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MILK SICKNESS. 141 cases, and all of them, save one, in a hopeless condition before I saw them. The facts of this one case should becandidlv stated, inasmuch as it proved fatal under a hasty treatment, and a misapprehension of the chief sources of danger. The case was that of Miss Morrow, a large, corpulent young wo-num of aboui 20 years, in the summer of 183G, the first case in second year of my experience of this disease. The disease was contracted some twenty-five miles away and her strength much exhausted on reaching home. She suffered some five days or more, before my arrival, with nausea and frequent vomiting, for a few minutes before each emesis, would apjiear deathly sick, her bowels unmoATd during that time, with cold extremities and other symptoms usually attending such cases. I determined to move the bowels as speedily as possible, and to that end used the most active cathartics that could be retained and as soon as one dose would be ejected it was followed by another. After 30 hours or more I succeeded in that purpose, ))ut her vital energies were exhausted, she never rallied and died of anaemia on the third day after my arrival. The mistake here consisted in supposing the alimentary canal to be the chief seat of danger, and that through which remedies were to be conveyed to other parts of the system. In reality there is no aiDpearance of enteritis, and little danger of additional accumulation, as the excretions are well nigh suspended ; nor should we overlook the fact that constipation, under such circumstances, is more easily overcome and the peristaltic action renewed by stimulating tonics, than by drastic cathartics. And what was still more to be regretted, the indications of danger that now im})re>s me most forcibly should then have been neglected until it was too late. The skin is dry and almost bronzed, the extremities flexed and cold, the capillary circulation imperceptible, secretion and alimentation well nigh susi^ended, the sources of animal heat dried up, the pulsation of the large arteries maybe seen in the motion of the bed covers, and every systole of the heart proclaims that the citadel of life is invaded, and that we should not trifle with the remaining sparks of vitality by any debilitating course of treatment. The strength of the patient must be cured, for at everv stage and throughout the whole course of the disease ; otherwise if the patient recovers, he does so in spite of improi)er treatment.
Object Description
Rating | |
Fixed Title * | NCHH-19: North Carolina Medical Journal [1878-1899] |
Document Title | North Carolina Medical Journal [1878-1899] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Wilmington; Charlotte : The Journal?, 1878-1899. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1878 |
Identifier | NCHH-19-001 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 1 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-19/nchh-19-001.pdf |
Document Sort | all; group-e; nchh-19 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-19-001 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-19 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1318861 |
Revision History | done |
Description
Fixed Title * | Page 141 |
Document Title | North Carolina Medical Journal [1878-1899] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Wilmington; Charlotte : The Journal?, 1878-1899. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1878 |
Identifier | NCHH-19-001-0155 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed01jack_0155.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 1 |
Issue Number | 3 |
Page Number | 141 |
Health Discipline | Medicine |
Full Text | MILK SICKNESS. 141 cases, and all of them, save one, in a hopeless condition before I saw them. The facts of this one case should becandidlv stated, inasmuch as it proved fatal under a hasty treatment, and a misapprehension of the chief sources of danger. The case was that of Miss Morrow, a large, corpulent young wo-num of aboui 20 years, in the summer of 183G, the first case in second year of my experience of this disease. The disease was contracted some twenty-five miles away and her strength much exhausted on reaching home. She suffered some five days or more, before my arrival, with nausea and frequent vomiting, for a few minutes before each emesis, would apjiear deathly sick, her bowels unmoATd during that time, with cold extremities and other symptoms usually attending such cases. I determined to move the bowels as speedily as possible, and to that end used the most active cathartics that could be retained and as soon as one dose would be ejected it was followed by another. After 30 hours or more I succeeded in that purpose, ))ut her vital energies were exhausted, she never rallied and died of anaemia on the third day after my arrival. The mistake here consisted in supposing the alimentary canal to be the chief seat of danger, and that through which remedies were to be conveyed to other parts of the system. In reality there is no aiDpearance of enteritis, and little danger of additional accumulation, as the excretions are well nigh suspended ; nor should we overlook the fact that constipation, under such circumstances, is more easily overcome and the peristaltic action renewed by stimulating tonics, than by drastic cathartics. And what was still more to be regretted, the indications of danger that now im})re>s me most forcibly should then have been neglected until it was too late. The skin is dry and almost bronzed, the extremities flexed and cold, the capillary circulation imperceptible, secretion and alimentation well nigh susi^ended, the sources of animal heat dried up, the pulsation of the large arteries maybe seen in the motion of the bed covers, and every systole of the heart proclaims that the citadel of life is invaded, and that we should not trifle with the remaining sparks of vitality by any debilitating course of treatment. The strength of the patient must be cured, for at everv stage and throughout the whole course of the disease ; otherwise if the patient recovers, he does so in spite of improi)er treatment. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-19/nchh-19-001.pdf |
Document Sort | all; group-e; nchh-19 |
Article Title | Milk Sickness |
Article Author | Woodfin, H. G. |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-19-001 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-19 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1318861 |
Revision History | done |
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