The Detroit times. [volume] (Detroit, Mich.) 1903-1920, 1911-05-24
kPERT TALKS OF
| HEART DISEASES
pr. Charles s. williamson's Clinic
ATTRACTS Attention Explains dag
nosis Of Broken Compensation"

Heart diseases and their treatment
was the subject OF lecture given In
The amphitheater OF Harper hospital.
Tuesday morning. by DR.. Charles s.
Williamson, OF Chicago, H., In con-
hection with the clinic OF the Detroit
College OF Medicine Alumni associa-
ton. II was voted one OF the best
addresses yet given at the clinics. The
lecturer added interest 10 his talk by
presenting patients suffering from
the different kinds OF LESSONS and 9TH
err defects OF the heart. with which he
dealt.
DR.. Williamson is a noted specialist
| in heart affections, and his presence
at the clinic was the means of bring
| ing out the largest attendance thus
far.
DR.. Williamson dealt at length with
"broken compensation" the failure OF
the heart TO pump sufficient blood
through the system TO feed the diner
emit portions OF the body.
Il want you TO pay strict attention
TO this point OF broken compensa-
tion.' said DR.. Williamson, "for IL Is
most important. First of all. want
to tell you how TO determine whether
there Is broken compensation.
There Is O common custom among
practitioners to look for such a condi-
ton by listening to the heart action
Now I don't want you to do that. You
may make a mistake by doing II.
don't care fig for what may hear
by listening to the heart. tell you
the proper way to find out whether
patient has broken compensation
is to see what condition the liver Is
in. III there Is an enlargement OF the
liver, II. is sure sign that the patient
Is suffering from broken compensa.
. ton Then there are two other symp-
toms which usually accompany the
enlarging OF the liver-shortness OF
breath and swelling of the feet. The
swelling OF the feet, however, Is
secondary symptom: the enlarging OF
the liver always comes first Many
physicians make a mistake nowadays
by first looking for the swelling OF the
feet In broken compensation Now
get the practice out of your minds.
II any OF you have been In the habit
of following It,"
DIR. Williamson then went on to ex-
plain that broken compensation was
not always due to the same cause.
One OF the clinic patients suffering
from II was first afflicted with de-
fective kidney. This placed extra eff
forts on the heart to pump the blood
through the kidneys, with a result
that high blood pressure and broken
compensation resulted. Another pa
tent, whose compensation was brok-
en-, was simply suffering from heart
LESSONS, only one vertricle being az
fected
DR.. Williamson, in dealing with the
treatment of the different heart affec-
tons, implored the doctors to be care
full In the use OF digitalis, one of the
strongest heart stimulants known.
The drug should not be Administered
I'm cases. be said, where the heart,
though defective, was doing its work
satisfactorily. Digitalis should. be
given only. he added, where the heart
needed bolstering up.
Il want to advise you not TO be
afraid OF digitalis, however" said DR..
Williamson. 1.-The trouble with most
physicians is that they are afraid OF
the drug. The great thing is to know
about II is just what quantity should
be given. Ii is sometimes difficult 10
regulate the doses. because OF the
fact that II quickly loses its strength.
Not long ago samples of the drug
were taken from one Of the largest
drug manufacturing concerns In the
world, located. II remember correct
ly, right here in your own city, and
they were found to be below the
strength claimed for them. But
want to be fair with the manufacture
err; he was really not to blame. II is
J, the tendency OF tha dyqe to losa its
strength soon after being manufac-
tured that caused the low standard In
the samples | refer to-"