New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1890-12-24
WHEN DOCTORS DISAGREE
SHALL TT BE BIG OR LITTLE DosESP


PROGRESS OF PATIENTS.
.., .,o vital interest felt by the sufferers
,-..r.. a very strong local feeling concerning ING
I,,r,straton Of Dr. Koch's lymph Is cehB mann
,.e4cd by physicians. The situation is l"'u 4,
,rs<unc inst at this time When the goaU '
~. ivmph 10 cases of phthisiS and hp"s ""' |
.nnmnced ply scians rushed To Berlin, III larsc nun
,.,s from all parts of the world MOST Vi '",l ,1'o
- sudv the methods practsed in the lano "heio 'no
~ - No made and where at first. there WAS
...,osllr a monopoly of the new treatment Douo'
- many NJ them saw that pioneers III 'no NOV
h.rarture In their respective comhuno0 "~'
achieve distinction il not fortune. s.,o,
.,ors the American doctors in Berlin t"osiaouo''
.onrusen,.d one of these believed in con@erva
- roe,ho,. in adopting Innovation wIhio 'no
~ was willing to accept authoritative 'e ,oNu'',
". -. t,.iop experiments certain NUMBER vi
W -, doctors approved the radical treatment vi
,,o,v,nv the administration Of large ooScs VI Ni"
=. the BEGINNING of the treatment a. F
,,..h nv Dr. Won Bergman anu o'"'I
Gernan physicians. while aS MANY l
~. method as hazardous. some OF 'he uoo"i9 WV
h.v. returned from Berlin have Pro'eeoe" u P ~
.,on .be theories formed by their personal w
opo A. Oh. cerman capital. The conservative
80, heran the local work, first starving VII" cA
.,r ANAL dos>s and increasing them according 10
A., .tr~nsth Of the rcactionary symptoms Inc" '"o
49, action csne the field, and III anoeior Sp"
,r~,neA the course Of using heavy uoseN t" .,
e.. sin later both sides were REINFORCED oH "'o
80. r.nent arrivals from the German 'ap''dl' " "
...n, ,,me the contendinG theorists are fouo"lns
uH ,.snc.,ro courses while closely watching the
" .h,.,ned nv either The conservatives nav
- ,,. most outspohen. some Of them are accuse"
=, VIOLATING professional ethics III ''uosihs 81"
.-x administration of heavy doses ana each suo "ns
n, ~ dlspleaseA should a mishap occur a. ''
- N. others, treatment. But the docVors VIM 81"
~, directly interested in the con'roVerss' anu
,hcr.fcre able 10 judge imparralE' say u'"' '''''
t,r,ons are night while both are wrong 49,.
,roc,,nrnt physican said yesterday thaV tno'o
-. wa factions in Berlin just AS there ale no'o'
r,. c.rman surgeons believe in heavy oose~ VI 'p
.on, IN. beginning of treatment. while the Ph'
favor small doses AZ the starr, 40 " " No ...
,..r,1 the psychological development OF the ues"n
IN individual cases. As II Is snsii u ". a..
,.s, .na gradual increase in einoculauons' was '
-. -. aon,.d at the Mt Sinai the German ~
yhos :, Marks and other hospitals, ana eA'o'o
- hoe. followed. Large doses at the oesiiiins
-. ,..n the rule AT Bellevue where the tN'io"o"'
h.s b.cn in operation for few days only .-.-
vuas said at Bellevue yesterday thsV inc P"' =
l., charve OF the NEGOTIATIONS wanted ID u'uoa sun" ~
N. governments under way are luen'i'"i We"
NJ Dr. Leydcn. Of Berlin, VINO u i'''e WV
Laid down by DR.. Koch himself u.
- ~ ,he most interesting cases at Bellevue Is 'a'
-, O uonan who is suffering with lupus. she WAC III
,ec4od with ten nhllgrsmmes OF lymph Noso'u"' 'N
th,cd tnoculation. The previous m]ecuohs "ci0
~ Ave miIligrammes. Yesterdays d"'e vi o"n NM
c-.umos was the heaviest vet administered ia "'e
country for third iDOculation' IL was eNpHU
aha, the larger dose was given because satisfactory "
.,.ona-v svmptoms had not followed the aolhiilst"
zion NJ the smaller doses. Another case "f lupus I'D"
a,rcady shown marked improvement Inc Solo ~
become healthier IN appearance ana sc'ifHe Va,
,sadr cot m The phthiAs cases are reported as
showing great improvement Four cases were reihoco
fs,ed YESTERDAY each with three pilhgrammcs'
An experiment In two lRpus cases Is to be tleo IN
pencvue both having the same general symptoms
ons is 10 he inoc,uated every other day With two
,nilurramney ana the other II to receive Two min
srsmmes every day for four DAYS. when inc o'Se
U1u be doubled The results psy determine the fi'"T
policy at the hospital of using the lymph Inc case
entered for derentia1 diagnosis TO determine ~hethcr
Tho disease Was lupus or epitheoms has shown marked
re>cionayy symptoms. but the doctors arc unoed"eo
stu whether 1t IS or Is not canoer out mo ~
thsv SAY indicate the presence q tuberculosis.
Tn Hedneanan Of Mt sins Hospital, said yes"r'
tarday TINT there two distinct mcthOos III uoA'
meut IN vogue IN Berlin. 10 surgical cases hesV'
doses ver. admins cred sndiR medical cases niaer
ones. Ir. Won Bergman, he said. hao useo "s
S.sv,er do.ss In surgical aso With gratifying 70.
s tus At NJ Hasi yesterday sixteen patients were
tsnoru,sted one q case OF lupus received zen
s.a g me, e oas f Sss .s1s sro as
csses. one seins 81 epf.heltozns and tho other OF
SrDaistsd eye1ds. The lattsr case Is heresans a.
e soubse suppesed TO BE- canned by ~ s",;
-. Efuborn. who returned nom Berlln few DAYS
ago saX yesterday tAst tfnle tho doctors In Berlin
nd observed nothing that the Americas physicians
hx not seen as result OF their use OF use lymph,
~ Imettan doo6urs bad made observations which
Ia escSosd tire attention. Of the Berlin practitioners
Tc re{effed TO the enlargement OF the spleen, which
n Shds 6oxntry had become OF the most common
81 me resctaonsry symytC@s, n,a+.a ~ tho csrm,r
st. Luke's and st. Marks hos pitfalls Yesterday. and
the nAttents wcro all reported 10 be doing we'll.
The-e WYE I'VE rsinoc nlations at the Montefre
The doses ranging from one and half TO three MILL
Sr.utnes. These arc ell phthisis cases Dr., Shrady
received paal Of lymph nom Dr. Elnhorn yester,
day. and Will begin using IL to-day IN ST FRANCIS
Hospital. ,,.., ..,,i.d .o
eases before fifty more physicians at the Academy
Of Medicine last night. They were new cases. IN
which fine lymph treatment had not vet ben used
Gne was Of lupus and the other Of epitheloms. a
history Of the cases was presented by DR.. kmni.
emit so that those who wish NAV study the eatmen n,
WIN Them from the beginning to the end They VIII
10 innruIated at ST. Luke's b day. and they WIN he
Drsrtscany clinic case< after the principles follow cd
In the hospitals Of Berlin.