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History of medical practice in Illinois - Bushnell Historical Society

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Internal Medic<strong>in</strong>e 137Dr. Bridge said that Koch had fulfilled all <strong>of</strong> his postulates experimentallyand otherwise; therefore, it must be the cause. (6) Recommendation <strong>of</strong><strong>in</strong>tubation <strong>of</strong> the larynx with special tub<strong>in</strong>g which was thought to besuperior to tracheotomy; (7) tryps<strong>in</strong> as a solvent for diphtheritic membranes,used every few m<strong>in</strong>utes as an atomized spray consist<strong>in</strong>g <strong>of</strong> tryps<strong>in</strong>,glycer<strong>in</strong>e, soda and water;(8) refusion or <strong>in</strong>jection <strong>of</strong> a sal<strong>in</strong>e solution <strong>in</strong>tothe ve<strong>in</strong>s and arteries as a substitute for transfusion <strong>of</strong> blood.The Committeeseemed to favor the use <strong>of</strong> arteries rather than ve<strong>in</strong>s, and the <strong>in</strong>halation<strong>of</strong> atomized blood, as well as subcutaneous <strong>in</strong>jection <strong>of</strong> blood, lornutrition. It was <strong>of</strong>ten used <strong>in</strong> this century to <strong>in</strong>crease coagulability <strong>of</strong>blood. (9) Methods designed to achieve palatable therapeutics.Dr. C. Truesdale, Rock Island, gave a special report on tetanus (preantitox<strong>in</strong>days). He recommended debridement, carbolic acid <strong>in</strong>jectionsand sedation.There was further discussion <strong>in</strong> both the Chicago and the State Medical<strong>Society</strong> regard<strong>in</strong>g prelim<strong>in</strong>ary and actual <strong>medical</strong> education and whethergeneral or special studies <strong>in</strong> medic<strong>in</strong>e were to be given.1886The Presidential Address at the annual meet<strong>in</strong>g <strong>of</strong> the State <strong>Society</strong> wasgiven by Dr. J. J.M. Angear <strong>of</strong> Chicago for Dr. William Byrd <strong>of</strong> Qu<strong>in</strong>cy.Dr. Angear discussed the germ theory and asked whether or not the micrococcior bacteria were the seeds <strong>of</strong> disease,whether they developed <strong>in</strong>tosometh<strong>in</strong>g else, or whether they were not simply the causes <strong>of</strong> the "materiesmorbi" <strong>of</strong> <strong>in</strong>fectious diseases. He suggested that the term "germ" or "germtheory" be abandoned <strong>in</strong> favor <strong>of</strong> "viva causa," which would express theidea more correctly.Speak<strong>in</strong>g for the Committee on Medical Practice, Dr. Angear recommendedthe use <strong>of</strong> oxygen <strong>in</strong> pneumonia with cyanosis. He also reportedan epidemic <strong>of</strong> cerebrosp<strong>in</strong>al men<strong>in</strong>gitis.There was a long discussion on Pasteur's cure for hydrophobia. Doubtwas expressed as to his ability to diagnose the disease, although it was admittedthat there was someth<strong>in</strong>g to his theory.Dr. Robert Babcock, Chicago, described the condition <strong>of</strong> atheromata <strong>of</strong>the coronary arteries and its relation to certa<strong>in</strong> cases <strong>of</strong> cardiac failure.Atheromata, he expla<strong>in</strong>ed, cause ang<strong>in</strong>a pectoris because <strong>of</strong> acute s<strong>of</strong>ten<strong>in</strong>g<strong>of</strong> the heart due to thrombi <strong>in</strong> hemorrhagic <strong>in</strong>farcts; also that there isfibroid degeneration <strong>of</strong> the heart, chiefly atthe apex, <strong>in</strong> consequence <strong>of</strong>which there is th<strong>in</strong>n<strong>in</strong>g <strong>of</strong> the wall with the frequent occurrence <strong>of</strong> cardiacaneurysm.Dr. T. Janeway, Boston, gave an address on "Pathology" before theAmerican Medical Association which was republished <strong>in</strong> the Chicago

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