ^.^^^^^^^ ^^^ ^^^ characteristics of men of
Treatment and Prognosis ol
Phthisis.
wisdom. The people are disappointed in
him and even if he has been at the North
S. V. Pearson emphasizes the necessity Pole his name will never possess a value to
of a close study of symptoms in each indi- the American people as if he had not shown
vidual case. This is notably true with re- a discourtesy to Dr. Cook. His demeanor
gard to temperature. It is recognized (1) resembles that of a spoiled child rather than
that with a miliary tuberculosis it is usual that of a man of mature judgment,
lo find a type of temperature continuous or Cook evidently is sincere and has acted
inverse; (2j with an acute caseating lesion the part of a gentleman, and if he be misa
remittant or markedly intermittent type taken and Peary is the only one who has
is found; (3) with a chronic fibroid lesion, reached the Pole, Cook will be respected,
constantly normal or subnormal is the rule, but Peary apparently will never be a popuwhile
(4) with a chronic fibrocaseous lesion lar personage with the American people,
either a normal, subnormal, or an elevated As to who is right we await the verdict of
temperature is found, according to the state the scientific authorities,
and stage of the disease. The author then The father of Dr. Frederick A. Cook was
passes to consider the method and time of named Koch, and the name was changed
taking temperature and the interpretation by error when he enlisted in the army; he
of the readings: There is, he says, no such was born in Germany and practiced media
thing as a normal temperature, unless we cine in New York. The younger Cook,
take into account tlie natural daily curve, who now lives in Brooklyn, was born in
and in making daily comparisons estimate New York in 1865, and graduated from the
every attending circumstance, as exercise, medical department of the University of the
.
diet, etc. He then takes up the peculiarities
of temperature in women with reference
City of New York in 1890, but was not ac-
lively engaged in the practice of medicine,
to menstruation, touches on rare and ambiguous
cases, discusses regulation of rest
Dr. Cook is to be congratulated upon his
achievement and we sincerely hope that all
and exercise, and instability and lack of claims he makes will be substantiated
elasticity in temperature. In treating tuber- Several other doctors have been promi niculosis
we should always remember the ob- nent in four expeditions: Drs. Kane, Hayes,
jecl we have in view. All cases cannot be
arrested. We must take a chance with
Richardson and Rae have made coiitribu-
lions lo Arctic literature.— Indianapolis >1isl
prolonged rest under suitable conditions Medical Journal.
j