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

! Type |. case II. male, American. 6,
lid Stage This case Is Of interest
because at the end OF March, with
! San OF ten pounds from 10 70 40
! pOundsl and cessation OF all Symp-
toms il might have heen inferred th@'
! the patient could be slf' lT disc harge.t
The index. however was only ~.
. He left the hospital against my adj
vice. and the result is shown i'll loss
,I eight pounds and return II tn"
cough and other symptoms il a
i month. On being re-admitted :uber-
culin was resumed with rapid gain
tten pounds in two months. and a
rise of the index to 80 before injec-
ion but a drop 10 1l6 TWO days after.
On this account he was again adj
vised not 10 leave hospital in Septem-
Der. which he felt able and DESTROYS
Of doing The dosage was modified
on discovery Of the prolonged neg
ative phase.
OF Type 2. those showing Irregular
ity in progress but in which the OPP
sonic index indicated proper dosage.
| cite three cases:
Type 2. case l, female Spanish. "a
years, I'd stage Plate l. Fig ,. show
ed a gain of 20La lbs in ) months,
with a cessation of all symptoms two
months after treatment In spite Of
the irregularities of Improvement in
dicated the dosage remained regular
throughout the treatment, and she was
discharged cured, five months after
admission.
Type 2, case 2, female, German-Jap-
anese, LIST stage. This case showed
a gain OF eleven pounds, seven months
after beginning treatment. There was
some irregularity of Improvement but
the dosage was not changed as the IN
dexes showed it to be. correct and the
case is now about to be discharged
cured.
Type 2, case 3. female. German-Jap-
anese, Is years, I'd stage (sister of
case q. This case showed a gain of
15A lbs. seven months after treat
ment, with cessation of all symptoms.
There was a slight fall in weight in
last two months in hospital. but no
return of any symptoms, and case was
discharged cured ten months after be-
ginning treatment.
OF type chose showing irregular
ity due to evident cause) cite 8
cases:
Type 3, case l, male, Japanese, 80
years, I'd stage. This case had SER
ious hemorrhages on several occasions
but his weight on the whole showed
only slight irregularity. He gained s
pounds in months in spite of the
hemorrhages, at the end of which time
he felt so we'll that he could not be
prevailed upon to remain longer in
hospital. -
Type 3, case 2, female, part-Hawai-i
ian, 50 years, I'd stage. Shows a gain
of 16R pounds in the first three
months of treatment in spite of sew
eral hemorrhages at intervals of about
a week or. ten days. In April g
months after admission) she left the
hospital contrary to advice, as she de-
sired to live with her family. She
remained fairly we'll till the latter
part of July when she had serious
and continuous hemorrhage. which re-.
sisted all treatment. l was called in
consultation in August and recon-
mended her return to the Home.
The hemorrhage continued in small
amount for about a week, and was
eventually stopped with Adrenalin
administered with two hourly obser7
vations of the blood pressure). Since
then the patient has improved rapidly.
although she still has some cough,
and rales on the left side of the chest
Ultimate cure will undoubtedly result.
Type 8, case 3, male, American, 81
years, stage I'd. Showed a gain in
five months of 25 lbs. The remissions
in progress were concommitant with
periods Of over indulgence in alcohol.
The patient struggled it into the hos
pital on every occasion presenting it.
self-either by himself or with the aid
of what he termed his friends. He
was ultimately discharged, for this Of
tense, classified as much improved.
Type 4 are samples Of the usual re-
suits obtained on giving tuberculin in
favorable cases.
Type 4, case l, male, American, %
years, End stage. This case shows a
gain of 38A' lbs. five months after be-
ginning treatment, with cessation of
all symptoms, and advancing resolu-
ton of consolidated lung. He was dis
charged from the hospital at his own
request. but kept under private obser-
walton till October, when he had gain
ed in all as lbs, his only complaint
being that his trousers wouldn't meet
by three inches.
Type 4, case 2. female, part-Hawai-
ian, 81 years, 1st stage. Showed a
gain of twenty pounds in ; months
with a cessation of all symptoms one
month after treatment She was dis.
charged at the end of October. and
has been under private observation
since, and has shown continued i'm
provement by increase in weight.
| Iuno nnco Eilininn m nlo Il