The Wichita daily eagle., 1897-12-12
Ladies and Gentlemen:

In the lectures that have preceded
this one We have followed chronic ca
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 be-
comes what is popularity known as con-
sumption. While the catarrh was in
the head 1t was probably called ca
tarrh. When it reached the throat,
however, il was called by various
names. such as tonsilitis, pharyngitis,
iaryngitis, etc. But. as we have al
ready learned, it is the same Old ca
tarrh.
When I tell patient he has catsrrh
cf the lungs, the same catarrh that ne
used TO have IN the mead or throat, II
Is easy for him to understand what 1
mean.
But Il I tell him he has phthisis or
tuberculosis I have only mystified MIN.
CA lady rose to ask: Does catarrh Of
the head or throat always precede ca
tarrh Of the lungs?'D
1t is my opinion that It does. OF
course, there are some cases where the
existence OF catarrh had not been sus-
pected before the consumption de-
veloped But my experience in this
very class Of cases leads me to believe
that a careful 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 and
throat. The membrane is thickened, the
mucus secreted by the membrane be-
comes abundant and thick. The air.
cells are Immediately filed with this
secretion, part Of which may De coughed
up, but mostly it remains in the cell TO
dry up and become a cheesy mass, call
ed tubeFcles.
"a doctor asked: ''Do you, then, re-
gard tubercles an effect of consump-
ton rather than a cause?'O
/ do. In this opinion I am aware
that am at variance with many medi-
cal authorities. but my extensive ex-
perience in these cases has confirmed
me in thi. matter. Tubercles are sim
ply the dried masses Of catarrhal Sc
cretion left in the air-cells.
Allow me to illustrate my subject by
a conversation with a patient before
you. 1 win 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-marked example of
consumption in the second stage. I
will ask her few questions before you
all, as to the development of her dis
ease, which win serve better to Illus
trate my theory of these cases than
anything else I could say.
First, I wish you to notice that her
cheeks are Slightly flushed. little red
der than normal. This IL very de-
ceptive symptom, as it often leads peo-
pie 10 suppose that the patient is in
unusually good health. You viii no.
tice that the eyes are very clear and
unusually large. somewhat inclined to
bulge, and rather anxious in express
sion.
The nostrils are slightly dilated; the
mouth somewhat pinched surrounded
by the zone Of paleness which is so
characteristic 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
sick?
81 noticed the first symptoms about a
yesr ago"
ness?
Il caught heavy cold, which seemed
20 settle in my head"
What were the symptoms that the
cold produced in your head?
"A full, puffy feeling in the forehead.
etoppage OF the nose with some dis
charge, which very soon produced hawk
ing ana 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?
Il don't remember exactly, but I
think i. was about six months"
Well, what were the next symptoms
YOU experienced?
las near as can remember. six
months after took the cold began to
be slightly hosrse. This grew worse,
ana finally commenced 20 cough, But
thsycough seemed urighr and 7 spftl rb
very small quantities OF thick, strTrsy I
rySus. which was spmetimes -streaked
via bs6a. - JSt3sI sSe1TjS &c y,'
aFd san snuse suS iskssed f. fassia esthis 2
time?
Yes; had lost about ten pounds"
Had you any pain?
81 had stitches OF pain. especially on
the LETT side. close up 10 the collar
bone"
Did you notice any difference in the
coEsr bone?
Yes: the left collar bone seemed to
be higher ana more prominent than
the right one
! wish 70 call the attention OF tne
Physicians Who are present 10 the an
sweV that tais lady has just given. Cen
sumption. except sUch cases q. follow
pneumonia. develops first ct the top OF
the LEFT lung. This imme3itely pro-
dlces a hollow place under the left
e.ayicle. which makes the clavic,e looA