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Acute esophagitis calls for rest in bed, sterile liquid food...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
General Tonic Treatment
Take the B D current, (A D is very good), of fair medium stre...
We give this name to a trouble from which we have been able to...
THE mere idea of a brain clear from false impressions gives a...
Hepatization Of Lungs
Take A D current, pretty strong force. Treat in front, over t...
Direct Laryngoscopy Adult Patient
Before starting, every detail in regard to instrumental equi...
Punctures Case Vi
A little boy, aged 12, received a stab by a penknife a few da...
I was practicing in Cincinnati during the prevalence of Chole...
Examination Of The Trachea And Bronchi
All bronchial orifices must be identified seriatim; because ...
The remedy which has attracted and still attracts in a very h...
Neutralise by chalk or lime water, but not by soda or any alka...
Food And Mental Power
Unsuitable or ill-cooked food has a most serious effect on the...
The first step is to get rid of the gastric secretions. Ther...
Cures Losing Their Effect
After a fortnight's treatment often matters seem to come to a ...
Arterial hypertension may be divided into stages. In the fi...
This is inflammation of the Pleura of one or both lungs, gene...
is a most efficient remedy applied to old irritable _varicose...
Some years back my 70 years old mother came from the family ...
Acute Dilatation Of The Heart In Acute Disease
It has for a long time been recognized that in all acute prol...
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