« PreviousContinue »
twenty minutes or less, passing but a small quantity at a time-hardly twelve ounces in twenty-four hours. The symptoms continuing regardless of medication, I advised her to return home.
She reached home July 24th and from that date a record was kept of her condition, and you will see by the chart more than I can tell in a short time.
On reaching home she was immediately put to bed, internal medication and local applications employed. After a few days, her condition not improving, I called Drs. E. H. Jewitt and J. C. Wood in consultation.
My diagnosis was acute Nephritis from pregnancy, although there were no signs of pregnancy other than the absence of menses. But this condition of affairs had happened two years previous and the menses re-appeared normally. The object of the consultation was first to verify the presence or not of a gravid uterus, second, as to what operative measures were best to use. The condition of the patient was truly alarming. If pregnancy existed the emptying of the uterus was absolutely necessary to relieve the kidney. All this time the fever went to the extremes, daily from nearly 105 to 95 degrees in twenty-four hours, as you can see by the chart.
At our consultation a diagnosis of pregnancy was made and it was advised to empty the uterus of its contents. This was done by the catheter method.
There was no chill after she reached home, but even when the temperature was lowest the heat was complained of; there was much of the time a sense of suffocation-an inability to breathe. So distressing was this that the attendants used the fan continually.
There seemed to be no extreme pain but a heavy, dull aching, soreness and tenderness on pressure over the liver, kidney and bowels. Examination showed the liver very much enlarged as well as the kidney. The spleen also was larger than normal.
The patient was continually bathed in a cold perspiration; a hand placed on the skin surface revealed a cold clamminess as of a corpse.
On the third day after the introduction of the catheter the uterus emptied itself of a five months' fætus in a very clean manner, there being but little loss of blood.
On the first day after the Catheter was introduced, the temperature arose to 104.8 degrees, and fell to 95 degrees in the twenty-four hours. The second day it was a little better, ranging from 104 to 95.2 degrees, the third day still better, 104 to 100 degrees. After the uterus was emptied, the temperature fell continually for two days until it reached its lowest point, which I have marked on the chart at
91.4 degrees; after this it arose gradually each day until it became again normal, never again going above 99 degrees.
During this case the amount of urine passed at first by frequent micturitions was not more than twenty ounces in twenty-four hours. Its examination showed a very low specific gravity, 'as low as 1002, continuing thus for two weeks. It showed also excessive nervous waste, a small per cent of albumen, much mucus and an increased amount of urea.
Dr. B. F. Gamber made an examination of the blood, but the report was negative, as to the positive existence of malarial conditions.
The use of Lithia water and medication slowly increased the amount of urine after the first few days to 24 ounces daily.
It might be said that after the emptying of the uterus good results were apparent. The kidney decreased in size; the liver began to assume more normal proportions, and urine was secreted to the amount of two pints daily.
The bowel movements were at first from four to six times daily, watery in character, but gradually decreased in number as the case progressed, until the twentieth day when they were almost normal.
Most of the time the respirations were normal in number, at other times difficult and rapid. The pulse ranged from 130 to 140 from the time the patient went to bed until the emptying of the uterus when it rose to 170.
With this high pulse, and death seemingly near, a hypodermic injection of 1/60th of a grain of strychnia was given and repeated six hours later with good results.
At this time I also called Dr. G. J. Jones in consultation and with his help the case continued to improve.
Hot flax-seed poultices were used continually, and normal salt solutions per rectum was used several times when collapse seemed imminent.
Peptonized milk was used mostly for food, to this was added, as we could, fruit juices, gruels of oatmeal and barley, strained cream of wheat and watered toast with a little cream.
The remedies used during the case were as indicated. — Aconite, cantharis, berberis, veratrum-album, natrum-sulph., belladonna and china-off.
During most of the time of this treatment two drachms of brandy were given every four hours. After the twenty-fourth day rice, mutton broth and beef broth, baked potato and melon was allowed.
One object of this paper is to show the extreme low temperature a person may have and still live.
I had been taught that a temperature of 95 degrees was indicative of a fatal collapse, and at a temperature of 91 degrees I certainly expected to sign a death report.
This low temperature was verified by Dr. Jones at 92 degrees, which he saw.
I had a thermometer which registered accurately at 93 and with a five minutes exposure the registration was so far below the 93 mark that it was 91 or less. I have placed it in the chart at 91.4 degrees. This was taken per rectum as well as by mouth. I have no doubt it was still lower had I the means of recording it.
In looking up the records of low temperature, I find in “Butler's Diagnostics of Internal Medicine" a temperature of 71 8/10 given as the lowest on record. Prompt action, constant care and the wise use of medicines were assuredly the means of saving this patient's life.
After the sixteenth day of her arrival home the improvement began and continued without interruption. I have waited sometime before reporting this case to watch results. They are favorable. The patient has occasional severe headaches, but they are growing less frequent. She is still unable to lie on her right side without a soft pillow under her for support.
All other functions are normal.
ADVANCED BIOLOGY, WITH RELATION TO HOMEOPATHIC
PRINCIPLES. By I, W. Hey singer, M. A., M.D., Author of the Scientific Basis of Medicine; Solar Energy, Its
Source and Mode; The Light of China, The Tao Teh King; etc., etc.
[Continued from February issue.] Let us take the Amoeba, for example.
This naked, often microscopic lump of protoplasm, of which our phagocytes are types, is devoid of any fixed executive or physical organs; it is a living lump of simple protoplasm, doubtless constructed as a machine, but with all its physical parts interchangeable, and in a state of absolute fluxion, as it were, subject only to the mind and will of the animal. How do we know that it is physically devoid of organs? Because we can demonstrate that this little lump of protoplasmic jelly, never for a minute the same in shape, can be made to put out legs to creep on, hands to grasp with, a mouth to receive, a gullet to transfer, a stomach to digest, an excretory apparatus to cast off the indigestible refuse, at any part of its entire bulk, showing clearly that it manufactures its organs for the occasion, out of any part of its own substance. Yet it performs all these actions and manifests desire, purpose, and satisfaction, precisely as a hungry man does, and exhibits them by the same sort of phenomena. Says Binet, “While observing an Amoeba the protoplasm is seen to undergo modifications of form and to throw out pseudopods, either for the purpose of effecting a change of position, or to seize alimentary substances. The protoplasm accordingly seems to be the sole agent of all these phenomena.”
I ask you to note what Carpenter says of the obvious volitional acts of this living lump. “The shapeless mass puts forth one or more finger-like prolongations, which are simply extensions of its gelatinous substance in those particular directions; and a continuation of the same action, first distending the prolongation, and then (as it were) carrying the whole body into it, causes the entire mass to change its place. After a time another prolongation is put forth, either in the same or some different direction, and the body is again absorbed into it. These changes seem to be connected with a movement of the semifluid particles in the interior of the mass, of which a current may be observed to 'set' in the direction wherein the protrusion is about to take place, before the surface shows any projection.” In this animal or others of its type, the Actinophrys, for example, in which the pseudopods are more definite in form, though apparently homogeneous with the animal in structure, these temporarily manufactured arms grasp a food particle, perhaps a bit of mollusc, and gradually draw it in to the surface of the body, the arms fusing into the body in the process. But action does not then cease; by a flowing from behind to the front the particle slowly makes its own gullet, then its stomach where it is digested, and finally, by a reverse process, a passage by which the debris is carried out and discharged, and the animal is ready to go hunting for another meal.
Here we see that the will of the animal has acted upon the substance of the animal and made it do its work by the means at its disposal, which doubtless it is able to modify and perfect by practice, since it obviously can create or manufacture these means at will. In higher structures, the hydra, the octopus, the beast of prey, and man, cells are multiplied, and organs are permanently differentiated out, but who can doubt, with the examples before us, that mind is still the controller, the director, and the creator. Modification is creation, in fact, and the one demands the other as its corollary.
Consider what happens when you stop to pick up a pin in the street. Seeing the pin is an act of consciousness, and we will grant. that stopping (which is one of our habitual acts), may be reflex. But now there ensues a most complex set of separate actions, far more complex than one could, a priori, believe to be possible. The trunk