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

Bl^tr:i:^i^e:S':::r^^'^:^: ;J;-Patie:ns without success. Recently
the fauces and nose well irrigated durinc^
convalescence. A wartr bath (daily) is ^7^*,^*"""*"* *** ^'**^*'='* **^">» ^^^rafollowed
at least three times a week *'*-~I'Oac'iini's
by
(Deutsche Med.
anointiiiff of the skin. As much time as ^^'^'^^^'^"'f'- ot)servations ' concerned a numpossible
should be spent ^^'^
in '^^^^^
the open treated in the
air °i Fiusen Clinic of
with fairly active exercise. In
^^' -^"^^'eschmidt,
all
in
ordinary Berlin, with a Herseu^
cases the diet should be whatever the
'^"^^ modified by
pati- Nagelschmidt, which is
ent can eat and eujov: we should be care- J?'_^t'^''^'y inexpensive and easily handled,
ful that the milk consumed does
^'^^
not con-
P^''^"'^ suffered for the most part from
tain tul;ercle bacilli, as many cases of
^'°P^*^'* ^'"^^ta- and, as
tua
rule, other methberculo.sis,
both pulmonary °'^^
'and
^^'^ '^^^" ^'"'^'^
glandular unsuccessfully for a
have no doubt deen caused considerable
bv the
length
ino-eslion
of time. Concerningof
tuberculous ^'^e. milk during technique of
convalescence
the procedure, the parts
from scarlet fever or measles
which were not to be treated were first covered
with black paper; the bald portions
Cerebrospinal Fever. ^^'^""^ -LarkiuB, in the ^^^" irradiated for twenty to thirty
London Practitioner, menlious the sera used
minutes, from as near the source of light
in the cerebrospinal fever: The use of anti-
^^ possible, in one or several sessions, acdiphtheriiic
serum was suggested 'hording
by Wolf, to their size. The radiation is
of Hartford. Connecticut, to whom "dually
it ocfollowed
bya swelling of the scalp,
curred that there might be some ^^'^'ch
antagon- promptly becomes associated with
ism between the two organisms, ''edness, because he often a mild exudation, while in
noticed that there was a decrease 'Certain
of diphcases
there is a considerable forma,
theria coincident with the increase of
*'°"
cere- °^ vesicles. The subjective disturbbrospinal
fever. He then iound ^"'^.es
that
are
pure
frequently trifling, but may occultures
of meningococci were killed by
casionally be quite severe, they are best
antidipththeritic serum. The author,
relieved
there- by compresses with a resorcin so-
fore, treated four cases of cerebrospinal lotion ( ,'4 per cent.). The reaction sub-
'^'^^^ '" ^'^°^ *^^° t° three weeks, under
fever by antidiphtheritic serum and all recovered.
The success hoped for by
formation of
this
crusts, followed by desquamamethod
has, however, not been *'°"
realized.
"' ^^^Se shreds. At the end of four
Antipneumococcal serum seems more ^y^eks the
likely
irradiation is repeated, the durato
be of use than antidiphtlieritic,
t'on of
owing the session being lengthened by oneto
the close resemblance of pneumonia ^^^^- This
to
gives rise in most cases only to
cerebrospinal fever, and of the pneumocochyperajmia,
persisting for three weeks. A
cus and meningococcus to one satisfactory
another, cosmetic result is generally ob-
He nas u.sed it once, owing to the
Gained as
presence
soon as after the second, at most
of some C.ram positive diplococci
the third radiation,
in the
but the treament should
cerebrospinal fluid. No good be continued
result
in
followintervals
of a month until
ed its use. Jevers and Elder, however, ^^^ ^'"^^^ remnant of the foci of alopecia has
noted improvement after disappeared.
its injection, say- A relapse is very likely to
ing that the patient became o^cur,
quieter and
unless this is done, and will require
went to sleep; the temperature rapidly
^'^°^ ^^'^ '° seven radiations
fell.
for its control,
followed by a rise some time later but the on Being Tired.-Brunton contributes
patient seemed better and the pulse stron- to the London Practitioner a very interestger.
1 heproduct.on of a rea ly satifactory i„g article "On Being Tired," in which he
anlimeningncoccal serum should not be gives the various attitudes of persons exlong
delayed, and to this we must look as hibiting the characteristics of fatigue as
delayed, and to this we must look as being against those of energy. He says: "One
the most rational, and the best method of constantly hears the complaint from pacoml,atnig
this disease. Jochman produced tiennts that they are 'always tired,' and
a serum for which he claims, distinct thera- i„deed some people avoid working on the
peutic properties; with it he was able to ground that they are 'constitutionally tired.'
confer immunity to mice against six times other people call them lazy, but it is quite
the ordinary lethal dose of the cocci. For possible that in many cases there is some
humans. dose.s of 20 c.c. are required either physical condition in the person which renintraspinallyorsubcutaneously.
Of seven- ders exertion specially distasteful to them
teen patients treated by it only ,S or 29.4 although other people cannot observe it.''
per cent died. Ruppel's serum he tried on Prof, von Poehl ( vide "Rational Orgauo-