The Anaconda standard. [volume] (Anaconda, Mont.) 1889-1970, 1899-11-02

| peTdtuTe reaching 1uo degrees. MORE
| commonly it is in every respect mild
| er in its initial symptoms, though the
headache and backache may be very
| distressing. The papules appear on
| the evening of the third day or on the
| fourth day. They are few in number
| and may be confined to the face and
| hands. The fever drops at once and
| the patient feels perfectly comfortable.
| The vesiculation and maturition of the
| pocks take place rapidly and there is
| no secondary fever.
Now. on seeing the patient-he said
he had been sick for three or four
days, and as no physician had been
in attendance-it was not possible to
determine whether he had had any
fever or not, but as the papules had
developed, 1t was superfluous to eX-
anime to determine fever. for. by re-
ferring to the statements of DR.. Osler
it can be seen that the fever drops
on the appearance of the papules and
does not return. AT any rate the in
duration of the rash, its appearance
and its distribution We're sufficiently
characteristic to pronounce upon the
case without giving credence to the
statements of a confirmed drunkard
trying to escape going to a pest house.
| was surprised to learn that DR.. Sui
livan had refused admission to the pa
tient on his delivery to the pest house,
and to learn that had he had a suit of
clothes at hand he would have been
permitted to return to town.
"On going to the poor farm Monday
and examining the man, l found the
vascular rash just turning to the pus-
tular form. and, inquiring of DR.. Sulli-
van the reason for not admitting the
patient, he informed me that he had
received no history with the man, and
that the man had told him l had not
taken his temperature and that, on TAX
ing the temperature himself, he had
found it normal, whereupon I replied
that on appearance of the eruption the
fever always disappeared and did not
return. Then he said that the patient
mad the eruption upon his forehead and
wrists where, in varioloid, he would
certainly expect to find it upon the
body instead, which also disputed, and
was satisfied myself that DR.. Sullivan
was not well posted on the manifesto
tons OF the disease, as the authority
quoted above will prove I at once de-
cided to endeavor to have a committee
OF physicians appointed, as the man
was then going about among the pao-
pie of the poor house to suit himself,
and on leaving ! saw him carry tray
OF empty dishes into the poor house.
asked Mayor Mccarthy for commits
sion to investigate and he asked me to
bearing half the expense, which / did
They refusing. I returned to the mayor,
who authorized the commission, which
was selected of older physicians, name
~, Drs. Leavtt, Monroe and Johnston,
who We're unanimous in pronouncing
the case one of varioloid, which should
have put a quietus upon everything.
but Drs. Sullivan and Sheeran undress-
ed the patient later and both were hor-
rified to find no eruption upon the body,
and DR.. Siberian then changed his dag
nosis from varioloid to acne Vulgaris'
Or. Sullivan's diagnosis), and they,
rather DR.. Sullivan, I think, still re-
| fused to admit the patient to the pest
house and last night sent in to the pa
pers summary of his reasons for not
pronouncing the disease varioloid, to
each of which reasons l wish respect
fully to reply:
"First-It Is of little Importance
whether it had been more than q DAYS
| from primary exposure to development
| of the disease, IS the contagion may
| have adhered to some article of his
clothing which escaped the authorities
IN disinfecting, and the clothes have
| been worn more recently again.
| Second-From diagnostic stand
| point the patients idea and a physi-
| clans idea might conflict as to what he
| had previously and what he has now
|
| cesslvely through each and every stage
| of varioloid
neutrality-suspicious. in the throat and
| other mucous membranes are only &C.
| casionally seen in varioloid and are tho
exception and not the rule.
| 'F'ifth-The papules, contrary to
| those of acne, passed through the stagl
| of vesiculation and a few aborted in
| the popular stage.
'Sixth-When I saw Mcleod first the
| eruption had appeared, and as at tbs
| appearance of eruption the fever dis
appears and does not reappear subse.
| quently no other manifestations could
| be expected.
'Seventh-1n varioloid the patient
feels perfectly comfortable.
'Elghth-In variooid any ordinary
exposure is not attended with ill effect
NINTH denounce this statement, as
false, as the marks in the hand werl
| only incidentally noticed.
Il would add that the commission
who saw Mcleod probably saw him toe
late to be positive in their diagnosis fol
the reason that scales were rapidly dis
guising the earlier and more character
lstlc appearance.
-. NEWTON ALEXANDER,
president of the Board of Health.
1t was stated last evening that Nc
Leod had been seen in the city yester.
day going about the streets, but DR.
Sheeran, who was seen with reference
to the report, stated that it was no
true, and whether Mcleod had vario.
loid or not. he would not be permitted
to come TO town till it is absolutely
safe for him to do so. DR.. Sheerar
stated that instead of providing a tent
in which to keep Mcleod, DR.. Sullivan
had decided to take the man into his
own quarters, and that he is being
cared for in DR.. Sullivans office at the
pest house.
Another alarming rumor was crcu-
lated yesterday A man came in from
Rocker and stated there We're quite a
number of persons there who have 4
peculiar kind of breaking out, which
many fear is smallpox. There was no
means of ascertaining yesterday wheth-
err there is anything in the report or
not, as DIR. Sheeran was notified too
late last evening to make an investiga-
ton, but he will go to Rocker to-day,
and if he finds any smallpox will take
the necessary steps.
U.Io