Willmar tribune. [volume] (Willmar, Minn.) 1895-1931, 1912-11-13
TYPHOID FEVER (Concluded)

TYPHOID FEVER (Concluded)
After our little talk last week about
what typhoid fever Is and some Of the
things responsible for Its spread, and
how we can do much toward prevent
ing 1t, you will naturally ask, What
are some of the early symptoms, and
what Is the best way to manage q
case?' ..|-> e.
There is usually experienced q tired
feeling probably accompanied with back
ache. loss Of appetite. constipation,
headache, legache and at first q slight
rise In temperature In the afternoon
and early evening.
Right here we want to give it as our
opinion, that If all food is stopped and
vigorous elimination obtained by the
use Of proper purgatives and high colon
fiushings, continued until the entire
system is cleansed, the attack will end
right there. But" you say, How do
we know, If left alone it would or would
not have developed into typhoid" We
don't. But wouldn't you rather have
these symptoms cut short than to let
them run just to see If typhoid would
develop?
But let us suppose that the symptoms
have not been checked; the temperature
rises a little higher every afternoon and
evening. the lassitude> and exhausted
feeling increases until after few days
to week, or ten days, the patient is
taken to- his bed and we now have q
sure case of typhoid on our hands.
What is the best course to pursue?
Get physician who knows, and let
him put competent trained nurse on
the case. But" you say, this is not
always possible for the average family,
and the other costs q little too much -
Very we'll, let us outline course of
home management that has proven very
successful.
The patient is put to bed in the quiet
est, best ventilated and easiest to get at
room in the house.
Begin the treatment by giving a cop.
ious high injection, or enema, of warm
water, to cleanse the bowels.
FOOD: Absolutely no food is to be
given until the patient is hungry and
asks for It, 1t Is extremely hard to i'm.
press this upon the mind of the aver
age person. They believe that sick
person must be fed, ito keep up his
strength" In reference to typhoid, this
conception is absolutely false. In speak.
ing of feeding in typhoid, DR.. Keith
says. 1--WE tell you plainly-may We
urge upon you, not to give food in ty.
phoid unless the appetite of the patient
calls for FOOD
DR.. J. H. Tilden, who has had many
| years experience in managing typhoid
cases, has this to say: Il have the pa
tient given a glassful of hot water ev'
cry three hours, with ten grains Of car
Donate soda; besides the hot water thu
patient may have all the cold water de.
sired. I never allow a patient disturbed
at night. Everything has to be through
with by o'clock in the evening and the
lights turned out for the night. I or.
der q tub bath twice a day. The pa
tient is put in warm water, then colo
be drawn off until the water in the batl
is as cold as it will get. I usually keeI
the patient submerged until chilliness
comes on from heat extraction" (usual
ly a few minutes to half an hour.) OLE
DR.. Keith generally used the cold tow
ell and sheet pack. He wrapped the pa
tient in cold, wet bath towels and ovel
them a wet sheet, and over all blank
ct. In the course Of a few minutes t
an hour the patient should perspir'
freely, after which he is to be washed
and rubbed dry, one limb at a time t.
prevent chilling. He said that the colo
bath was safer for inexperienced at
| tendants