The Manitowoc pilot. [volume] (Manitowoc, Wis.) 1859-1932, 1872-03-07
NO. 81.

WHISKY, rs that sometimes causes diarrhCpo
jus. about this period bronchitis, by itsel
. or with pneumonia, may arise. Wrap yoar
PATIENTS chest in a blanket or in cotton.
wool; and ifvou think he requires drug
the following is a good one: Carbonate OF
aInm onia- five grains; spirit of chlorocorm
fifteen minims; tincture Of souills. ten
miIinls; infusion of senesa, one ounce; every
! three, four, or six hours.
Stlmulants NAV now be useful We avoid
rules or this subject. In short, we ALWAYS
think more of the person. his history and
! constitution, than of the disease In other
words, we treat a person in a diseased con-
dition, and not merely disease will moi,
| speak very dogmaticaly OF the question of
llcohol; but l am quite sure that, IN large
doses, 1t sometimes does we'll In small
doSes,such as an ounce or two. to help raw
egg down, or with little hot water to pro-
duce sleap. it's always useful; but think
that in some cases it actually determines re-
covery Ordinary physiological rules, cou-
pied with the age and habits of the patient,
must be the chief guide. If he has been ac-
customcd TO his daily or nightly glass. by
All means let him have some stimulant al
through.
The most hopeless of complications or
seque,a is p,rurisy. We have srnplovea
with some success the following treatment.
Tineture of iodine painted over the affected
sldei cottonwood wrapped round the ches;
Ils ans IT threat mixture ds @ containing tfsq #
minims of spirit Of nitric ether, in an
ounce Of wat r, three times daily; with slim
ulants in moderation, and good feeding
Always feed, whatever may be the complica-
ton. Erysipelas requires simply feeding
and tonics: as local application we have in
variaby used fine -four and poulticcs We
have only had one fatal case
With regard to abcesses, early opening,
tonics, feeding, and stimulnnts shorld be
the treatment pursued. The following is sn
admirable tonic: Two grains Of sulphate OF
quinia twenty minims Of tincture Of muriate
Of iron; and fifteen miDims of spirit Of chic
reform. in an ounce of water-thrice daily.
trusts should not be allowed to remain
tbout the nostrils and mouth, where they
poison the air which the patient must
breathe. They should be carefully removed
rs they form, and a stream of carbolc acid
lotion keit running over the part which is
being removed. Air cannot pass over de-
composing felid matter without being more
or less contaminated, and | believe this
source Of contamination is not sufficiently
recognized. Always remove SC bs under
which pus is forming; and at this period see
that your patient is bathed, which, if proper
y managed may be done without producing
exhaustion. 1t greatly adds to po crea-
lures comfort to have quantity of sinking
matter washed away. A little carbolc acid
may be put in the bath.
When the patient begins to convalcsce, and
lso for some time during the convalcscence,
he is often irritable, and generally mcom-
Portable, In this condition we lave found
the following very useful: Dilute suphuric
acid, fifteen mlnims, tncture of opium. f.
Teen minims; water. one ouncc-thrce or four
lines daily. 1t relieves irritation, sooth.s
the mind, and helps on tn appetite
Be particular throughout that your pa
tents linen is frequently ch tnged In some
cases this may be an hourly instead Of daily
necessity Also see th; lie does not awa5
Ie upon his back, but that he is frcQuentlv
changed, so as TO avoio too constant pres
sure on particular par ) In severe cases
procure a water bed at once. BY good nurs.
.ug, let me repeat, almost All bed-sores might
he prevented and to their prevention we
ought to look most carefully DO not be-
iieve your nurse that your patient i. dry and
II right; look for yourself and see Re
ceivc no information from nurses or friends
yation Accept ncthing on Grs1itH ;9 WI #t thSE y5d
can see for yourself
For hemorrh ses from the mucous surfaces
there is no special treatment. If it is
severe add to your stimulant and take care
hat your patient does not get cut Of bed 20
.teol Indeed. in severe smallpox YOU
should never allow yonr p ,tien' out Of bed
to $ ool after the seventh day of the disease
Insist on the bed-pqn.
OrchitiS, gonorrh9o, and arthrilis some
times requires warm pvuliccs and mild as
trngent lotions, hut these are usually sufli-
Gent.
Such is the treatment we have employed
To sum up: air, cleanliness feeding, stiInu-
nts in moderation, sedutives, and tonics
are, we believe, the best treatment for small
poX.
One important question may be here an
swercd--yiz.. when a smallpox patient may
be considered free of danger to hi. neigh
bors This, in reference to the public. is
most important question, and one which re-
quires AN accurate answer. We have
thought over this very carefully, and we be-
ieye that we have arrived 1T an un ssailable
conclusion. 1t is trui>m to say that
healthy man cannot give to another n cen
tagIous disease; for the question at issue is,
"h7" ."@ how person may be certainly
recognized to be IN state OF health. No..
you know the ordinary signs of health: a GER
t=ln temperature, or rather range of tclnperl-
ture quiet pulse, clean I ngue, Il clear
in a smallpox patient. he is in u state Of
health But--an3 this :. but y is very inn
antS-certair products Of disease remain
tr an indefinite time attached to the body.
b sc are the scabs, and the scales which
iol,ow them. When these ale quite gone,
your patient we'll washe |, aud clean clothing
pat on, you may send him anywhere without
let or hinlrance. Tie practice here has
bee that, as patient is ordered out OF bed,
he has bath, and this is repeated every
second day until he leaves the hospital II
facilitates the removal Of the scabs. No
person has ever been sent out Of this ho.pi-
tai with smallpox scab or scale.
have but a word TO say about chiliren's
heads; they are most aggravating. Shave,
p ulticc, until removal OF the scales, theE
usa tar or oxide Of zinc ointment, the former
being preferable, and give the following:
Cod liver oil, one drachm; iron wine, two
drachms--tbree times daily.