At the outset, it must ever be remembered that this is not a d...
Small Pox - Variola
This disease begins with pain in the head and back, chilly se...
Milk, Meat, And Other Protein Foods
Speaking of butter, how about milk? The dairy lobby is very p...
Ulcers Case Xxiii
Mr. Marshall, aged 60, had a troublesome ulcer under the oute...
Aphonia Loss Of Voice
This affection requires treatment variously, as it depends on...
A Collection Of Gallbladders
Gallbladder cases are rather ho-hum to me; they are quick to ...
Conclusive Remarks Obstacles
Before concluding my article, I shall attempt to remove a few...
Stage I Entering The Right Pyriform Sinus
The operator standing (as in Fig. 66), inserts the esophagos...
A MAN once grasped a very hot poker with his hand, an...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
Pleuroscopy For Disease
Most pleural diseases require a large external opening for d...
For healing wounds, burns, ulcers, irritation of mucous membr...
Prognosis And Convalescence
The duration of acute endocarditis varies greatly; it may be ...
See Fever, Rheumatic. ...
See Bran Poultice. ...
Preparation Of The Patient For Peroral Endoscopy
The suggestions of the author in the earlier volumes in regar...
This should always be managed so as to soothe and not excite t...
Punctures Case Ix
James Joynes, aged 12, was bitten by an ass, on each side of ...
The Fulcrum Of The Bronchoscopic Lever Is At The Upper Thoracic Aperture
Disregard of this rule will cause subglottic edema and will ...
Fever Scarlet Or Scarlatina
As a first precaution, when an epidemic of this exists, childr...
Source: Papers On Health
In all fevers, to cool down the excessive heat of the patient
(see Heat, Internal) is the best process of treatment. This may be
best done by continued cooling of the head. Have a towel well wrung out
of cold water. Fold it so as to envelop the head. Press it gently to
the head all round, changing the place of pressure frequently. Have a
second towel ready, and continue cooling with freshly cooled towels
perhaps for an hour or an hour-and-a-half. Then leave the last cold
towel on, and put a dry towel above it. The next cooling, when the
fever heat again arises, may be given, if it can be managed, by placing
a cold towel along the spine. Cover this with a dry one, and let the
patient lie on it. Change this, though not quite so frequently as in
the case of the head. Work carefully and gently, so as not to annoy
the patient. If ice can be had, it may be put in the water used to cool
the cloths. If the feet be cold, foment them in a blanket (see
Fomentation). Keep this on the feet for an hour. There will most likely
be great relief with even one course of such treatment. It must,
however, be persevered in until the fever be conquered. In any case
of fever, when a patient is too weak to bear the hot fomentation and
cold towels, we would recommend rubbing the feet and limbs if cold with
hot oil, and the stomach and chest, and if possible the back with soap
lather. It is well at first to soap the stomach only, and for some
time; and each time till the last it is well to wipe off what you have
rubbed on, so that the skin may be as clean as possible for the next.
To do this only once is often quite sufficient to soothe, so that the
patient falls off into a gentle, natural sleep.
Now, no one need imagine that there is any difficulty in the way of
anyone carrying out the right treatment. We have known a young sister
who saw her brother brought home in fever. The medical man predicted a
long and serious illness, and the necessity of being prepared for all
the usual features of such a case. The sister heard all in thoughtful
silence, but when the doctor went away she said to herself, "May not I
lower this flame? At any rate I will try." So through the night she so
effectually cooled her brother's head that when the medical man came
next day he expressed his most agreeable disappointment, saying, "It is
to be a very light case after all." So it turned out to be, but it
would not have been so but for that brave sister's aid. We cannot but
earnestly beseech all who have the opportunity to go and do likewise.
Often, especially among the poor, dirt and hot, close air have made the
fever room a source of frightful danger to all around. Absolute
cleanliness, abundance of pure air, and disinfection of the stools,
should always be attended to.
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