The Hawaiian star. [volume] (Honolulu [Oahu]) 1893-1912, 1905-11-24
TREATME EMIT 9
CONSUMPTION
PORTION OF A PAPER READ BEFORE THE TERRITORIAL
MEDICAL SOCIETY BY DIR. A. N. SINCLAIR, MEDICAL
SUPERINTENDENT OF THE HOME FOR INCURABLES
MUCH OF 1T is THE RESULT OF HIS EXPERIENCE
AT THAT INSTITUTION.

the Hawaiian Territorial Medical Society at meeting by Dr.
n Sinclair OF the Marine Hospital Service and Medical Supern
tendent of Leah Home the official title of the institution known
the Home For ncuabes The full title OF the paper Tuberculosis
Pumonas Preferential Symptoms, Diagnosis Treatment"
The herewith presented portion of the discussion of the
treatment
The principles laid down by Bremer 1886 still form the basis of
modern tuberculosis pumona although they
been modified. These principles were
l. Lie in open
Complete freedom facilitating circumstances, anything
that may lead to eNacerbatlons OF the disease
Methodcal climbing the condition Of the patient
ders tins advisable.
4. Constant medical supervision
Abundant dietary in which milk fatty foods and vegetables
important
Certain interchangeable measures
The modern Interpretation and modification of these rules
The patient should live continually day and night pure
amosph possible He should sleep the open
should have breeze pure passing face x
cold and OF less importance than that he should be
deprived Of this constantly renewed supply oxygen the patient
well clothed there fear OF his suffering Chill during day.
and well wrapped blanket with night cap his head
there danger from cold sleeping the in the coolest
climate much less such liability in the climate of Hawaii
Also this constant supply OF enhances the appetite result
greatly to the patients benefit.
On the other hand this injunction live in the open does not
he sit hot the glare the and bake
tropical temperature the shade OF veandah it
shut in by surrounding houses otherwise equally good and
the patients comfort when all is said and done believe be
important consideration The air breahed should all
times also be as tree as possible from dust as this leads to irritation
OF the air passages and ncites useless coughing.
No facilitating influences should be permitted obtain
ADJUSTMENTS that lead mental excitement should be prohibited
and leading physical fatigue should not be permitted The
influence OF visitors when the patient is IN hospital or even at nome
should be carefully considered even should the patient appear to be
homec He will often suffer less harm by being deprived visit
sympathy conveying the impression that the sufferer beyond all
hope the visitors mind In this desire the part Of
patients to visitors wears off.
OF occasionally patients who depess
ed being deprived OF visitors by seeing them and this
the instances that calls for great deal of individual judgment
the part OF the medical attendant
Methodcal hlmbing is still greatly advocated by but
Judge beforehand just what Of mbng the patient
stand and the production Of fatigue will often all the ben
ses benefit eaped and the patient stop soon
he begins to feel fatigue
this
deraton and should be insisted upon when there is high
peaure active inflammation OF the lung, either by in bed in
or by local mild such srappng the
diseased side OF the chest
regular routine should be laid out by the medical attendant
this insisted upon And being carried
one who has had experience in the treatment OF the disease No detail
the patients routine should be considered trivial be
Also the attendant should see that all spuum or expeoraton Of
guard Others benefit the patient himself ques
ton OF enecton in convaescen has been fully established in
the affirmative.
Leah Home the well known cup without
TOM which holds paper box with cover also of paper The pa
tent warned that he into the box under penalty
Of dismissal + he fails to do so.
Several times daily all these boxes removed from their holders
and burned and the containers themselves ezed from
time by boiling Food utensils used by consumpves used by
other class OF patient and also stezed after each meal
The food should be quantity and need only consist
Of four principle articles diet viz bread meat and milk with
w dervav and as accessories vegetables and fats The patient
should be encouraged to eat almost tempted forced SO
important this he complain that he is unable eat
1u meal then his meals should be divided up INTO smaller install
men and frequently served In this patient will often
parake OF quantity of food twenyou hours that would
prise him if he all in lot Often with such patient pres
cbe small meal the regular hours and egnog between meals
and this he parakes OF the requisite nOusng food
g. interchangeable The shower bath frequently
commended believe this climate shower baths should be left
severely alone have side issue but will
only that convinced from personal experience
from have practice Honolulu that showerbas
capable of causing congestion of the cord accompanied by
depression, headache and glycOsuria.
Consequently do recommend the adoption of these
tuberculosis pulmona the sponge BATH plunge
the patient debaed beneficial The other hydro
therapeutic measures are not unquaed accepted as beng OF beneht
tany conditions existing Kamui where the Leah Home
spite of the great relative humidity of the atmosphere
throughout islands beneficial reverse