The news & observer. [volume] (Raleigh, N.C.) 1894-current, 1897-12-12
Ladies and Gentlemen:

| TINS one we nave 1OiiONeu CHIolllS So-
tarrh through the various passages and
| cavities Of the nose, head and throat;
| and have finally reached the lungs. When
| catarrh reaches the lungs it becomes
| what is popularity known as consump-
| ton. While the catarrh was in the
| head it wars probably called eatarrh
| When it reached the throat, however
/ il was called Ivy various names, such as
! lonsilitis, pharyngitis. laIyngitis, etc
! BUT. as we have already learned, it is
/ the same old catarrh.
when / tell patient he has catarrh
/ of the lungs, the same catarrh that he
! used to have in the head or throat, it
/ is easy for him to understand what
! mean.
But if / tell him he has phthisis or
| tuberculosis / have only mystifed him.
"a lady rose to ask: docs catarrh
/ Of the head or throat always precede
catuTh of the lungsY
lit is my opinion that it does. or
course. there are some cases where the
| existence Of catarrh had not been sus-
| pected before the consumption devlop-
( ell. But my experience in this very class
of cases leads me to believe that a care
+ ful examination of the case would have
(. revealed the existence Of catarrh.
| As soon as chronic catarrh reaches
! the lungs proper. that is to say, the air.
! cells, it produces in these delicate cells
the same condition Of the mucous mem
brane that it produced in the head aud
/ throat. The membrane is thickenei. the
/ nucus secreted by the membrane he
COMES abundant and thick The airceljS
are Immediately filed with this Secretion,
part of which may be coughed up but
h., 10 nv,
ard become n cheesy mass, called tuber-
| cles"
a doctor asked: ''Do You, then. re-
card tubercles an effect of consump-
ton rather than cause?'0
do. In this opinion 1 am aware
3Jhat am at variance with many meli-
emf authorities. but my extensive eN-
perience in these cases has confirmed
men in this matter Tubercles are SIM
ply the dried masses of catarrhal Sc
erection left in the air-cells.
Allow be TO Illustrate nay subject by
conversation with a patient before
YOU. | Will ask Mrs. Eliza Heinzle, Of
this city, who has just applied to us for
treatment, to step forward. We have.
in her case, a well-markcd example of
| consumption in the second stage. / viii
| ask her a few questions before you all
rs to the development Of her disease
which will serve better to illustrate my
/ theory Of these cases than anything else
| | could say.
First. | wish You to notice that her
| cheeks are slightly flushed, a little red
! der than normal. This is a very decep-
tive symptom, as it often leads people
! to suppose that the patient is in unns-
ually good health. You will notice that
] 40 Ill md Tait tr
large, somewhat inclined to bulge, and
rather anxious in expression.
The nostriIs are slightly dilated; the
mouth somewhat pinched, surrounded
by the zone of paleness which is so char
| acteristic of consumption. Her cheek
! bones indicate that she is losing flesh
| and you will notice that her voice is
| quite harsh and loud when she talks.
| Mrs. Heinzle, will you please tell me
| how long you have considered yourself
sickY' -
Il noticed the first symptoms about
| year ago"
What was the beginning of your i'll.
ness?'
81 caught a heavy cold, which seemed
| to settle in my head"
"What were the symptoms that the
cold produced in your head?"
"a full, puffy feeling in the forehead
! stoppage Of the nose, with some dis
! charge, which yerey soon produced hawk
| ing and splitting of thick mucus, which
| came from the back part of the nose or
upper part of the throat"
How long did this continue before
| you noticed other symptoms"
II don't remember exactly, but |
think it was about six months"
well, what were the next symptoms
You experienced|
"As near as I can remember six
months after | took the cold / began
! to be slightly hoarse. This grow worse
and / finally commenced to cough. But
tie cough seemed tight and ! spit up very
small quantities Of thick, stringy mucus,
! which was sometimes streaked with
! blood.''
! did you notice any loss of flesh at
this time?"
Yes; / had lost about ten pounds"
/ Had you any pain?'
! 81 had stitches of pain, especially on
the left side, close up to the collar
/ bone.@
Did you notice any difference in the
| collar bonew
"Yes; the left collar bone seemed o
he higher and more prominent than the
right one."
I wish to call the attention of the
physicians who are present to the an
swer that this lady has just given. Con-
sumption. except such cases as follow
pneumonia, develops first at the top OF
the left lung. This Immediately pro-
duces a hollow place under the left claw
Gle, which makes the clavicle look as IL
it were more prominent than the right
one, from the shrinking away of the lung
underneath. This is a very character
istic symptom OF the early stages Of
consumption.
"Did your cough continue to grow
worse?" aiAaFa7
SCI can't say that 1t grew any worse;
but ! was able to cough up more, and
what / spit up became more yellow. I
did not cough any worse during the day
but / had more severe coughing spell
IN oOfno RI had and yScino in tho morn.