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The Health bulletin [serial] - University of North Carolina at Chapel Hill

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18 <strong>The</strong> <strong>Health</strong> Bulletin February, 192"!<br />

free uiion riMiuest by the Extension<br />

Department <strong>of</strong> tbe San<strong>at</strong>orium.<br />

"<strong>The</strong>re are no cliaracteristic physical<br />

siffH-f in the ehildhood type <strong>of</strong> tul)erculosis.<br />

In the few children with the<br />

ac.ult tyi>e <strong>of</strong> the disease there are<br />

found the same physical signs as in the<br />

adult, and even thousrh abnormal physical<br />

chest Jindliijis are usually lackiui;<br />

a careful physical examin<strong>at</strong>ion may<br />

reveal tulxM-culous cervical glands or<br />

some non-tuberculous condition which<br />

may be causing the symptoms.<br />

"Since tracheo-bronchial tuberculosis<br />

is the most common form <strong>of</strong> the disease<br />

in children, and since it is accompanied<br />

with no characteristic physical signs<br />

(/ood X-raij films, rightly interpreted,<br />

are <strong>of</strong> gre<strong>at</strong> value in the diagnosis <strong>of</strong><br />

childhood tuberculosis. Stereoscopic<br />

antero-posterior films and a single<br />

oblique film should be njade in all<br />

doubtful cases.<br />

"Whenever a case <strong>of</strong> tuberculosis is<br />

discovered, whether in a child or an<br />

adult, a special effort should be made<br />

to loc<strong>at</strong>e the source <strong>of</strong> the infection.<br />

To this end the physician should insist<br />

on every member <strong>of</strong> the household being<br />

examined. In this way many early<br />

cases can be discovered before they<br />

become infective and in time to be<br />

cured, and not infrequently tuberculous<br />

adults are discovered who have a positive<br />

sputum and who are broadcasting<br />

tubercle bacilli, but who may not be<br />

conscious <strong>of</strong>- having the disease.<br />

"For cases who are unable to go to<br />

a priv<strong>at</strong>e specialist we conduct a diagnostic<br />

clinic here <strong>at</strong> the San<strong>at</strong>orium."<br />

MEDICINE AND CHEMISTRY<br />

Inseparable Allies In the Scientific World<br />

<strong>The</strong>re is no more inspiring chronicle<br />

in all the annals <strong>of</strong> history, save the<br />

birth and life <strong>of</strong> Jesus Christ, than<br />

the life and work <strong>of</strong> Louis Pasteur.<br />

Pasteur was a chemist and started his<br />

work simply and purely as a chemist,<br />

he became pr<strong>of</strong>oundly interested in<br />

some <strong>of</strong> the seemingly unsolvable problems<br />

<strong>of</strong> medicine <strong>of</strong> the middle <strong>of</strong> the<br />

nineteenth century. He brought to the<br />

field <strong>of</strong> bacteriology, p<strong>at</strong>hology, biology<br />

and medicine a light th<strong>at</strong> to this day,<br />

in the language <strong>of</strong> Osier, "Brightens<br />

more and more as the years give us<br />

ever fuller knowledge." Osier quotes<br />

an anonymous writer in the st<strong>at</strong>ement<br />

"th<strong>at</strong> he was the most perfect man<br />

who has ever entered the Kingdom <strong>of</strong><br />

Science."<br />

Up to the time <strong>of</strong> Pasteur and his<br />

gi-e<strong>at</strong> work less than three-quarters <strong>of</strong><br />

a century ago, the world knew little<br />

more <strong>of</strong> the causes <strong>of</strong> the gre<strong>at</strong> pestilential<br />

plagues than the Greeks <strong>at</strong> the<br />

time the Apostle Paul was preaching<br />

in Athens. Before Pasteur and his<br />

work, so far as absolute, exact, scientific<br />

knowledge existed in the sense we<br />

know it today in the realm <strong>of</strong> prevention<br />

and cause <strong>of</strong> disease, men were<br />

groping in the blackness <strong>of</strong> darkness.<br />

<strong>The</strong> work <strong>of</strong> this master chemist, therefore,<br />

stands out in the history <strong>of</strong> medical<br />

achievement like a message from<br />

Fairyland.<br />

Without his training as a chemist, a<br />

study as perfect and as accur<strong>at</strong>e as<br />

m<strong>at</strong>hem<strong>at</strong>ics, it is doubtful if Pasteur<br />

could have succeeded as he did in his<br />

diversion into the field <strong>of</strong> biology. <strong>The</strong><br />

previous discovery <strong>of</strong> the microscope<br />

had opened up an entirely new world,<br />

the world <strong>of</strong> minute living things. But<br />

the old belief in spontaneous gener<strong>at</strong>ion<br />

still prevailed, until the work <strong>of</strong><br />

Pasteur forever destroyed th<strong>at</strong> fallacy.<br />

<strong>The</strong> definite facts concerning the<br />

truth about ferment<strong>at</strong>ion and spoittaneous<br />

gener<strong>at</strong>ion worked, out and<br />

proved by Pasteur represent the basic<br />

found<strong>at</strong>ion, and beginning <strong>of</strong> modern<br />

surgery and again to quote Osier<br />

"forms now one <strong>of</strong> the most brilliant<br />

chapters in the history <strong>of</strong> Preventive<br />

Medicine." Joseph Lister, a young<br />

surgeon <strong>of</strong> Glasgow, Scotland, was the<br />

first surgeon to grasp the significance<br />

<strong>of</strong> Pasteur's scientific work as applicable<br />

to surgery and so made an immortal<br />

name for himself. A combin<strong>at</strong>ion <strong>of</strong><br />

brains and courage in chemistry and<br />

surgery th<strong>at</strong> was to save uncountable<br />

millions <strong>of</strong> human lives.<br />

<strong>The</strong>re could be no more important<br />

course in the high school curriculum<br />

than the study <strong>of</strong> biography. Aside<br />

from its religious significance and inspir<strong>at</strong>ion<br />

one <strong>of</strong> the things which makes<br />

the Bible the gre<strong>at</strong>est literary work <strong>of</strong><br />

all ages, is because it contains the<br />

gre<strong>at</strong>est series <strong>of</strong> biographies ever assembled.<br />

Joseph and David for example.<br />

To the boy in high school between<br />

the ages <strong>of</strong> 16 and 18 when his mind<br />

'

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