Honolulu star-bulletin. [volume] (Honolulu [Oahu, Hawaii]) 1912-2010, 1913-02-15

! AS TO the loss OF potency by age. it
! - very doubtful if moderately dllu:e
! ti-25 ing 10 C.. c. retains II pOten '
more than month. and higher dIlu,
tons 1890 mig. 10 c. c. more man
a fortnight
| My reasons Tor this assertion is
that the l ing. in | c. c. solution, as
| i comes from the makers. is made up
. by me into a stock OF the strength
1-25 mig. TO {. G. and dilutlonS for use
made from this ">tOck from time 10
! time.
STOCK" Should be Fresh.
! The stock" used TO last three or
four months before being us2d w.;
| but it happened that in lOokin% ever
the records OF cases At the Lean
| Home | discovered that all the =
tents tat certain interNalSl lall"d 10
rogres or went lack II vas evident
| that this general retrOgres sion must
| have a general cause. anu Tue most
| prominent was naturally the tuoeF-
cuIin. Consequently fresh STOCK
| is now made UP every month and the
phenomenon of general slump has not
been noted since this plan was adopt
ed | am about to make Som1 expert
ments with the concentrated sointloh'
Tor if wea RESOLUTIONS deterlorate so
re,idlv the concentrated solution can
no, he like Caesars wife: above sus-
| picion. ,,,,;,,
After only years use Of tubercnIln
! in the treatment OF disease lhal
| sometimes takes a year 10 cure
would hesitate to Critcise any one
| high in authority who condemns II.
At the same time there are 20 many
elements that make for failure, sucn
| az the use of a wrong method or uoS-
age through poor tuberculln, or laCh
e notencv due to contamination or
600 ono can not but ask for details
On these points.
Neither do desire to enter any
frgumet for the use of tuDerc"h aio''7
| cr in conjunction with sana'orlun.
treatment I can only say that so tar
"a nv experiece goes either tnoSe VIM
tjaim they get just as good results OS
s,natorium treatment alone rs IN con-
| junction with tuberculin do not get as
onod results from tuberculin as tAeS
| oueht or | do not get as good results
! from sanatorium treatment alone as
ought
Results at Leahl Home.
The results obtained at Lean home
since tubercu1in was adopted are
markedly superior to what were %
tained previously. As it is results that
count. tuberculin must be consluered
successful with me, and it is these re-
splts I wish briefly to lay before you.
For simplicity, and the avoidance OF
Unnecessary repetition OF similar cases
have divided the cases under treat
mont during the last year into types.
Type l are those cases whlch sno"
irregularity in progress and IN "nicll
tLe opsonic index showed wrong oos-
age. o,onoa ,rroxp.
larity but in which the opsonlc moeA
showed proper dosage, confirmed py
the ultimate result.
TYNE 8 those showing irregularltY
Etue to evident cause (e. G. haemoTrn-
age.) 30
type 4 those taking tubercuHn with
cut much irregularity, the dosage De.
inq based on the experience obtained
| in treating similar cases by aid OF the
opsonic index.
The charts exhibited are weight
charts. since after treating over
thousand cases of tuberculosis | have
come to rely upon the weight chart
as one of the most valuable and most
nf innrnVpmpnf
tuberculosis patients.
Under type l Ceases showing irresu-
laritv in improvement due to wronS
| dosage).
History Of Case.
Type /, case 1, male, German, age
&c limited consolidation of right apex.
| This case commenced treatment by
! tuberculin on Jan. l, 1912, with an op-
sonic index of ~. There were more
or less fluctuations in weight especial
ty in April and June (probably due to
| loss of potency in the tuberculln as
already alluded to- resulting in no net
gain of weight at the end Of June.
The indexes showed prolonged mega
| tive phases, and the dosage was re-
duced with the result that during tAe
| first week of this regime he gained
four pounds, but lost pound the next
week
Having on hand some tuherculin by
another maker, and wondering if diff
| ferent strain would be of benefit it
| v as tried raising the index to 1902 and
resulting in a gain of five pounds in
four weeks, and then the case remain
| ed stationary
A return to the regular tuberculin
was then made, and as the index had
| Groped to SO taken three days after
the tuberculin. the plan of minimum
doses repeated twice weekly was
| adopted since when there has been
steady Improvement.