An illustra-
tive ease.
Important facts bearing on this case!
The main!
4
Another case which seems to me to be of particular i following: ---At Jamaica Corpl. B., Royal Engineers, came sick, feeling languid, having headaches, losing flesh, and quite unabl at his duty. He said he had been ailing ever since his arriva Indies early in 1894. He looked very anemic and debilitat his state of health was simply the result of climatic causes, } tonics, &c.; he did not improve, but in fact got, if anything, w On closer examination I found inguinal and cervical glar ments, and on inquiry that, whilst serving in Egypt in 189 syphilis a sore on the penis, followed by a slight sore throa colour rash. He had been treated at the time in hospital for was then discharged to duty. Since then he had had no furt! as he did not go sick, although suffering now and then fro and ulcers in the mouth, which were probably specific. On information I concluded that his present debilitated conditic the syphilitic poison in his system and determined to try a m All internal remedies were stopped and injections of mercury the first injection he began to look better, and one month later had five injections, he had gained 12 lbs. in weight and looked a
He continued to attend to receive an injection once a months; at the end of this time he was apparently quite well. I saw this man, and he had had no return of the disease, but v of health,
This non-commissioned beer was a well-educated man, grateful for the benefits he had derived from the treatment,
and
I mention this case as to my mind it is an especially in lan illustration of what happens with the early discontinua treatment. The syphilitic patient goes into hospital, is there all active signs of the disease have passed away-there hay k indurated chancre and one of the milder rashes; these vansh month's time; then he is discharged, and all treatment of col Should the patient be of robust physique, amperate in his bat general surroundings and climate healthy, the disease may trong again during his life. On the contrary, suppose physique to very best, and that, if a soldier, he proceeds to the tropics. Turch first hot weather his general health falls below par, then the hold of him. This is what happened in the case just related, of his ill-health was detected and remedied.
Yet one cannot help thinking how many similar cases go until the disease declares itself, either by some fearful externa by still worse internal lesions. Treatment is now too late, and either invalided out of the service or dies.
The above state of affairs will go on as long as the older treating syphilis remain. What is our remedy? We must remai fact, and not turn away from it, "that with any hope of cur (and that it can be cured is now, I think, an accepted fact) tre be continued for months after all signs of the disease have di this is a sine quâ non.
or timban
Now, in the case of the soldier is it to be expected that he difficulty in hospital over all this long period and is it possible to treat him treating the of hospital by any of the older methods? I maintain that it is n syphiliti to bring about his cure this is what is absolutely necessary.
soldier by
the older methods.
The introduction of the Intramuscular mode of giving mercury this difficulty, for by it the soldier can be treated just as well out o as in, and for as long a period as one wishes, with absolutely no i himself, and the only loss to the service being that he is taken a his duty for half an hour each week.
Who would suggest the treatment of the soldier whilst at hir one of the other methods (say the Internal)? Is there any possib it would be carried out regularly and systematically? In answer I would merely remark that it is hard enough to carry it out an better educated classes, how much harder would it be amongst
soldie: A good
What should guide us in continuing or interrupting the in guide as to I think the best indication as to this is the patient's weight. Thị continuing
be or Individual,
No.
đọng trong
15345.
DOMESTIC.
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14245
114
cade mach Frol Assoc
1898
6 July
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