Bismarck daily tribune. [volume] (Bismarck, Dakota [N.D.]) 1881-1916, 1915-05-13

morphine pTOQuceS an antldOte TO inc
morphine taken into the system. It
is to the formation of the antitoxic
substance that we must look for ar
explanation Of the symptoms attend
ing insufficient supply of morphine to
the habitual consumer.
after the habit is we'll established,
failure to administer the drug, causes
a chain Of symptoms which vary oniv
in intensity in the different cases.
These SYMPTOMS are in a general way,
vague uneasiness and rcstlessness.
with a sense of depression, followed
by yawnin5, neezing, hypersecret!on
CT mucus, nausea, vomiting, twitcll-
ing, jerking and cramping of muscles,
abdominal distress, cardiac and circu-
latory insuficiency and irregularity,
exhaustion, collapse and at times,
death. These symptoms are striking
ly similar to those of acute mineral,
vegetable, and autotoXic poisoning.
Acute need of morphine produces the
symptoms of some definite powerful
poison. Morphine relieves these symp.
toms; therefore they cannot be due
to morphine. These symptoms are
best explained as due to the action
Of some toxic substances, antidotal to
morphine, and produced in the body
to protect it against the effect OF
morphine. ..
patients after taking different
cures often suffer from the symptoms
of morphine need in exactly the same
manner as the addict who is daily ge.:
ting a little less morphine than his
customary and needed amount. This
condition seems best explained By thee
hypothesis that there remains locked
up in the body a deposit Of morphine
or morphine product, not susceptible
to ordinary elimination, which causes
the further production of the antidotal
substance. Results of treatment tend
to show that the morphine residue
which it is necessary to eliminate, is
locked up in the liver cells. Free
cholagogue catharsis. reduces thG
amount of morphine need. If the
amount administered is sufficient 10
eliminate the locked up morphine pro.
duct completely, there is a sudden
and marked change in the patients
condition. In the course Of a few
hours there is a complete cessation
Of desire for morphine. This method
of treatment if properly conducted is
effective. That it is permanent Is
also we'll established and the patients
have no further desire for morphine
Doctors Rice and Ray.
p. r. Rice, physician, at the Stand
ing Rock reservation, gave a most
interesting and well received address
upon THE Indian Medical Service
telling of the hardships, the INSULT
Gent salary and equipment by which
these physicians are handicapped. 1t
is necessary for them to carry in thel;
work with the missionary spirit. No
department of the governments re!a'
ton to its wards of different kinds is
so meagerly provided for as it's Indian
service. AS there was still time, be-
fore the Don recess, DR.. II. H. Ray
Of Garrison was called upon for his
paper upon Some Impressions on the
Goitre Question" AS goitre seems to
be increasing, this paper and the dis
cussion which followed provoked con-
siderable interest.S 4
A~fternooSI Session.
The afternoon session began at ="
clock. DR.. c. E. spicer OF Valley
City was not present to deliver his
Taper upon the Relation OF Ocular
Diseases to General Medicine" so 1t
was referred to the secretary. After
the conclusion Of the discussion OF
the. subject OF goitres, Which was con-
tinued from the morning session, the
meeting was transferred 10 the the.
alter, where DR.. S. M. Johns of Velva
spoke upon "Ccngenital Fracture OF
Clavicle; Four Cases, All BROTHERS.
with X-Ray Plates and Photograph,
En- Group" The N-ray plates and
photographs were thrown upon the
screen and were received with much
interest, as was the paper of - Dr..
Johns giving the history and descrir-
ton of the four brothers, all suffering
with congenital fracture of the bone
in question. " .,
Address in Surgery.
DR.. J.. E. Moore, professor OF surg
cry, Cooperative Treatment OF Fad Re
suits After Fracture, With Lantern
Slide Demonstration" Dr. Moore
gave some interesting accounts OF his
work in bone grating and OF some tos
uhe remarkable results which he has
achieved in. effecting satisfactory
cures where union did. not at first
take place properly after fracture.
The subject is one of great difficulty,
and it was only after years of general
practice and lesscomplicated surgery
chat DR.. Moore undertook TO do this
work. However, he has performed
some feats .of operative treatment
which have restored his patients to
the. normal, or almost normal, use Of
of their limbs. His accompanying
lantern slide demonstration was en-
ceedingly interesting and Instructive.
Address in Medicine.
The address in medicine, "Contri-
buttons of the Goth Centure Toward a
Better Understanding of the Castro
Intestinal Ailments" with lantern
slide demonstration, by DR.. Frank W.
CmifhioS Castro ~FnferOlOpiSt. August