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Page 148 - ... this committee that it is essential that it should be made a reportable disease in all states in order that its presence may be detected and its spread guarded against. Of particular significance are the so-called abortive cases, where indefinite ailments occur in children in communities where frank paralysis also exists. These abortive cases of infantile paralysis are undoubtedly a source of infection, and their record and study is of much importance. In a community where cases of infantile...
Page 148 - Anterior poliomyelitis is, so far as known, a communicable disease, being communicated from one patient to another and also by means of a third person. It occurs in epidemics and tends to spread along the lines of greatest travel. There is reason to believe that it is prevented from spreading by quarantine, and with the very great prevalence of the disease in the summer of 1910 it is the opinion of this committee that it is essential that it should be made a reportable disease in all states in order...
Page 907 - There can be no doubt that the future of pathology and of therapeutics, and therefore that of practical medicine, depends upon the extent to which those who occupy themselves with these subjects are trained in the methods and impregnated with the fundamental truths of biology.
Page 518 - ... as an ignorant, conscienceless woman. The emotional bitterness displayed in the patient's account was an immediate index of the serious pathological significance of this episode. Her attempts at harmony caused no satisfaction ; so she declares that she ceased worrying. "I had tried to adjust it, but failed ; for she is a married woman older than and above me in the office. She is angered because I do not associate with her. But as she had spoken disparagingly of my mother, I taxed her, only to...
Page 149 - All cases of infantile paralysis should be strictly quarantined, sputum, urine and feces being disinfected, and the same rigid precautions being adopted as in scarlet fever. This quarantine should, in the opinion of the committee, last for four weeks in the absence of definite knowledge as to when the infection ends. Children from infected families should not be allowed to go to school until the quarantine is abandoned. The transportation or transfer of acute cases in public conveyances should be...
Page 518 - ... a physical malady. As will appear from the psychoanalysis, there are other worries which she did not at first reveal. Onset. She had no unusual worry at the time, she declares ; but on account of straightened finances and the delicacy of her mother, she has been anxious for some years. As a result of psychoanalysis, it was ascertained that three months before the tic there had occurred a serious unpleasantness with a comrade in the office, whom she stigmatized as an ignorant, conscienceless woman....
Page 520 - But the psychological factor is the main one, as will appear ; for the torticollis is proportional to the insistence of the thought of her painful relationship with her fellow worker, and when she succeeds in dismissing this from her mind the tic rarely occurs. This, however, has been difficult, because she had no confidence, not being willing to trouble her tired sister, as had been her habit, and a clergyman to whom she was much attached having left Washington. Hence, there was no relief from brooding...
Page 744 - that we could be moved by the solicitations of pleasure and have no experience of pain, would be to place us where injuries would meet us at every step and in every motion, and, whether felt or not, would be destructive to life. To suppose that we are to move and act, without experience of resistance and of pain, is to suppose not only that man's nature is changed, but the whole of exterior nature also. There must be nothing to bruise the body or hurt the eye, nothing noxious to be drawn in with...
Page 868 - ... incidents, but we take the sum total. If we take the sum total of the activities of the medical profession, if we subtract all its shortcomings, if we admit even everything our enemies say about us, the balance of good is overwhelmingly in its favor, and it can truthfully be said to be the most beneficent, the most progressive, the most humane and the most altruistic of all professions. And therefore to the question: What Is the matter with the doctors?
Page 744 - ... man's nature be changed, but the whole of the exterior nature also. There must be nothing to bruise the body or hurt the eye, nothing noxious to be drawn in with the breath. In short, it is to imagine altogether another state of existence. Pain is the necessary contrast to pleasure; it ushers us into existence or consciousness; it alone is capable of exciting the organs into activity. It is the companion and guardian of human life. In a broader conception...