A handbook of invalid cooking : $b for the use of nurses in training, nurses in private practice, and others who care for the sickBoland, Mary A.
Science
A handbook of invalid cooking : $b for the use of nurses in training, nurses in private practice, and others who care for the sick
Boland, Mary A.
Cooking for the sick
Under favorable conditions of temperature, such as prevail in
the warm months of summer and early autumn, micro-organisms grow
with almost incomprehensible rapidity in any substance which is
suitable food for them. Milk is such a substance; and, as bacteria
multiply with wonderful rapidity, millions forming in a few hours
in every thimbleful,[56] it is perfectly evident that they must
produce something. This something may or may not be of a harmful
nature, depending upon what species of organism produces it. I
have no evidence at hand to show what is the nature of the product
of any one organism which finds a home in milk; but there are
instances on record where the nature of the product of certain
bacteria is known: for example, the diphtheria bacillus. This
little rod, growing upon the outside of the tonsils in the human
throat, produces a most virulent poison, which, taken up by the
circulation, pervades the whole body, and often so enfeebles its
functions as to destroy it.[57]
Reasoning from analogy, it is not impossible to suppose that other
organisms may produce substances of a similar character, poisonous
in their effects, and which, when taken into the alimentary canal,
may produce very grave digestive disorders.[58]
Further, bacteria, by their multiplication, use some of the
constituents of milk for their food, thus changing its composition.
It is very important to prevent this growth, or, in case it has
begun, to check it before it has rendered the milk unwholesome
food. Hence the necessity of sterilizing _immediately_ all milk
which is not received directly from the cow. Besides, cows are
often infected with tuberculosis, foot-and-mouth disease, splenic
fever, pneumonia, and other dangerous disorders. Their milk may be
a direct cause of infection. When it is sterilized there is less
danger from it; but even then it is not, of course, a wholesome
food, because of the poisons which may be produced in the animal
during the progress of the disease, and because a sick and weakened
cow cannot give wholesome milk.[59]
In many cities, through the influence of children's hospitals and
sanitariums, the knowledge and methods of sterilizing milk for
infants' food are gradually spreading.
Circular wire frames, made something like casters, and fitted with
eight bottles, each holding enough milk for one feeding, may be
bought for the purpose of sterilizing at almost any pharmacy. The
frame is to be set in a kettle with water in the bottom, which on
boiling produces steam, the heat of which does the sterilizing.[60]
This is an easy method. Another good way is to sterilize at a lower
temperature for a longer time, as less change is produced in the
constituents of the milk by the lower degree of heat. This may be
easily done by immersing the bottles in water at 190° Fahr., and
maintaining that temperature for an hour.[61]
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