American Medical Journal, Volume 3

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1875 - Medicine
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Page 445 - A physician, in his intercourse with a patient under the care of another practitioner, should observe the strictest caution and reserve.
Page 445 - All discussions in consultation should be held as secret and confidential. Neither by words nor manner should any of the parties to a consultation assert or insinuate, that any part of the treatment pursued did not receive his assent. The responsibility must be equally divided between the medical attendants — they must equally share the credit of success as well as the blame of failure.
Page 136 - ... 2. When innervation is disturbed, these two factors do not occur together, and thus retching may occur without vomiting. 3. The movements of vomiting are correlated by a nervous centre in the medulla oblongata, from which impulses are sent down through various motor nerves to the muscular structures engaged in the act. 4. This nervous centre is probably closely connected with the respiratory centre, but is not identical with it. 5. It is usually set in action reflexly by irritation of the pharyngeal,...
Page 447 - tis slander ; Whose edge is sharper than the sword ; whose tongue Outvenoms all the worms of Nile ; whose breath Rides on the posting winds, and doth belie All corners of the world : kings, queens, and states, Maids, matrons, nay, the secrets of the grave This viperous slander enters.
Page 174 - On the morning following the day of her labor, the binder is removed for good, and she slips into a chair while her bed is making. This is repeated once or twice a day until the fourth or fifth day, when she, if so disposed, gets up and dresses herself. No patient quits her bed against her will ; yet the force of example is so great that very few care to stay in bed, when they see their companions up and about. No woman is allowed to suffer from after-pains. Whenever these are complained of, one-quarter...
Page 137 - ... it. It may also be excited by impressions sent down to it from the brain. (6.) Vomiting may be arrested in two ways, either by removing the irritant which is exciting the vomiting centre, or by lessening the excitability itself, so that the centre no longer responds to the impressions made on it from without. (7.) Emetics...
Page 138 - ... and wine or brandy in quantities varying according to the urgency of the symptoms of exhaustion, especially in the advanced stages of the disease ; but in many of the milder cases, and especially in the case of children, no alcoholic stimulants are required from the beginning to the end of the fever, and when not required they are of course, says Dr.
Page 177 - ... Greeks and Romans, those models of physical strength and beauty, the women arose and even bathed in a running stream very shortly after delivery ; in some cases, on the very day. Finally : what is sounder than all theory, a sufficiently long and well-sifted experience has proved to me that, by such a treatment, convalescence is rendered far more prompt and sure. At this result, very unexpected to the multiparous patients of the Retreat, they are constantly expressing their surprise.
Page 362 - When taken in quantities just sufficient to produce sensible physiological effects, strychnia in man induces a feeling of restlessness, perhaps accompanied by tremblings in the limbs and some stiffness in the neck and jaws. When a somewhat larger amount has been given, there may be general muscular twitchings and startings, with stiffness and stricture of the throat and chest ; formications or other abnormal sensations under the skin may or may not be present.
Page 176 - Labor is, in general, a strictly physiological process, and there can be no sound reason why it should be made to wear the livery of disease. Nature teaches this very plainly, for most women wish to get up long before their physicians are willing to let them. The fact of a woman's wishing to get up is, to me, a very good reason why she should get up. In the second place, few physicians will deny that nothing so relaxes the tone of muscular fibre as a close confinement in bed. In my experience, a...

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