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doing the best he could to get well, but had lost over thirty pounds and was thinking seriously of returning to his eastern home and giving up the fight when he came to see me. He gained nineteen pounds the first month, and in three months weighed 168 pounds, being more than he had ever weighed before.

No. 4, Miss W., from Indiana, had been in Colorado for about one year when I first saw her and constantly under the

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care of one of the most accomplished and successful physicians in the city of Denver. She had a distinct chill and rise of temperature almost every day during this period. She was confined to her bed when I first saw her and had a temperature of 103° in the afternoon. Her physician had advised her to return home, saying that neither the climate nor he himself, had done. her any good, and she had just as well return. Arrangements were all made for her return home in a few days when I saw

her. I advised her to let me see what I could do for her in one month, and if we made no improvement she could return home: I told her frankly that I thought her physician was correct, and that without the X-rays she had no hope for recovery. She is to-day doing splendidly, has gained eighteen pounds, and the

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Fig. 5.-Case V, Showing extensive tubercular involvement.

lung consolidation has lessened considerably, but the cavity near the center of the left lung is yet unhealed. The patient is dismissed from treatment for the present, but kept under observation. She is up and allowed to take moderate exercise, being now within six pounds of her highest previous weight. The results so far are very satisfactory.

No. 5, Mr. T. of Atlanta, Ga., had been in Ashville and Denver together for about two years, and had lost weight. He had an annoying cough and suffered a good deal from the presence of chronic pleuritic adhesions. The skiagraph shows the condition. He now weighs more than he ever weighed before,

and is back at the present time at Atlanta on a visit, in a very satisfactory condition.

No. 6, Mrs. M., had been in Colorado for over one year, normally a large, robust, and stout lady, but contracted tuberculosis from a sister, who died with the disease. She continued to lose weight and did badly after coming to Colorado.

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She

Her skiagraph shows her condition. She was treated three months and was allowed to return to her home in May. reports a very flattering condition of continued improvement. This case has been very satisfactory in every way.

Now, in closing allow me to say, as a physician, I have brought every agent at my command, medicinal and otherwise when indicated, to help the X-rays in all my work. That it has succeeded is due, I believe, more to the X-rays than to any one agent. Climate, it is true, helps a great deal, but you will notice nearly all cases reported above were failures, as far as climate and medicinal agents were concerned, until brought

under the influence of the rays. I could report scores of cases, but these six will be sufficient to illustrate the points intended to be brought out in this paper.

Discussion.

Dr. Martin L. Barshinger, York, Pa.: It will be gratifying to those interested to know that this year a special effort was made by the Pennsylvania State Medical Society to put the subject of physio-medico-therapy in its proper place before the profession at its last meeting at Bedford Springs. I had the honor to present a paper in the Symposium on High Frequency and read my paper there last Tuesday on the High-Frequency Currents in Pulmonary Tuberculosis. It occurred to me that it might be encouraging to the workers in this field to have these persons appear here in evidence, as the results of treatment appear nothing less than remarkable.

My first case, which I look upon as my test case, is apparently cured. This young woman was referred to me last August and gave me the following history: In May, 1904, she developed cough. She saw a number of physicians and finally went to a man with a local reputation in my town in the treatment of this disease, who told her that she had a cavity and had perhaps six months to live. This frightened her and she went to another physician who had her sputum examined and finding tubercle bacilli put her on raw eggs and milk and had her sleep by herself in a room with wide-open windows. She held up fairly well under this treatment until some time before coming under the high-frequency treatment. When I first saw her she felt that she had gone back more than at any other time, and that if something were not done, she could not hold out much longer. She had a great amount of cough, profuse expectoration, chills, and sweats. She continued the treatments with the high-frequency currents until December, 1905. Her present condition shows that she has gained twenty-six pounds, has no cough and no expectoration. I have been unable to get a specimen of the sputum for examination. She says she never felt better in her life. Her appetite is good, she sleeps well and is normal in every respect.

Another case is that of Dr. S., a practitioner of medicine, who contracted the disease in 1897. His sputum was examined in November of that year by Dr. Simon, of Baltimore. He has a cavity in his right middle lobe and both apices are affected. When he removed to York he tried what rest would do. The slightest exercise sent his pulse up to 140 to 150. His present condition shows a pulse of 96; temperature normal on the last four days of last week. He had no appetite for a year before beginning treatment. Now his appetite is restored and he is feeling better than he has felt in eighteen months.

The method I am using is the current from a 12-plate static machine and resonator.

I feel very skeptical as to any cataphoric effect. I question whether we can drive the remedies in through the skin, muscle, fascia, etc. The results obtained I attribute to improved metabolism and improved pulmonary circulation.

Dr. Morris Weil Brinkinann, New York: The subjects of immunity and infection have been quite extensively gone into by the author. We do not know all of the defenses which the body possesses. Many of the observers and writers on this subject have described a great many defenses heretofore unsuspected. Independently of phagocytosis there may be other defenses, and if anything can be demonstrated whereby we can control any forces in the body whereby the pathologic processes may be influenced it is most important that we know it.

While upon the subject I would like to say that I am decidedly opposed to the highly albuminous diet in the treatment of conditions associated with irritation of the mucous membrane. Some of the gentlemen who are very free in their commendation of the albuminous diet have pushed the recommendation of the use of eggs to three dozen a day.

In the examination of feces of highly albuminous fed patients sulphureted hydrogen is a marked constituent of the stool.

In such cases acute glossitis has been exceedingly common, and in one case I have seen death attributed to this sulphureted hydrogen poison. That is only a practically inorganic poison, but the forces of organic toxic nitrogen compounds developed in the intestines of people unable to digest, should make us see that we do not allow to become developed a culture field in the intestines.

Dr. Henry W. Frauenthal, New York City: I take exception to what Dr. Brinkmann has said about the giving of albumen in the white of egg irritating the membrane of the lung.

Dr. Brinkmann: I spoke of a chemical poison with the reaction and involvement of nerve trunks and septic deposits and these have been demonstrated to be present and can be produced in animals. It is merely necessary to read the reports of experiments which are common in the literature of the subject.

Dr. Sinclair Tousey, New York: In regard to the development of an antitoxin or similar body from exposure to X-ray one or two thoughts have occurred to me. It has been found experimentally that if a small animal is exposed to a very severe radiation of the X-ray, the serum from any of the animal juices extracted from that portion exposed injected into another animal will be followed by the local development of a severe X-ray burn. In other words, the parts exposed to the X-ray, if injected into other animals, contain the substance which will produce an X-ray burn, so that the reaction can be

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