The morning call., 1891-01-22

stance one case, an Englishman with linus
of the nose, under treatment. His nose and
surrounding tissues began to swell. accom-
panied by high fever, sense of ache in homes.
etc. OF course he felt worse after receiving
his initial Injection than before but he was
pleased at the result and became almost en-
tLusiastic over his future prospects of i'm
provement within ten days from the he
ginning of his treatment. WhvP Won
ask. Simply because of the following.
to him almost miraculous, circumstances
to explain which l must go back. When
child he had hip disease on left side. which
after number of years was cured, althoueh
1t left him with that leg about four inches
shorter than tie other For ten or fifteen
years he has never suffered any pain in that
joint, when 10, and behold, four to six hours
after the very first injection with Koch's
lymph, now called kochin, the ioint be-
came painful, swelling and local elevation
OF temperature and reduesS of the parts an
peared, together with the local swelling of
the nose ard surrounding tissues No other
joint or part Of body was locally affected.
What did this mean? 1t meant that al
though his hIp-joint disease was apparently
cured, in reality the baclli were not all
killed or removed, and would inevitably. and
did IN this case, grow and multiply, and
finally either attack the same or some other
organ. In this case the source of supply for
his tuberculosis Qupus) of the nose was
probably the tuberce bacili left in the him
joint Remember this is not one Isolated
case, hut only type of scores of cases that
| have watched daily for one to two weeks.
and whose history, daily written out in de-
tail OF days previous to my arrival here, is
placed at my disposal, and, again, | can
question the patient to my hearts content.
1ou can well believe the patients have no
object in telling untruths. They watch
themselves as you or | would under
similar circumstances. To come back
TO our Englishman, who happens TO be quite
Intelligent, and specially so in regard 10 his
own affection. As soon as he grasped the
full meaning of his hi joints reawakened
affection he became almost jubilant Ana
yet to superficial observer he was not I'M
proved; he vas worse If anything. He had
fever, dull aching pain all over his body,
nostrils almost and at times entire ly closed
up by tie immense swelling of rest of nose,
upper up and neigh boring portion Of cheek.
The swelled portion surrounded only $Yo-
thirds OF a nose, for One-third had heen
eaten oil by this dread disease lupus and
before undergoing treatment he was an m
parenlly strong, healthy man, if we END ut
ms nose and shortened lower limb MS rsiG e
IRON she dishEnIentent Of The face m tb6
which VIII soon drop of and leave = red,
smooth skin, which slowly becomes paler
and paler until it assumes its normal color.
The hip-joiut swelling and pain disappeared
entirely after few more injections of
Kochin, and has not reappeared. The
quantity injected is increased with every
injection. This is, you must admit an i'm
proved case. | would write you about ether
cases only that Intend to write up in detail
a few cases for the Medical Journal, and Won
n hE IN If. . lnfs
And yet 10 look at the matter from an
other light, this seemingly harmless, and. as
above described, only good producing agent.
this hochlp, is one of the most powerful
agents know Of III medicine. / have seen an
ALARMING rise of temperature follow the in
lection OF COZ portion Of drop 1.-TWO milf
grammes). just imagine IL. The l-32 Dor
ton OF drop injected under the skin of n
consumptive patient almost causing death.
And why? Because that patient is almost
saturated with tuDercle Daciiii. Not only
his lungs-yes, his lungs NAV he least
aiiected-but nearly if not ali the other vital
organs may be affected. Or, on the other
hand, he may have tuberculosis tconsump
tom OF the larynX or tongue or some other
portion OF the throat. Unless the adminis-
tiation OF hochln Is carefully made and the
patient under constant supervision of a CON
sclentiOuS, palnsttking physician | am very
certain more harm than good will result
from this treatment, for in tuberculosis afTec-
tons OF the neck and throat great DANGER
arises under this treatment because Of the
and the patient chokes TO death before medi,
cal and can be gotten. This is the principal
reason Tor the discretion used ont Lera ne
TO whom 1t should be sod. By fhe
way, L ought TO have mentioned II nj
the very beginning of my letter, it also
explains why l haze few more adyan~
tages than the average American physician
VINO has come over here for Koch's iv,nnh
don't mean to insinuate that | have Tottan
any nearer to the lymph than any one else
OF tne Two or more hundred American and
the lew thousand European (and from OTHER
as my little baby says, ''all gone" none to
De gotten Tor two weeks" none for siy
weeks, none to be gotten until the mann
Iacture OF the same Is in the hands of the
German government" ETC., etc. In fact
you get different reply from every source
questloheu, oUt always IA refusal But to
return to the favorable circumstances | was
going 10 relate. On November 27tn. dav
or two after leaving New York, | made the
acquaintance on the Fulda OF DIR. r. n
rainier OF PittSbnrg, Pa, who was bent
upon inc same purpose as |. viz. Koch, his
patents ana ms lymph, study with the first,
investigate the second and get the third or
bust in the attempt That was about the
way we put it. The next day | missed DR.
Painter at the table, and on inquiry fonnd
ne was sick abed Well, to make a long
story short. L played nurse, chamber.
maid, COOK and general utility man
.ogether with an occasional professional adj
vice to him from that day until Sunday, De-
,ember z, 1880, when / succeeded in getting
him room In Professor Won Befgman'S
hospital, where his case was diagnosed as
'nc OF tuberculosis Consumption of the
'llnal column. Just think of it, DR.. p. came
over 10 get the lymph to use on his patients
ma literally and truly gets it Sin the back
II the neck l fortunately got it "back of
he neck. metaphorically speaking. for
Hhich L am truly. thankfully happy. /
you'd be awfully happy if l could get 1t
1ottled ana IN my pocket. | ought to have
mentioned that although DIR. Painter took
curse in bacteriology under Koch in 1885 and
n all staid out here about a wear. he
,,ould not speak the German Language. and
hereby compelled me to care for him in SO
much as he was all alone and wanted Ia mt
lin self under Germany's greatest sureeo ms
are. Of course l became more intimately
cquainted with the assistant surgeons NJ
he hospital through acting rs DR.. P.'s in
erpreter and as his friend. Fortunatelv
neY showed themselves very friendly dis
'osed toward me, and hence | am gettino
hong, SO far as learning the practical ami.
ation OF koch's lymph to surgical and med
ial cases, as well as if i had the Influence
4 4, Jim Blaine or Vanderbilt back of me.
'sen, IN OF now to Moabt to see those
.ases Win. cases Oh advanced consumption,
i aIses WIN extensive cavities in the ung
N.Y. my, lne cavities, are cauterized with tha
i h cautery and drainage to the onlside
ishens n an aiie Echest-wall permanently estab.
hn anu hochs treatment carried our Mt
nc same time; so far but few select cas u.
i"s a, oeen eXperimented upon, we m,Ist cali
u aii experiment. All the operaions c ara
"nnilv o On Ia The presence of Dr. Koch per- o
low we can only speak of ye9v aavo Up 10
siI US, and Improvement, but Of this t;,ne