My own experience with this method is limited to the observation of
a few cases treated at the Riverside Hospital in 1893. Under the
direction of Dr. Cyrus Edson, health commissioner, one ward was fitted
with red glass windows. The cases treated were of a mild type, and
although no deaths occurred, the disease appeared to run its usual
course and the experiment was negative as to results. In reply to a
letter of inquiry, Dr. Edson writes me that “if the results had not
been negative a very careful report would have been made.” For the
advancement of therapeutic knowledge it is indeed unfortunate that
while the enthusiast is always so ready to write, the sceptic or
unsuccessful experimenter is usually inclined to remain silent.
*Period of Suppuration.*--With the transformation of the smallpox
vesicles into pustules a rise of temperature occurs which is commonly
known as the “secondary fever,” and in severe cases the swelling of the
face, hands, and feet usually occasions the most intense suffering.
The chief dangers of this stage arise from the possibility of septic
poisoning and the probability of a greater or less degree of exhaustion.
A nutritious diet is now of the utmost importance, and in severe cases
bouillon, malted milk, or other prepared foods which can be readily
swallowed should be given every two or three hours. If the patient
is in a stupor, he may be awakened in order to receive the necessary
nourishment, but the calm, refreshing sleep which sometimes follows a
period of wakefulness and complete exhaustion should not be disturbed.
Alcoholic stimulants are usually of great service in this stage and may
be given freely, especially at night and in the early morning hours
when the patient’s vitality is at its lowest ebb. In case of delirium,
rectal alimentation will often be found necessary as a substitute for
or a supplement to oral feeding. The rectum should first be thoroughly
cleansed by an enema of soap and water and then from four to six ounces
of milk and brandy or eggnog may be injected.
Public-domain text, read in full here on John Shaqi.
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