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

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

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THE HEALTH BULLETIN. 219they to <strong>at</strong>tempt to live in a tribe <strong>of</strong>savages.<strong>The</strong> Day Bei ore the Dream.But I must stop these parentheticalexcursions and get back to Dr. Smithand his dream. On a certain day inNovember <strong>of</strong> the present year he hadbeen unusually busy, even for onewhose working hours frequentlydouble the legal limit. During his<strong>of</strong>fice hours he had seen several caseswhich gave him grave concern. <strong>The</strong>rewas William Thompson, the son <strong>of</strong> hisold classm<strong>at</strong>e and college chum, nowJudge Thompson. William finished <strong>at</strong>the old <strong>University</strong> and is now an embryolawyer promising to follow in thefootsteps <strong>of</strong> his honored and honorablef<strong>at</strong>her, but William belonged to afast fr<strong>at</strong>ernity <strong>at</strong> college and came toDr. Smith this morning with coppercoloredspots over his body and a localsore. <strong>The</strong> doctor easily diagnosedthe case and pointed out to Williamth<strong>at</strong> he was a walking culture flask <strong>of</strong>spirochetes, a constant source <strong>of</strong> dangerto all who should come in contactwith him, and th<strong>at</strong> years <strong>of</strong> tre<strong>at</strong>mentwould be necessary to render himsound again. On the lip <strong>of</strong> a girl, thedaughter <strong>of</strong> another old friend, thedoctor had found a chancre caused bya kiss from her fiance, a supposedlyupright man prominent in church andsocial circles. He had seen a case<strong>of</strong> gonorrhea in a girl baby contractedfrom her mother, the wife <strong>of</strong> a laboringman. A case <strong>of</strong> gonorrheal ophthalmiain a young man, whose only sinwas th<strong>at</strong> he had used the same towelused by an older brother, next demandedhis <strong>at</strong>tention. Several cases<strong>of</strong> advanced tuberculosis among thosewho had been told by less conscientiousphysicians th<strong>at</strong> the cough wasonly a bronchial trouble made Dr.Smith lament the standard <strong>of</strong> skill andhonor among some <strong>of</strong> his pr<strong>of</strong>essionalbrethren. Rapid loss in weight in anold friend who had been too busy toconsult him earlier was diagnosed asneglected diabetes. In another instancedimness <strong>of</strong> vision and frequentheadaches persisting for months hadnot sufficed to send an active businessman to the physician. This proved tobe an advanced case <strong>of</strong> Bright's disease,which should have been recognizedtwo years earlier.Urinary, ophthalmoscopicand blood pressure testsdemonstr<strong>at</strong>ed the seriousness <strong>of</strong> thepresent condition. A breast tumor onthe wife <strong>of</strong> an old and respected friendshowed extensive involvement <strong>of</strong> theaxillary glands and the oper<strong>at</strong>ion demandedpromised only temporary relief,while had it been done monthsbefore, complete removal <strong>of</strong> the diseasedtissue would have resulted.In making his calls for the day Dr.Smith had experienced both among thewell-to-do and the poor many thingswhich had brought within the range<strong>of</strong> his vision more and darker cloudsthan those which flo<strong>at</strong>ed in the dullNovember sky. More than a year beforehe had become estranged fromthe family <strong>of</strong> one <strong>of</strong> his oldest and bestfriends. <strong>The</strong> breaking <strong>of</strong> this rel<strong>at</strong>ionship,which had continued fromhis earliest pr<strong>of</strong>essional service andhad been filled with the common joysand sorrows shared only by the familyphysician and those under his charge,had cast a deep shadow over the doctor'slife. He had <strong>of</strong>fici<strong>at</strong>ed <strong>at</strong> thebirth <strong>of</strong> each <strong>of</strong> his friend's five children,and he felt a parental love andpride in them as he saw them growinto healthy womanhood and manhood.A little more than a year agohe learned th<strong>at</strong> the eldest <strong>of</strong> thesechildren, a beautiful and healthy girl<strong>of</strong> eighteen, was engaged to a youngman whom he knew to be a rake. Ina spirit <strong>of</strong> altruism he had gone to thef<strong>at</strong>her and mother, and protestedagainst the sacrifice <strong>of</strong> the daughter.This kindly intended intervention was

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