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Occasionally a patient will have the de- If the patient be of a nervous or hysteric lusion that he must take the drug to allay nature, the doctor will have to “forget": the pains of some imaginary disease, while his syringe or make some valid excuse, in reality the discomforts endured are and resort to other means for relief if he “ morphin” pains, pure and simple, in- does not desire to assist in forming the stead of the disease suspected.
opium-habit. If he be called to a case of There is necessity for consideration of sciatica and is very busy, the doctor often the disease and its treatment. Will others leaves his syringe and tablets and instructs add to knowledge on the subject ?
the patient how to use them. It is not Dr. C. E. PATTERSON. long, under these circumstances, until the Grand Rapids, Mich.
patient is confirmed in the use of the
drug. The Abuse of Opium.-A Clinical Picture. When compelled to give morphin the
Editor MEDICALWORLD:-It seems as tho doctor should never tell the patient what the best remedies placed in our hands for it is. It is a good idea to have it rubbed good are the most abused. Opium, the great up with powdered hydrastis enuf to color sheet-anchor in treating acute inflamma- it, then raise the patient's tongue, drop it tory diseases, in the hands of the thought- under, and have the patient hold the less or unwise physician is proving a tongue down until it is absorbed. This curse. The abuse of opium is modern. It will take place almost as quickly as with is only about a quarter of a century that the hypodermic mode of administering. the opium-habit has made great inroads If, however, the doctor bas an habitue to upon the moral, physical and intellectual deal with, his pathologic condition must status of our nation. Hippocrates used it be considered, since every organ bas bein the practice of medicine, and Galen come so perverted that he is morally alludes to it. It was not used however as irresponsible and physically fast becoming an intoxicant until about the middle ages, a wreck. when its use began to increase in Turkey The nerve-centers and cerebro-spinal and Persia ; it was confined almost ex- and sympathetic systems become affected clusively to those countries until after and the organs and parts supplied with 1700, at about which time it began to be nerves become more or less perverted. shipped to other countries and used as an The gastro-intestinal tract and glandular intoxicant. India is now the great opium system seem to suffer the most. The market of the world, and the habitual use glands that secrete the digestive fluids in of the drug has been increasing there in the stomach and intestines become the last 40 years.
atrophied, do not perform their function, Wood, of Edinburg, devised the hypo- and the food is only partially digested, dermic mode of injection. This has been owing to the paralyzed condition of the gradually perfected until within the last gastric glands. The testicles in the male few years it has become almost the univer- and the ovaries in the female become sal method of relieving pain. Opium was atrophied, the sexual passions become used in the form of gum or the alcoholic dead, and if copulation is performed pregtincture previous to the invention of the nancy rarely supervenes. If it does, missyringe, except in oriental nations where carriage is a natural sequence owing to a it was smoked. Thirty years ago it was lack of or deleterious condition of the introduced in this form on the Pacific vital fluids. There is an impairment of Coast, and is now being extensively the function of all of the secretory organs. smoked there, and this form of addiction Constipation from the general intestinal is rapidly gaining a foothold in our large paralysis and lack of the secretory fluids obcities.
tains, and the patient has to be aided by caThe busy doctor is in large degree re- thartic enemas to obtain a passage from the sponsible for the astounding and ever- bowels, The kidneys are overtaxt in reincreasing army of habitues. The relief lieving the poison from the system, as from pain and the ensuing comfort are so large quantities of urine are passt and at quick and satisfactory to the patient that times traces of albumin are found. the tablet of morphin and the syringe are Burlington, Ind. B. F. LANDES, M. D. out in a minute and the patient gets a shot. The pain is gone and the wonder
What have you learned about the treatment of phthisis? ful magic inserted by the needle is sure to
Let us ho ve it for the benefit of others. be called for when the pain comes again.
Read THE WORLD's special articles on seasonable diseases and you will surely subscribe. One year, $1 ; four years, $3. Baptisia Tinctoria.
barren of results and your patient gives Editor MEDICAL WORLD:—The more I you a gentle hint in regard to trying your see of the general neglect by the profes- opponent, then think of baptisia tinctoria. sion of the above remedy the more strongly
JOHN B. OELLIG, M. D. I feel impelled to say something in its Greencastle, Pa. behalf.
Tho out of the ranks, practically and Concerning Fever-Real and Ephemeral. professionally speaking, my interest clings Editor MEDICAL WORLD :-Having a few to all that concerns the interests of my leisure moments, will write a line on fever, professional brethren. I enjoy the society real and simulative. By fever, real, Í and meet a large number of the physicans
mean where Nature brings on complete of our State, and I find that comparatively reaction to any cause producing increast few know anything about this grand rem- temperature. If fever is real the pulse edy, clinically speaking. The skill of the rises on pressure and „seems to order the pharmacist has achieved much in these fingers out of the way. If the fever is latter days, and far be it from me to speak simulative the pulse falls on pressure or a disparaging word of them or their pro- seems to stop. When called to see a paductions.
tient this pulse-reaction is the first thing I Yet we know these elegant prepara- ascertain. If the pulse rises on pressure tions sometimes fail us, and
I know I have a case that is easily cured, about us to see where we are at.') for I have always believed that real fever Here we have a remedy evolved in Nature's is an effort of Nature to cure. If the pulse laboratory and adapted to a wide range of falls or stops I know the case will be stubapplication. We can use it internally,
use it internally, born and hard to cure. externally, and I had almost said eternally. A great many doctors think that when It is non-irritating, antiseptic, alterative, the pulse is quick and fast that the patient and it certainly possesses some sedative has high fever, but, acccording to my properties, for I have applied it to some judgment, the quickest pulse is caused very sensitive surfaces. Some very judi- from congestion, and is deceptive. cious physicians are using it as an internal If my patient has real fever my plan of antiseptic and alterative. My experience treatment is to try to assist the process with the drug has been confined entirely till Nature throws off the disease, or to its local use.
rather its cause. Therefore, I always give I have had grand results with it in cases my patients quinin and stimulants while where the stinking iodoform failed. Did the fever is up, and do not wait for the space permit, would like to particularize fever to lessen. was recently called to cases. I bave cured those intractable see a child in consultation. The attendulcerations resulting from burns as well as ing doctor said he had tried for three days the so-called “irritable ulcers” of the to lower the fever, but had failed. I found books. It is a grand remedy where gan- the patient with full and rebounding pulse grene is impending. I was called to at- with an occasional lost beat. On examitend an old lady early in my professional nation, I found a string tied round one of experience, who, like the woman men- the fingers of the left hand tight enuf tioned in the good book, "suffered much to stop the circulation. I did not wonder of many physicians." A large ulcerated that calomel and spirits of niter had failed surface of the left calf, and her being up- to stop the fever. We cut the string and wards of seventy-five years of age, made the fever soon lessened, and the child was the case a very unpromising one. The up next day. iodoform she had been using was discon- I was called to see a gentleman in haste, tinued, and absorbent cotton saturated the statement being made that he was with a strong decoction of baptisia was about to go into convulsions from fever. applied, and renewed three or four times. On arriving, I found him with a thready a day. This treatment was continued for pulse, so quick I could bardly count it. four or five days, and then followed by The wife informed me she had given parethe application of a roller bandage and a goric but had no fever-drops to lessen his simple ointment, which completed a per
fever. I ascertained he had come in late
in evening from hunting, and had gorged In conclusion, knowing the virtues of himself on meat and half-cooked peas. the remedy as I do, I would say when About dark he was seized with cramps and your routine treatment of such cases is vomiting. His wife gave the paregoric, as
she said, and the fever rose. I gave him were relieved. I saw no more of him for
M. S. MOORE, M. D. lap and about him in a very affectionate
manner. My first impulse was to snatch
the children away from him, for I felt An Amendment That Needs Amending. sure he had at that moment mucous
Editor MEDICAL WORLD:-An announce- patches of the disease in his mouth, which ment is going the rounds of the secular I found two or three weeks later to be the press, stating that Governor Roosevelt has fact. As I entered the house and found signed an amendment to the civil code of him there, I was hardly able to control a New York State, prohibiting physicians frown from gathering on my face. I think from disclosing any and all information the fellow discerned my feelings, for he regarding their patients, before or after came to me three weeks later for more death. The object of the law is all right medicine, but he had no idea of foregoing in the main, but like most good rules, the good fortune that fell to him at the needs an exception for certain cases, viz. : farmer's. Nor will the present law A member of the itinerant class of work. allow a physician to inform the farmer men, among other experiences contracts a of the danger he and his family are in specific contagious disease, and, as fre- by entertaining the much-traveled hired quently happens, secures employment in man. some rural community, and there first Such individuals should at least be subrealizes that he has some annoying dis- ject to quarantine in a medical institution ease. If he has sense enuf to consult a until danger of contagion is passt. physician, he will learn the serious nature I would rather a hundred times over that of the trouble, and the physician should a child of mine, or myself, contract diphimpress on his mind the danger of trans- theria in preference to syphilis. mitting the disease to other persons, from Long Eddy, N. Y. B. W. STEARNS, M.D. the mucous patches that are generally present in the mouth and throat.
Consumption and Open Air. But that is all the control the physician Editor MEDICAL WORLD:-Two months has over this unfortunate and frequently ago I was called to see a patient whom I obstreperous individual. With a bounti. found suffering with consumption. The ful stock of stories of his extensive travels, weather was cold, but the room was one of these fellows soon ingratiates him- heated with a small, red-hot stove. The self with the family of some farmer, and, mercury stood at about 90° F., and the in many instances, the farmer or some of air was reeking with impurity. the boys contract the disease from the The history was that of a cough of two hired man, who has traveled so much. years' duration, which had been treated One farmer in Wayne county, Pa., that I
and cough-mixtures ad know of contracted syphilis from the hired nauseam, but had gradually grown worse, man by trading pipes with him.
until now the bed had been taken to and A young fellow came to me a few months appeared that it would be the only resting ago with the loathsome eruption nearly place for the patient. Appetite, sleep, all over his body. After informing him of rest and comfort seemed forever gone. the nature of the trouble, what small hopes Large quantities of greenish and yellow of a complete cure, the time it would take, purulent sputum were being brought up, and the care he should exercise, so as not and the temperature was 103° F. to transmit the disease to any other per- Upon inquiry, I found that the former son, I furnisht him medicine, and urged medical attendant had askt that an him to make it the business of his life for abundance of fresh air be supplied to the next two years to get cured of the the patient, had prescribed somebody's trouble. He returned to me three times emulsion of codliver oil with hypophosduring the first two months, in which time phites, and given the case up, it being the annoying symptoms of the malady consumption and therefore hopeless. Tho
“hope springs eternal in the human Opium Poisoning--Strychnia Poisoning. breast," it had almost departed in this Editor MEDICAL WORLD :-The longer case. The diagnosis was unmistakable we are in practice the less medicine we and the microscope revealed myriads of give, and the more we depend on fresh air, bacilli.
plenty of pure water and good hygienics. I had the patient moved into an adjoin. Opium poisoning : CASE 1. Called about ing room and had the window lowered twenty minutes after patient had taken from the top, and gave direction that the about half an ounce of laudanum. Gave opening should be increast or diminisht a glassful of milk and followed with onein proportion to the change of outdoor tenth grain of apomorphia hypodermically. temperature, a scale of which was furnisht. I dissolved one grain of permanganate of The window in the room where the stove potash in about three drams of water and was should be slightly opened at the top filled the syringe with about thirty minims but wider at the bottom, governed by a of this solution, and injected in the arm. similar scale of temperature-range.
After the first vomiting, I dissolved anThe complete arrangement was such that other grain of the permanganate in a halfan even state of mildest perflation was and glass of water and gave it per oram. has been since, constantly maintained. The five minutes, another hypodermic. Pupils, crisp, dry, cool air produced an amelioration pulse and respiration improved. Gave a of the patient's suffering in twelve hours cup of hot coffee. Patient recovered. that was astonishing alike to patient and CASE 2. Dose of opium not known. friends, who declared change of rooms and Came about forty minutes after taking the so much air would be fatal. Since the poison. More serious than the first case. patient has been practically living out- No apomorphia. Gave of the permangadoors the cough has almost ceast, the nate solution about five or six hypodermics appetite is good, the strength has improved (one grain of the salt to three drams of and, greatest of all, the weight has in- water) within fifteen minutes. At intervals, creast. The patient is up and able to gave grain j. of salt in half-glass of water, walk about the house and yard and visit and twice a rectal injection of grain j. of nearby neighbors. No medicine worth salt in eight ounces of water. Patient mentioning has been given, for but little recovered. has been needed, except it had been some- CASE 3. Called in to a friend of minething of a specific nature, which unfortu. my neighbor physician-who suffered from nately we have only in part.
sciatica. His druggist gave him a hypoThe history and partly suggested man- dermic of morphia, half a grain. The agement of this case could be multiplied dose of morphia was measured by sight, many times. The appreciation of the not by weight, as the druggist depended open-air treatment of consumption is a on his thirty years' practice. The doctor small matter with the profession generally, had an injection of a half a grain of morcompared to the importance it will finally phia (by weight) a few days before, withassume. It is one of, if not the most out any bad results. Consequently, being valuable of all remedies. Of itself it often seriously poisoned by the druggist's injeccares; without it all methods of treatment tion, we think that the dose was not less are absolute failures.
than three-quarters of a grain of morphia, The weather seldom gets too cold and and perhaps one grain. never too wet for patients under my care Treatment: Half a grain of potassium to have their living or bed-room doors or permanganate, hypodermically; in ten windows open, and results are the surest minutes, one-sixtieth grain atropia, hypocriteria.
dermically; in twenty minutes, one grain The constant aim is that the patient of permanganate in half a glass of water, shall be under a roof that protects from per oram ; in fifteen minutes, one-quarter precipitation with a wall always to wind- grain of salt, hypodermically. Respiraward, for as important as the outside air tion, pulse and pupils better. Anodynes is, the patient must avoid draughts. If and sedatives to quiet the irritability of the patient gets too cool, put on additional stomach, which nearly exhausted him. wraps, increase the heat if it can be done Recovery after being with him for five without befouling the incoming air. Do hours. anything, if it must be, but do not close Five years ago, before THE MEDICAL the outside door or window.
WORLD (the practical teacher), brought Danville, Va. Louis F. HIGH, M.D. to my knowledge Dr. Moor's antidote for
opium poisoning, I was called to a young and antiseptically preparing the patient lady who had taken one ounce of lauda- for delivery, nine-tenths make good recov. num. Reasoning out that one ounce of eries without such preparation, tho I am laudanum contains about one grain of an advocate of such theory. It is almost morphin and one-twentieth of a grain of impossible for us doctors, who do a counatropin will neutralize one grain of mor- try practice, to have our patients to realize phin, I filled my hypodermic with one- the importance of having everything twentieth grain (!!) atropin and injected. ready, and have the abnormal actions of Strange to say, she recovered.
the kidneys corrected, and have the bowels A father with his child four years old to act regularly, and not be suffering from came in my office. “Doctor," he said, constipation; but that is never thought of "there is something the matter with my by thu majority of patients until the day child; she complains of pain at the pit of confinement. Success to THE WORLD. of her stomach. I wanted to give her
W.T. MILSTEAD, M.D. some water, but she could not open her mouth. I was told she took five pills
A Homeopathic Contribution, from this box." He gave me the box, on Editor MEDICAL World:--I have been the label of which were the following direc- using ferrum picricum the past six months tions: “One pill after each meal”. I gave for the cure of warts, and in some cases the child one teaspoonful of syrup of ipe- have been surprised at the rapidity with cac in my office, told him to take the child which the warts have disappeared. I gave home at once, and that I would find out the 3.x. and 4.x. trituration from one to in the drugstore what the pills were. three grains four times a day. A stray ten minutes I was with the patient, admin- copy of your journal chanced to come to istering in teaspoonful doses warm melted my office-hence the above. lard. The pills were one-sixtieth grain of I have read some of the articles on the strychnia each. The child vomited after treatment of pneumonia, and if the docthree spoonfuls were given; the rest of tors carry out the treatment which they the lard, about three-quarters of a pound, advise others to adopt, I do not wonder that was retained. I was with the child one they have to report that in some epidemics hour. Child recovered.
the most of their cases prove fatal. The I gave a hypodermie of one-thirtieth question remains: Was it pneumonia or grain of strychnia to a child three years drugs that did the work? old, which seemingly expired after two New York.
A. M. WOODWARD. severe convulsions. Child recovered. No bad effects from strychnia.
Odd Prescriptions, In connection with the article on page Editor MEDICAL WORLD: - Thinking 173, April WORLD, I will say that I have they may interest your readers, I send the frequently been called to patients whom I following quaint prescriptions found in a have found in a state of collapse from the work on midwifery written by Sir Theouse of headache powders.
dore Mayern, Physician to King Charles Philadelphia. Dr. S. SEILIKOVITCH. I., published in London, 1696. In the
conclusion of his work, the author quotes Puerperal Eclampsia With Hematemesis. from Exodus 1, 17 :
Editor MEDICAL WORLD :-In reply to “But the midwife feared the God, thereyour questions (April WORLD, page 162), I fore God dealt well with the midwives." will state that there was no post-mortem. 6. Deo Gloria.” There was no analysis of urine, as it was
Rare Secrets impossible to get a specimen. The skin
Brought to was very dark and had the appearance of
Light. a patient suffering with hemorrhagic jaun- Which for many years were locked up dice. The conjunctivæ were very yellow. in the breast of the most Famous and There was no trace of blood in the vom- Learned Physician, Sir Theodore Mayern, ited matter. As to the diet, nothing had Physician to Ilis late Magesty. 1696 been taken to produce such symptoms. It King Charles the First of ever Blessed is a difficult matter to get the poorer class Memory. of white people to understand or see the Some unique R necessity of having their general health or To Cause the Woman to Contain the system prepared for the expected confine- Birth R ment. With all the theory as to sepsis Take mint roses Marjoram, Saffron,