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IO THE CHARLOTTE MEDICAL JOURNAL. the neurotic will be affected prejudicially by a comparatively 6mall quantity of spirits which might be taken—aye, even double as much—with almost entire impunity by his neighbor of a different type. (2) Alcohol has an especial affinity for the "memory centre" and the "will centre" of the brain. When either or both of these become deranged—but not till then—the case may be pronounced to be one of inebriety. (3) In the inebriate the cells of these centres are physically injured. An organic lesion has been established. Till other cells have been requisitioned, so to speak, to take the place of those that have been deranged, the functions previously exercised through the latter must remain in abeyance. (4) The process is a very slow one—this taking up of new work by a set of cells not previously so employed. It cannot be hurried. Gold will not expedite the process, nor apomorphin, nor any drug with which we are acquainted. The restoration of healthy function has never been known by the writer during an experience of over twenty years at Dun-murry to be accomplished in a single case in less than a twelvemonth. An official document issued by the Home Secretary in 1899 stated that there was a consensus of opinion among medical men that, in order to give a chance of effective operation to even the best designed method of treatment, a considerable period of residence in a "home" was required. The treatment%'cannot be successfully carried through under eighteen months to two years even in favorable cases." (5) Hypnotism, the injection of apomorphin or other drug (according to "Dr. Topsy's" or any other method) may arrest the drunkard in his downward course of vice. It will not do anything towards the re-building of injured brain tissue. (6) The inebriate must for at least twelve months be placed in such surroundings as experience shows are favorable for the carrying out of the work of restoration of the injured brain cells—a work which must not be interrupted, and which cannot go on if alcohol in any quantity, even the smallest, be taken by the patient. The protection of the patient can be secured only in a properly organized "home." (7) Forty-one per cent, of the cases of both sexes treated at the Dunmurrv Home during the last ten years had previously been under the care of "Dr. Topsy" or some other lightning curer of inebriety. In every one of these cases, without exception, the patient said the benefit was only temporary, the duration of the immunity depending on (a) the occupation or surroundings of the patient after the so-called 4 cure" had been effected, and (b) the condition of the general health. All looked upon the expenditure on the "cure" as waste of both time and money. Case of Enlargement of the Spleen and Liver in a Child. Steven (Glasgow Medical Journal) reports the case of a child of two years which had been listless and fretful for eight months. Four months later the abdomen became enlarged. She vomited occasionally. One brother died at seven years of age after three years of vomiting and splenic enlargement. On examination the spleen was found to extend into the pelvis. The liver was also enlarged. The author thinks this may be a case of Band's disease. Innominate Aneurism—Simultaneous Ligature of the Right Carotid and the Right Subclavian Artery; Recovery. Dunn (British Medical Journal) reports the case of a man aged forty, who had contracted syphilis in 1886. By 1904 he had developed unmistakable symptoms and physical signs of aneurism of the innominate artery. As the tumor was already quite large and daily growing larger it was decided to operate. The case had refused to respond to Tufnell's treatment. The right common carotid artery was ligatured above the omohyoid muscle, and the subclavian artery in its third part. The operative wounds healed well. Immediately after ligation a decided diminution in the size of the sac took place. Fifty-one days after the operation the portion of the sac in the episternal notch was consolidated and felt firm to the touch, although a faint pulsation was still felt. A month later he was recommended for light employment. Shortly afterward he was able to walk a mile and a half each way daily to his work without dyspnea, and to follow his occupation of cleaning tools at the bench without inconvenience of any sort except slight fatigue of the right arm and shoulder. A small tumor, firm and but slightly expansile, and paralysis of the right vocal cord still persist. No temporal pulse is palpable, although a slight radial pulse can be felt. . There is slight weakness and coldness of the right arm. Tuberculin in Tuberculosis. Anderson (British Journal of Dermatol-ogy) makes an earnest plea for more general and wide-spread use of old tuberculin (Koch) as a diagnostic and curative agent in tuberculosis. He demonstrates its marked positive diagnostic value in a case of peritonitis, a case of general enlarged glands, and an otherwise obscure eruption on the ears, arms and thighs; its negative diagnostic powers in a case resembling lupus, but yielding promptly to antiluetic remedies. Seven additional cases of lupus, some of which failed to improve materially under X-ray and Finsen therapy, were cured
Object Description
Rating | |
Fixed Title * | NCHH-21: Charlotte Medical Journal [1892-1921] |
Document Title | Charlotte Medical Journal [1892-1921] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Description | Absorbed Carolina medical journal in 1908 and continued its vol. numbering with v. 58. Vol. 4, no. 3 (Mar. 1894) misnumbered as v. 4, no. 5. |
Publisher | Charlotte, N.C. : Blakey Print. House, 1892-1921. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1906 |
Identifier | NCHH-21-028 |
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 | 28 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-028.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-028 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-21 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2666817 |
Revision History | keep |
Description
Fixed Title * | Page 48 |
Document Title | Charlotte Medical Journal [1892-1921] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Description | Absorbed Carolina medical journal in 1908 and continued its vol. numbering with v. 58. Vol. 4, no. 3 (Mar. 1894) misnumbered as v. 4, no. 5. |
Publisher | Charlotte, N.C. : Blakey Print. House, 1892-1921. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1906 |
Identifier | NCHH-21-028-0056 |
Form General | Periodicals |
Page Type | all; report/review |
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 | charlottemedical281906char_0056.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 | 28 |
Issue Number | 1 |
Page Number | 48 |
Health Discipline | Medicine |
Full Text | IO THE CHARLOTTE MEDICAL JOURNAL. the neurotic will be affected prejudicially by a comparatively 6mall quantity of spirits which might be taken—aye, even double as much—with almost entire impunity by his neighbor of a different type. (2) Alcohol has an especial affinity for the "memory centre" and the "will centre" of the brain. When either or both of these become deranged—but not till then—the case may be pronounced to be one of inebriety. (3) In the inebriate the cells of these centres are physically injured. An organic lesion has been established. Till other cells have been requisitioned, so to speak, to take the place of those that have been deranged, the functions previously exercised through the latter must remain in abeyance. (4) The process is a very slow one—this taking up of new work by a set of cells not previously so employed. It cannot be hurried. Gold will not expedite the process, nor apomorphin, nor any drug with which we are acquainted. The restoration of healthy function has never been known by the writer during an experience of over twenty years at Dun-murry to be accomplished in a single case in less than a twelvemonth. An official document issued by the Home Secretary in 1899 stated that there was a consensus of opinion among medical men that, in order to give a chance of effective operation to even the best designed method of treatment, a considerable period of residence in a "home" was required. The treatment%'cannot be successfully carried through under eighteen months to two years even in favorable cases." (5) Hypnotism, the injection of apomorphin or other drug (according to "Dr. Topsy's" or any other method) may arrest the drunkard in his downward course of vice. It will not do anything towards the re-building of injured brain tissue. (6) The inebriate must for at least twelve months be placed in such surroundings as experience shows are favorable for the carrying out of the work of restoration of the injured brain cells—a work which must not be interrupted, and which cannot go on if alcohol in any quantity, even the smallest, be taken by the patient. The protection of the patient can be secured only in a properly organized "home." (7) Forty-one per cent, of the cases of both sexes treated at the Dunmurrv Home during the last ten years had previously been under the care of "Dr. Topsy" or some other lightning curer of inebriety. In every one of these cases, without exception, the patient said the benefit was only temporary, the duration of the immunity depending on (a) the occupation or surroundings of the patient after the so-called 4 cure" had been effected, and (b) the condition of the general health. All looked upon the expenditure on the "cure" as waste of both time and money. Case of Enlargement of the Spleen and Liver in a Child. Steven (Glasgow Medical Journal) reports the case of a child of two years which had been listless and fretful for eight months. Four months later the abdomen became enlarged. She vomited occasionally. One brother died at seven years of age after three years of vomiting and splenic enlargement. On examination the spleen was found to extend into the pelvis. The liver was also enlarged. The author thinks this may be a case of Band's disease. Innominate Aneurism—Simultaneous Ligature of the Right Carotid and the Right Subclavian Artery; Recovery. Dunn (British Medical Journal) reports the case of a man aged forty, who had contracted syphilis in 1886. By 1904 he had developed unmistakable symptoms and physical signs of aneurism of the innominate artery. As the tumor was already quite large and daily growing larger it was decided to operate. The case had refused to respond to Tufnell's treatment. The right common carotid artery was ligatured above the omohyoid muscle, and the subclavian artery in its third part. The operative wounds healed well. Immediately after ligation a decided diminution in the size of the sac took place. Fifty-one days after the operation the portion of the sac in the episternal notch was consolidated and felt firm to the touch, although a faint pulsation was still felt. A month later he was recommended for light employment. Shortly afterward he was able to walk a mile and a half each way daily to his work without dyspnea, and to follow his occupation of cleaning tools at the bench without inconvenience of any sort except slight fatigue of the right arm and shoulder. A small tumor, firm and but slightly expansile, and paralysis of the right vocal cord still persist. No temporal pulse is palpable, although a slight radial pulse can be felt. . There is slight weakness and coldness of the right arm. Tuberculin in Tuberculosis. Anderson (British Journal of Dermatol-ogy) makes an earnest plea for more general and wide-spread use of old tuberculin (Koch) as a diagnostic and curative agent in tuberculosis. He demonstrates its marked positive diagnostic value in a case of peritonitis, a case of general enlarged glands, and an otherwise obscure eruption on the ears, arms and thighs; its negative diagnostic powers in a case resembling lupus, but yielding promptly to antiluetic remedies. Seven additional cases of lupus, some of which failed to improve materially under X-ray and Finsen therapy, were cured |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-028.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-028 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-21 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2666817 |
Revision History | keep |
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