The morning call. [volume] (San Francisco [Calif.]) 1878-1895, 1891-01-27

request OF Mayor SandersOn, who has ably
seconded the efforts of the medical profess
sion in this matter. In November last l
sent 10 Berlin for two bottles of the lymph,
forwarding the money TO pay for them, but
they have not yet been received.
This" he concluded with a smile, "may
have been intended for NE, and | have de-
cided to claim it at all events"
LIKE STRONG COFFEE.
DR.. Rosenthal then broke the seal and
took the phial from the package. When
exposed to view there was seen a diminutiye
phial scarcely more than an inch in length,
ana of the thickness of a mans finger. In
side could be seen brown liquid of about
the consistency, apparently, of water, and
IN color resembling strong coffee.
''Pll be hanged if it doesn't look like
coffee" calculated DR.. Healy, with an
amused expression of countenance, while
the features of the grave doctors grouped
around broke into smiles.
DR.. Rusenthal handed the mysterious
phal to DR.. Hirshfelier, who removed the
STOPPER, and explained briefly the use of the
lymph.
DILUTING THE MIXTURE.
This mixture" he said, cannot be used
in Its concentrated form. as it is highly
poisonous. The ordinary amount to be
used in single injection is one-thousandth
OF ceniimeter. In dilutlng it sterilzed
water IS used, the lymph being in quantity
hall OF per cent that of the water. Car
bOllc acid equal in amount to the lymph is
also used. The syringe is similar to that
used IN ordinary cases, and the mixture is
injected In much the same manner as if it
were simple drug. In the first expert
ments the needle was inserted at point
about midway between the yerteLrfe and
the left shoulder-b blade, but later on the point
Immediately below the shoulder blade was
selected. Now, however, the custom is to
make the injection at point lower down,
in the vicinity OF the small of the back. This
Is done merely to prevent any irritation to
the patient wnen lying in bed.
SENSATIONS EXPERIENCED.
" AT the time OF the operation no sensation
IS felt by the patient beyond slight prick
ing sensation. No change is experienced for
from four 10 ten hours, at the end of which
time the person operated upon experiences
decided rise in temperature and an ac-
celeratlon of the pulse. II the case is
genuinely tuberculosis the foregoing symp-
toms are accompanied by 4 sensation as Of
a weight laid upon the chest and this, in
many instances, is followed By chill If
the case is not tuberculosis no result follows
the injection.
A REACTION.
The symptoms, as described, continue
Tor several hours, when reaction takes
place, and the pulse and temperature ap-
prOach again to a normal condition. In
some instances the temperature reRchessa n
height of los degrees. On the day fOllOwin Z
the Injection OF the lymph the eXpectora-
tion is generally increased in quantity, and
after that dininishes gradually.
''If the case is a successful one there is on
the third day smaller rise of temperature
and cOrrespondingly smaller reaction. As
the patient progresses an increase Of the
quantity OF the mixture is needed TO achieve
the desired results. In the first stages of
the treatment an increase is also noted in
the number of the bacilIi.
"In the experiments thus far made it has
been found that where cavities exist in the
lungs the results are not so favorable as
where no cavities have yet been formed.
Where the disease is accompanied by tuber-
cular liberation Of the intestines, the result
of the administering of lymph has been in
some Instances to cause perforation and
necessarily death. Great care, therefore,
must be exercised, as even in carefully Sc
lected cases, serious results have followed
in the most unexpected manner"
In conclusion, he cited the case of girl