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March, 1945 RICE DIET—KEMPNER 149 mg. per 100 cc. of blood, chlorides (assodium chloride) were 490 mg. per 100 cc. of plasma, calcium was 8.9 mg. per 100 cc. of serum, phosphorus 4.3 mg., cholesterol 160 mg. Total proteins were 7.1 Gm. (albumin 3.1 Gm., globulin 4.0 Gm.). The urine contained rare white blood cells, no red blood cells, no casts, and only a slight trace of albumin; the benzidine reaction was negative. The total nitrogen excretion was 3.44 Gm. in twenty-four hours, the urea excretion 4.92 Gm. in twenty-four hours (1645 cc. of urine). The results of the phenolsulfonphthalein test were as follows: Appearance time ten minutes; excretion at the end of the first half hour 15 per cent, at one hour 10 per cent, at one and a half hours 5 per cent, at two hours 5 per cent; total excretion in two hours 35 per cent. The eyegrounds showed marked decrease of peripapillary edema and less arteriovenous compression. Most of the hemorrhages and exudates present in January had been absorbed, but there were still a few scattered through both retinae. The electrocardiogram showed the T-waves in lead 1 to be diphasic, those in lead 4 inverted; the angle of the electrical axis was +27 degrees (fig. 50). A chest film showed the lungs clear, the aorta tortuous, the heart size "within normal limits" (transverse diameter 13.1 cm.). The patient was advised to continue the rice diet at home for another five months; he returned twice to the hospital for reexamination during this period. He was completely asymptomatic (except for an episode of abdominal pain followed by weakness of about five days' duration) and went back to work as a janitor and night watchman in a cotton mill. His blood pressure remained at a level of 145 systolic, 97 diastolic (average of eight readings during the two admissions). His weight was 57.4-57.25 Kg., the hemoglobin 87-89 per cent, the nonprotein nitrogen 49-50 mg. per 100 cc. of blood; chlorides (as sodium chloride) were 500 mg. per 100 cc. of serum (in June) and 475 mg. per 100 cc. of plasma (in August). Calcium was 10.0-10.1 mg. per ,100 cc. of serum, phosphorus 3.3-2.7 mg., cholesterol 124 mg. Total proteins were 6.8-6.3 Gm. per 100 cc. of plasma ; the albumin-globulin ratio was 0.70-0.96. The urine contained 0-3 red blood cells and 0-8 white blood cells per high power field, and rare granular and hyaline casts; the benzidine reaction was negative. The average albumin excretion during three days in August was 0.27 Gm. per 1000 cc. of urine; the total nitrogen excretion was 4.8 Gm. in twenty-four hours in June, 1.7 Gm. in August; the urea excretion was 7.1 Gm. in twenty-four hours in June, 1.73 Gm. in August. The total phenolsulfonphthalein excretion in two hours was 21 per cent. Examination of the eyegrounds showed the discs sharply outlined; the edema had completely disappeared and the tortuosity and engorgement had decreased; all the hemorrhages and exudates were absorbed. A chest film showed the transverse diameter of the heart to be 12.1 cm. (fig. 49). The electrocardiogram showed the T-waves in leads 1 and 4 to be normally upright; the angle of the electrical axis was +44 degrees (fig. 50). After the fourth admission, August 23-28, 1943 (seven months after the rice regime was started), non-leguminous vegetables were added to the diet. The patient was reexamined November 29 - December 3, 1943. He had been feeling very well and working six days a week. There had been no weakness, no urinary tract symptoms, and no visual disturbances. On this examination his blood pressure averaged 128 systolic, 91 diastolic; his weight was 58.2 Kg.; the hemoglobin was 79 per cent, red blood cells 3,900,-000; the nonprotein nitrogen was 46 mg per 100 cc. of blood; the total proteins were 6.5 Gm. per 100 cc. of plasma. The transverse diameter of the heart was 13.2 cm., the angle of the electrical axis +49 degrees. He remained on the rice diet plus non-leguminous vegetables for the next three months. When he returned for re-examination on March 10, 1944, he reported that in the interval he had had several teeth extracted, and had had a head cold and an accidental cut in the arm with profuse bleeding; but he was completely asymptomatic with regard to his hypertensive cardiovascular disease and was feeling "strong and well." He had been working eight hours daily. The diet was further modified by the addition of 1 ounce of beef, chicken, liver, or fish four times a week. On May 22, 1944, he was re-admitted for the sixth time because of a recurrence of the dermatitis on the leg, which healed well with elevation of the leg and the application of saline compresses and gentian violet. The average blood pressure during the six days in the hospital was 153 systolic, 98 diastolic. The patient was advised not to eat more than 2 ounces of meat per week for the time
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006 |
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 | 6 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 149 |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006-0161 |
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 | northcarolinamed61945medi_0161.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 | 6 |
Issue Number | 3 |
Page Number | 149 |
Health Discipline | Medicine |
Full Text | March, 1945 RICE DIET—KEMPNER 149 mg. per 100 cc. of blood, chlorides (assodium chloride) were 490 mg. per 100 cc. of plasma, calcium was 8.9 mg. per 100 cc. of serum, phosphorus 4.3 mg., cholesterol 160 mg. Total proteins were 7.1 Gm. (albumin 3.1 Gm., globulin 4.0 Gm.). The urine contained rare white blood cells, no red blood cells, no casts, and only a slight trace of albumin; the benzidine reaction was negative. The total nitrogen excretion was 3.44 Gm. in twenty-four hours, the urea excretion 4.92 Gm. in twenty-four hours (1645 cc. of urine). The results of the phenolsulfonphthalein test were as follows: Appearance time ten minutes; excretion at the end of the first half hour 15 per cent, at one hour 10 per cent, at one and a half hours 5 per cent, at two hours 5 per cent; total excretion in two hours 35 per cent. The eyegrounds showed marked decrease of peripapillary edema and less arteriovenous compression. Most of the hemorrhages and exudates present in January had been absorbed, but there were still a few scattered through both retinae. The electrocardiogram showed the T-waves in lead 1 to be diphasic, those in lead 4 inverted; the angle of the electrical axis was +27 degrees (fig. 50). A chest film showed the lungs clear, the aorta tortuous, the heart size "within normal limits" (transverse diameter 13.1 cm.). The patient was advised to continue the rice diet at home for another five months; he returned twice to the hospital for reexamination during this period. He was completely asymptomatic (except for an episode of abdominal pain followed by weakness of about five days' duration) and went back to work as a janitor and night watchman in a cotton mill. His blood pressure remained at a level of 145 systolic, 97 diastolic (average of eight readings during the two admissions). His weight was 57.4-57.25 Kg., the hemoglobin 87-89 per cent, the nonprotein nitrogen 49-50 mg. per 100 cc. of blood; chlorides (as sodium chloride) were 500 mg. per 100 cc. of serum (in June) and 475 mg. per 100 cc. of plasma (in August). Calcium was 10.0-10.1 mg. per ,100 cc. of serum, phosphorus 3.3-2.7 mg., cholesterol 124 mg. Total proteins were 6.8-6.3 Gm. per 100 cc. of plasma ; the albumin-globulin ratio was 0.70-0.96. The urine contained 0-3 red blood cells and 0-8 white blood cells per high power field, and rare granular and hyaline casts; the benzidine reaction was negative. The average albumin excretion during three days in August was 0.27 Gm. per 1000 cc. of urine; the total nitrogen excretion was 4.8 Gm. in twenty-four hours in June, 1.7 Gm. in August; the urea excretion was 7.1 Gm. in twenty-four hours in June, 1.73 Gm. in August. The total phenolsulfonphthalein excretion in two hours was 21 per cent. Examination of the eyegrounds showed the discs sharply outlined; the edema had completely disappeared and the tortuosity and engorgement had decreased; all the hemorrhages and exudates were absorbed. A chest film showed the transverse diameter of the heart to be 12.1 cm. (fig. 49). The electrocardiogram showed the T-waves in leads 1 and 4 to be normally upright; the angle of the electrical axis was +44 degrees (fig. 50). After the fourth admission, August 23-28, 1943 (seven months after the rice regime was started), non-leguminous vegetables were added to the diet. The patient was reexamined November 29 - December 3, 1943. He had been feeling very well and working six days a week. There had been no weakness, no urinary tract symptoms, and no visual disturbances. On this examination his blood pressure averaged 128 systolic, 91 diastolic; his weight was 58.2 Kg.; the hemoglobin was 79 per cent, red blood cells 3,900,-000; the nonprotein nitrogen was 46 mg per 100 cc. of blood; the total proteins were 6.5 Gm. per 100 cc. of plasma. The transverse diameter of the heart was 13.2 cm., the angle of the electrical axis +49 degrees. He remained on the rice diet plus non-leguminous vegetables for the next three months. When he returned for re-examination on March 10, 1944, he reported that in the interval he had had several teeth extracted, and had had a head cold and an accidental cut in the arm with profuse bleeding; but he was completely asymptomatic with regard to his hypertensive cardiovascular disease and was feeling "strong and well." He had been working eight hours daily. The diet was further modified by the addition of 1 ounce of beef, chicken, liver, or fish four times a week. On May 22, 1944, he was re-admitted for the sixth time because of a recurrence of the dermatitis on the leg, which healed well with elevation of the leg and the application of saline compresses and gentian violet. The average blood pressure during the six days in the hospital was 153 systolic, 98 diastolic. The patient was advised not to eat more than 2 ounces of meat per week for the time |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Article Title | Compensation Of Renal Metabolic Dysfunction Treatment Of Kidney Disease And Hypertensive Vascular Disease Ivith Rice Diet, Iii |
Article Author | Walter Kempner |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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