Lamoille newsdealer. [volume] (Hyde Park, Vt.) 1860-1877, 1873-03-12

other premises, and TIC purity of drink
ing water.
As to the diagnosis OF the disease, its
beginning is considerably OSscpre. The
PoisOs Turks IN the body some fiha preyi.
Gus to tho real outset Of fever. and then
the disease begins insid;ou.ly aud isrega.
larly, it is difficult to say where. but
probably in the intestinal system. tits
difficult also to say when i begins. But
representing the ordinary course Of life
by straight line at The commencement
Of the disease. there is auabrup; deviation
frem this straight line. which goes IN IL
sreasing until the fourth, and still more
to the sixth day. On the fourth day the
patient is mauifcsiiy in, and on the sixth
day very III and obliged to keep lis bed.
1t is about this time, remarks Sir Will
lam, that VIC, as ruel, first see these
patients How shall we identify the fc-
yer 2 BY that little instrument. the
thermometer. II, even ON the Grst day.
the t,mpsrature be normal or below nor
NAL IN the afternoon, there is no fever.
Ia the real typhoid, the temperature in
creases l5 G or even % Q F. in first "a
hours. On the other hand, If on first
day the temperature be los you may
be certain that the disease is not typhoid.
We see, therefore. that whether The tenn
perature be too low or too high the thorn.
Ometer will greatly assist in making d.
agposis. The temperature goes on ris-
lug about l.5 6 per day till about the eth
or sixth day, when it reaches its maximum
lO3.5 or l04Oe or even more. This,
thongh not absolutely aud invaribJy true,
makes the thermometer very important
aid to diagnosis, and far more reliable
than the condition Of the pulse But it
must be used at the proper time of day,
that is, in the afternoon. r.,
In marking the course of the fever, we
6pd that on the twenty-frst day, the
curved line suddenly runs into the straight
line of ordinary health. and the fever
ends, though in some cases not till the
twenty-eighlh day. And all this while,
We can give no answere to the question,
lis he better !" We have only to refer
inqulrers tothe chart and tell them what
is the curve through which the disease
must go. I'VE shall not find the word
better written anywhere on the curve
In the morning the patient may be cooler
and appear better, but in the evening he
is hotter and appears worse. We rust
wait the natural term of the disease be-
fere we can say whether the patient is
better. 1t is not always easy, however,
to fix the date at which the disease begins.
and so determine which is. the twenty-first
or twenty eighth day but by careful re-
corddlng the temperature, We may tell the
time to couple Of daysn Ard, yet in
exceptional cases the disease may begin.
agalInn' as It we're, and repeatitseli,, and.
50 last twenty-eight days more, or even,
triple itself. It's therefore necessary to
allow for the possibility of thescsccondary
attacks, which howevery do not ,ncccssa-.
ri'y last as 'ong as the previous cpes.
4 Sir William proceeded to say that how
ever the typhoid poison might, be intro
duced, and while It may be reflected over
the wbee body. its main focus is in the
ileum, or longest Of the smaller iptes-,
tines, and about the, ninth day mischief
begins to show itself in the intestines.
From this focus any or every organ may,
be affected, according to the severity of,
1 the disease. . ~.
AS 70 the treatment it was his opinion
that the true typhoid cannot be cut short,
even IN its early stage. and The best OK
periance shows .hat when once the pa-
tient has began to 60 down the curve, we,
must not dose him with medicines. The,
best way is to place him in bed and res
serve as far as possible his nervous power,
calculating that if he lives, he is, bound
to 80 through the whole course of the
disease, to go through, US the DOCTOR ex-,
pressed it, "a great physiological storm."' /,
Let him alone then as TO drugs in the E
early, stage; 'aa early rest will save his
power And afteruard medicines, are /.
only required for special conditions, like
Idiarrhna or hemorrhage, and then bot the
powerful astringents J, ,.sdon't begin with )
lall your great guns at once" Delirium, /,
may any time set 10, and therefore must !
the patient be constantly watched, not
left alone by day or night, The doctors
favorite remedy to check deirium is acc.,
I,hol, as allaying the brain irritation and
soothing the nervous system. The main
idea Of Sir Williams treatment is, nSaycsT
the patients strength from the obcrininr. 4
and not trust to medicSes to cure tho dis.
ease" Let the patient be carried through
BY the most careful, unremitiing aud as.
siduous attertion to the smallest details