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  • Hospital Bulletin of the University of Maryland, Vol. 9

Hospital Bulletin of the University of Maryland, Vol. 9

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Excerpt from Hospital Bulletin of the University of Maryland, Vol. 9: March 15, 1913 Following the usual apology, mention shall be made of the following points concerning syphilis and its treatment: Spirochetes, where found and when, agents tor exterminating. Mercury, effect oil system as a whole, on kidneys, on blood vessels, on gums, on spirochetes, administered per hypodermic, per mouth, per inunction, dosage: saturation of the system: what it means: how accomplished: the effect. Salvarsan as an aid, not as a cure. Treatment nearest a therapia sterilisans magna. Intermittent rather than a continuous treatment. Role of the iodides. The adequate treatment of syphilis. Role of the resort plus rest, relaxation and elimination. Just as many cases of luetic infection are sent on to incurability by gross mistreatment as reach that stage by indifference, carelessness and ignorance on the part of the patient. Why? Physicians the country over continue to treat the name instead of the disease. Two drugs are instantly brought to mind at mention of tile name - either one or both are prescribed without due thought as to how they are to cure. One will cure when administered properly, the other positively will not. The physician's textbook duty is done, and so is the patient, usually. Does not the treatment of syphilis deserve more consideration? Inasmuch as we have no way as yet of determining positively just when our patient has been freed of the last living spirochete, salvarsan alone will not produce a permanent cure, mercury in some form has been used universally in the past and will be in even greater demand in the future, I ask your permission to emphasize the method of administering that drug. Spirochctac pallidae are found during the primary stage of syphilis in the initial lesion with a plastic wall surrounding them. When they break through this wall the blood stream is flooded with them, and then they penetrate the vessel walls, and may be found in any tissue, setting up lesions which are summarized as the secondary stage. Rarely after this do we find them in the circulation to any extent. Now, then, to cure syphilis each and every one of these must be found and put to death. This paper contemplates the treatment of the average case of syphilis as soon as a diagnosis is made, whether the patient presents himself during the initial stage or later. The agents at our command today for exterminating the spirochetes are mercury and arsenic. I did not say iodide of potash. Metallic mercury, per sc. is not a poison-organotropic, inasmuch as a pint may be drunken at a time with no other inconvenience than the weight would cause. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.
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