The Bemidji daily pioneer. [volume] (Bemidji, Minn.) 1904-1971, 1909-05-13
KOCH TRIAL is NEARING
END; BEEN STEADY GRIND
Testimony for the Defense Will Be Completed Early To-
morrow.-Believed that Trial Will Extend Into
Monday of Next Week.

Immediately after recess DR.. r
Gilmore resumed the stand for re-
cross examination. There was con
siderable consultation with the work
of medical authorities and discussion
as to minor points of the doctors
previous testimony.
In answer to questions from Sen
ator Peterson, DR.. Gilmore said,
If have case of sore throat and
there is a case of diphtheria in the
vicinity with no history of communi-
cation, would not give antitoxin
although that would have to depend
on the clinical diagnosis but should
there be no clinical symptoms and
a history of communication I should
Immediately inject antitoxin.
This was followed by more read
ing from medical essays in which
the authors had favored large doses
of antitoxin. DR.. Gilmore said he
gave quite large doses, 5000 units.
He had given in extreme cases as
high as $4,000 units of antitoxin in
eighteen hours. The least dose he
would personally give in a case of
laryngeal diphtheria would be 5000
units.
Senator Peterson put the follow
ing hypothetical question to DR..
Gilmore Suppose a young man of
twenty years, of previous good
health, has sore throat Wednesday
morning, does not go to school and
reads and eats his meals as usual,
does the same thing next day with
the exception of eating no supper,
complains of sore throat, the doc
tor is called Thursday evening and
prescribes a wash which the patient
uses frequently, an ice bag is applied
to the neck at night, the next morn
ing the doctor finds the tonsils
very large and painful and lances
them, the temperature Thursday had
been 1O3 and drops Friday to 1O2,
the lancing does not relieve the pain,
no sleep and Friday night a hypo-
dermic injection of morphia is made,
the heart is not strong Friday night
and Saturday morning and it is nee.
essary to administer strychnine
several times Saturday; now, there
is suspicion of diphtheria and 5000
units of antitoxin are administered
in the afternoon. Later that ight
another dose of 5000 units is given
the patient. No clinical symptoms
of diphtheria are visible to the doc.
tor that night but the other symp-
toms increase and the temperature
falls slightly. The doctor sees nc
diphtheric membrane Sunday morn.
ing but clinicly diagnoses the case
as laryngeal diphtheria and admin.
listers 5000 units at II o'clock. AT
2 O'Clock he notices a small mem.
brane has formed and at $50 p. m
he finds the pulse is weak and
thready and it is necessary to ad.
minister heart stimulants and or
opening the mouth it is found that
the entire back of the mouth is Gov
cred with a whitish diphtheric mem
brane, an odor of diphtheria is pres.
ent and the patient is able to 81,
up for examination or to expector
ate. What dose would you administer
about ] o'clock"
DR.. Gilmore You haven't told
me whether there was any. curling
back of the membrane"
Senator Peterson-''There wa:
none."
| DR.. Gilmore Then I should
think that under those conditions I
would administer a large dose-be
tween 5000 and 10000 units OIL
anti-toxin."
| Continuing the questioning the
witness thought he would increase
the size of the dose with the spread
ing of the membrane.
After more redirect and re-cros!
examination relating to the matter
of doses DR.. Gilmore was excused
Mr.. Mcdonald called DR.. Koch t,
the stand for direct examination il
his own behalf.
In answer to questions from
counsel DR.. Koch stated that b,
, was born at Maple Grove, MINI,
. thirty-two years ago. His father hae
died when he was years old ane