The Barre daily times. (Barre, Vt.) 1897-1959, 1916-01-13
TUBERCULOSIS DISCUSSED.
As to Its Early Discovery by DR.. Goodall
at Rutland Medical Meeting.

DR. Henry S. Goodall of Bennington
gave an address on "Fhe Early Discovery
of tuberculosis" at the regular meeting
Of the Rutland County Medical and Sur
gieal Reporting club at Rutland Tues
day. Having been for ten years msdi-
cal director of Stony Void sanatorium
at Lake Kushaqua, Is miles north of
Saranac Lake, n. ", DIR, Goodall was
considered splendid authority on his sub
ject. In this sanatorium were ITO won.
ON and girls in the early stages of tu'
berculosis of the lungs.
DIR, Goodall's address was in part
as follows;
"0nly small per cent of the cases
OF tuberculosis are recognized during
the incipient stage During this state
the patient does not feel or appear sick.
He is merely not quite as well and ener.
to discover the disease in its incipient
stage are due TO the failure of the pa
tient to consult a physician at that
time.
"a person who coughs up blood has
tuberculosis 90 out of 100 times A
person who coughs up blood in quanti-
ties or only in streaks or who has a
cough without blood, which lasts from
four to six weeks, should have his lungs
thoroughly examined. A person who
feels tired and listless, who has lost am
bition and energy, whose ordinary du
ties have become a burden, who has
lost few pounds in weight, who is
pale, who has persistent indigestion, or
persistent hoarseness, a rapid pulse or
heart or little fever now
and then is very often suffering from
pulmonary tuberculosis. Every person
who has such symptoms that persist
without other obvious causes should
have their lungs carefully examined.
"The lungs extend from the base OF
.he neck to the sixth rib in front and |
,he 10th rib behind. The sounds that |
Indicate tuberculosis cannot be heard /
through the clothing, therefore the
lothes must be removed to the waist If /
he examination is to be Of use. A light !
hawl or cape may be thrown over the [
houlders, and lifted to expose the front,
'ack and sides of the chest in turn. An
of the lungs made through
he clothing is of about as much use as
xamining the outside of a house to see
1hat is hanging up in the closets.
The germs of tuberculosis do not APP
ear in the sputum until the lung be-
ms to break down. The disease is
resent for some time before this.
therefore, the absence of the germs from
he sputum in no way indicates the alb
Bnce of tuberculosis, but the presence
t the disease. The disease can be rec.
gnized in a good many cases before
he germs appear in the sputum and the
nance of recovery is much better than
tier.
"Slight fever is very important sign
tuberculosis. This fever may be only
9h and may come at times in the day
" only an hour or even less. The in
astigation of a suspected case Of tu {
arculosis should include a tempera
ire chart so made that it will cover I
] the working hours on one or more /
scasions during one week. Ir
IF people would go to their physicians t
Id demand an investigation as to the Q
'esenee of tuberculosis when such 4
-mpoms continue for month and ii /
e physician would then make a thor a
lgh examination Of the chest, secure a h
eek's temperature record, covering the / /
EN- hours one day and the odd hours r
e next day and have the sputum ex &
mined, there would be many more cases #
und while they were incipient and con d
qnently many more would get WE'LL" '