The commonwealth. (Greenwood, Miss.) 1896-1923, 1904-07-02
TIE OF
Pulmonar
tuberculosis
By ROBERT b. PREBLE
ff'is''7r Of hediaias. Northwestern UliysrsitY

AN'bSF'AFF- a. Ia
brief time suitable for an occasion sue.
as this to enter upon anything like
complete discussion Of the treaimen
Of pulmonary tuberculosis. Each cas-
presents It's peculiar difficulties an
problems for solution, and mus,
therefore, be content with an eff0r
t" sketch what appear to me as ia,
most essential principles underlying
our attempts to assist nature in eff
feeling a cure.
II Is impossible for the physician t
faIhIl his higher and broader duty. hi:
duty to the race, without the conscicn.
tioH5 and intelligent assistance Of the
patient Each case Of tuberculosis Is q
potential center Of radiation from
which other cases may arise. and the
Doctors highest mission is 10 prevent
thIa. Fortunately. there is no conflict
between the doctors duty to his pa
tient and that to mankind. It is not
necessary to isolate the patient in in
Rjitnte5 for mis- purpose. nor should
the patient look upon himself as a
So0rr" Of unavoidable danger t. his
friends. Contact with mberc1lar pa
TENTS can be safely continued for
years, provided only that the suptum is
properly disposed Of. II is o necas-
sary 10 here discuss the numerous
mcJhodsof disposal of the sprtum which
have been devised, but / wish to draw
renewed attention to the fact that
SpntJm sprayed from mouth and nose
when sneeZine or coughing is perhaps
OF even greater danger than that eypec-
tpraj"d INTO cup or cloth. This sb0uId
be explained to the patient and the
mouth aud nose should be rarpfplIv
covered whenever the patient gnpezeq
or coughs.
n is perfectly evident that M ma
ticnt VIII properly destroy his gp1f1rn
unless the reasons for such irnIbla are
explained 10 him, and such exclamation I
lnu&i be prcccdcd by afraDl statpmnntof
nature Of his diqoaao Tho r
sjlv or tho ,r,rln l '''C'
10 rno, o5,t.I, " ''e
,o donht woro '' "'' anu
oeig recornt.o1 ,''' ~ '"peI'u-
,aciui anro.r 4h.@ 80 Wv '""ef''e
,f of en,,t,r, rrano - """ e''''
,ar,,losia m,n,,I op,''' "''"oSe", tu-
bo uorr1 "''" ~"'''ppe"' from
II, +uLjno
,isooaa no "'"',n'll VI thlS
10 tha Invite ~ nan1 TLnp ','@''y before
70 mor nnt nttI.,a. I'''y i" o'oer 'hat
.,o,iey, s,Iis. 49, cue IInPoSS'oie'
,oo, r,n,,d IT. "'"h n"S NOT YET
,ca ,r,m' -. ro"nu Guy "''ett I'iu~
- d,rIntI,, " y+,,''' an" ''"t all eHorts
nottont. ~ ''o U"''I' ueS'Foy
i,cr5 rha, - ~ Dr.,' "''''' ! AIN ron
a,,a h,aa "' .n' a~n'lFep''cS "hIch
va No WV '"'' ,ue@ III NINA
'II",' '"e ""I'n mas not
n. IT, p"' r'9e' 10 more
ss,,.z ~ W. V ''l'i"'' t'a'
,I,l.I, hnra,, '. " ''"s are ap- :
,,r. ii..l.' 49,. ~ "PPN''' ~ M ,
,urI which will neu+reIi,o Tho "pay w +
the diphtheria ~a6titoyiro 5ooe ~, {
,XiIe Of the diDhthoria barj1n,e and G
nus enable the host ia resist tba in
of the unweIc0ma o,eet Il Y
SO appeals ia me as likely that crcb a
body when found will he n bfoloofcoI r
'oEuct of either the human or boyira n
n aty of the tubcrclo hacilI1s Tbora q
We been and still are in use , number ri
these bodies but even after tho poe- a,
&c Of years no one Of them has been ii
lie to establish itself in the confidence f.
the profession, Because of the n,
course of this disease any meth. "a
,irlst be slow in its establishments fo
t sufficient time has elapsed to try and ia
d wanting a considerable number NJ fn
csc biological products. m
there is scarcely a drug In the IN
armacopeia, scarcely a method. physi. RI,
, electrical, hydropathiC or mechan- ca
|, which has not been tried again and 81,
ain in the treatment of pulmonary I'm do
'cllosis, and yet out of all this careful ca
| conscientious effort no drug or meth m
has emerged triumphant. The only do
lE NUUn which all are now agreed ic tip
t the patient must be supplied with fin
the necessaries of life in liberal thf
and Of the best opaIities ~,
t the energies of his hodv must he tt,-
served and strengthened in averv nj,
p. in order that the hesunp mower tnr
,rent in us all NAV bring about , ;s
!, Drugs and other theranentic an,
Ms are to be employed IN combat ,,n,
vldual SYMPTOMS as thev arise hut r
disease itself must he loft n ma ,bo
oxo
lc first and most essentia, thing ,s # ,
upply the patient with good 49, tho
believe that when n 10 nossthIo nor
should no removad N sar,o ~
Of the health resorts whore tho ok sbo
c conditions have provan fovnrohI. ava
.hese cases hut u,ror,,,,taI, 49,
large percentage or tpberor,on tin,,
s are not able to stand thn er,I
6 of such A chaupe Ono ~ ~. and
N4t' VI Itlt . AAAA