The Hawaiian gazette., 1906-02-02
tFrom Wednesdays Advertiser.)

Last night Governor Carter's temper
ature had risen to one hundred degrees,
after having been down 10 normal in
the morning, but there was no NANTES.
tation Of any other symptom at all bad,
and his physician expressed himself as
well satisfied, on the whole, with the
patient = condition.
81 am free to say" said DR.. Judd,
giving out for the first time last night
the result of the typhoid foyer tests,
"that / have as yet been unable to de-
eide positively whether the disease is
grip or typhoid. 1t is certainly a most
puzzling case. in all it's features. For
tunately, the treatment of the two dis
eases would be the same, as far as the
sickness has gone, and so nothing has
been lost so far as the patient is con-
cerned. And | would rather tell the
truth, than advance theory on a bluff
when | do not really know what the
trouble is.
EXPLAINING THE TESTS.
Explaining the tests for typhoid
fever to which DR.. Baldwin devoted
the better part of two days, going
through the analyses most thoroughly,
DR.. Judd said: "In the tests by the
Vidal reaction, blood is drawn from
the finger of the patient into a vacuum
tube, and the solid parts are separated
from the serum which remains on top.
In this serum the blood itself secretes
germs which nature intends shall battle
with disease germs, including the ba-
cillae of typhoid. In the Vidal solu-
tion, We have millions of typhoid germs,
which are used in making these tests
and are very hard to isolate. First, you
will understand, we checked the tests
with the blood of perfectly healthy,
normal person.
"The object is to reduce the blood
with water, and then to drop of this
dilution of the serum of the blood, we
add drop of the Vidal solution. The
typhoid germs in the Vidal solution
are seen to be in rapid and continuous
motion, and when this test is applied
to the blood of normal man, in which
blood there are no typhoid germs, there
is no reaction and the germs in the So
luton continue in a state of high ac-
tivity, darting across the slide all the
time
"On the other hand, if there is ty-
phoid present in the patient, the germs,
in the Vidal solution gather in clumps
and lose their motility or power of
movement We first made a one
twentieth dilution of the serum from
the blood of the Governor, and applied
the Vidal tests At the end of one
hour, the test showed clumping of the
bacilli, and no motility. That is, the
typhoid germs were gathered in clumps,
and their motion had ceased.
But that test was not conclusive,
because it requires much greater de-
gree of dilution to get a positive re-
suit. We therefore made a one-fortieth
dilution, and again applied the test At
the end of one hour the reaction showed
fair clumping of the germs and some
motility.
ONLY SUGGEST TYPHOID.
"The next test was with a one
sixtieth part dilution, which is the
standard test. At the end of one hour,
this test showed a slight clumping, and
some motility. Now, the above exam
ination would suggest typhoid, but
would not indicate it positively. A pos.
tive reaction would show clumping,
and no activity of the germs at the end
of one hour in dilution of one in
sixty.
Furthermore, it is possible that the
typhoid reaction exists in the blood as
result of the typhoid infection of
eleven years ago. 1t is well known that
the blood of person who has had ty-
phoid may show the reaction for months
or years afterwards, and there is a
case on record where a reaction per-
sisted thirty-seven years after the dis
ease. So the above examination can
not be relied on as n positive test.
AS still further test, in counting
the white blood corpuscles, It was
found that there We're S400 to a cubic
millimeter. This number is consider
ed In the range found in normal blood
The blood in typhoid fever and infiu-
enza are both characterized by an alb
sence OF the increase in white blood
cells, which increase is so often found
I'm febrile conditions. so this count can
not be used in differentiation to ac-
curately tell what the trouble is.
"Ehrlich's diazo test was also found
but this is not considered of positive
value, nowadays. And, anyway, II
was found once and failed once in
two tests.
THE characteristic symptoms of
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1t was moved that the ordinance be
published once in the Advertiser. Kuo-
koa, Star and Bulletin.
Moore's plumbing ordinance passed
second reading.
THE BAND.
Moore spoke OF the band. He said
that at present II cost the county $3.50
per month. He said that II was II
splendid advertising proposition and
thought the suggestion TO send tho
band 10 the States for four months
was good one. He said that the alb
sence Of the band would save the coun-
~ 10000 and he thought that Il would
be good thing TO utilize half this
amount In uniforming the band prop
erly and bringing II up to a strength
Of q pieces. II they played In MAdi-
son Square Garden the papers would
give columns Of free advertising that
would cost the Promotion Committed
thousands OF dollars II they had 10
pay for H.