Use the A D current, strong force. Place the N. P., long cord...
The Expletive Method Blood-letting
has been advocated by some of the best authorities, and there...
Clothing should be light yet warm, and sufficiently free so as...
Passing the cricopharyngeus is the most difficult part of es...
Baths And Bathing
Bathing as a Means of Cleanliness. It has been said that one ...
The part of the heart most affected is the part which has the...
Delicacy of touch and manipulation are an absolute necessity...
Bowels Glands Of
Symptoms of glandular trouble in the bowels are--weariness and...
Interpretation Of Tracings
The interpretation of the arterial tracing shows that the nea...
IT will be plainly seen that this training of the bod...
This should always be managed so as to soothe and not excite t...
Among the various subjects which belong to the province of ...
Position For Bronchoscopy And Esophagoscopy
The dorsally recumbent patient is so placed that the head an...
Action Of The Sitz-bath Explained
The _sitz-bath_ acts in a direct manner upon the abdominal or...
Mild Reaction Erethic
If the poison is not virulent, and the body of the patient in...
Diet And Corpulence
A tendency to obesity should always be carefully checked by at...
These pains occur usually when a patient has been for some tim...
Probably most acute infections cause more or less myocarditis...
In the original edition, good treacle was recommended as a lax...
Baths For Head
In many cases of indigestion and brain exhaustion head-baths a...
Source: Disturbances Of The Heart
While the myocardium is the most important muscle structure of the
body, it has but recently been studied carefully or well understood
clinically or pathologically. A heart was "hypertrophied" or
"dilated" or perhaps "fatty." It suffered from "pain," "angina
pectoris," from some "serious weakness" or from "coronary disease,"
and that ended the pathology and the clinical diagnosis. This is the
age of heart defects; no one can understand a patient's condition
now, whatever ails him, without studying his heart. No one can treat
a patient properly now without considering the management of the
circulation. No one should administer a drug now without considering
what it will do to the patient's heart.
Although we are scientifically interested in the administration of
specific treatments, antitoxins and vaccines; although we have a
better understanding of food values, and order diets with more
careful consideration of the exact needs of the individual, and
although we are using various physical methods to promote
elimination of toxins, poisons and products of metabolism, we have
until lately forgotten the physical fact that one thirteenth of the
weight of a normal adult is blood. A man who weighs 170 pounds has
13 pounds of blood. This proportion is not true in the obese, and is
not true in children. Whether the person is sick in bed, miserable
though up and about, or beginning to feel the first sensations of
slight incapacity for his life work, his ability properly to
circulate this one thirteenth of his weight through the various
arterial and venous channels and capillary tracts must, with the
increasing tension and speed of our lives, be taken into
The more and more frequently repeated statements that the operation
was successfully performed but that the patient died of shock, and
that the typhoid fever and the pneumonia were being successfully
combated, but that the patient died of heart failure, together with
the increase in arteriosclerosis, cardiac disturbances and renal
disease, emphatically present the necessity of more carefully
studying the circulation. A better understanding and the constant
study of the blood pressure shows nothing but the necessity of the
age. The unwillingness of the patient to suffer pain, even for a few
minutes, without some narcotic, generally a cardiac debilitating
drug, means that, if he is a sufferer from chronic or recurrent
pain, he has taken a great deal of medicine which has done his heart
no good. Repeated high tension of life raises the blood pressure and
puts more work on the heart. Therefore the heart is found weary, if
not actually degenerated, when any serious accident, medical or
surgical, happens to the patient.
The requirements of the age have, then, necessitated that the heart
be more carefully studied, and therefore the heart strength and its
disturbances are better understood. The mere determination as to
where the apex beat is located, and as to what murmurs may be
present is not sufficient; we must attempt to determine the probable
condition of the myocardium. The following conditions are
recognized: (1) acute myocarditis, (2) chronic myocarditis
(fibrosis, cardiosclerosis), (3) fatty degeneration, and (4) fatty
Next: Acute Myocarditis
Previous: Adherent Pericarditis