Beacon Lights of History, Volume 14: The New Era: A Supplementary Volume, by Recent Writers, as Set Forth in the Preface and Table of ContentsLord, John
Philosophy
Beacon Lights of History, Volume 14: The New Era: A Supplementary Volume, by Recent Writers, as Set Forth in the Preface and Table of Contents
Lord, John
History
It was not until many years later, early in the second half of the
century, that the clinical thermometer came into general use, but it
soon showed most strikingly the superiority of the "instrument of
precision" to the unaided senses of man. Who would think now of trying
to estimate the height of a fever by laying his hand on the patient's
skin, or who, even among the laity, would be satisfied with such a
procedure? "Doubtless," said the present writer in a former publication
("New York Medical Journal," Dec. 29, 1900), "the use of the thermometer
has occasionally given rise to needless alarm, but almost invariably it
may be interpreted with great certainty. Often it dispels unnecessary
anxiety as in a twinkling by its negative indication, and surely it is
to be credited with being distinctly diagnostic in those diseases of
which it has itself established the 'curve.'" By the thermometric
"curve" of a disease is understood the general visual impression made by
the graphic chart of a temperature record--the course of a zigzag line
connecting the points indicated by the various individual observations.
Numerous other instruments of precision are now in constant use, among
the most wonderful of which perhaps is the ophthalmoscope, whereby we
are enabled to subject the retina and the intervening media of the eye
to minute visual examination. There is not an organ of the body that is
not now interrogated daily in the way of physical diagnosis, and we even
examine separately the secretion of each of the two kidneys. In
addition, there are multitudinous specific signs of which we were not
long ago in complete ignorance. To cite only one of these, there is
Widal's agglutination test, by which the bacteriologist can usually make
a diagnosis of typhoid fever far in advance of the time at which it
could otherwise be distinguished. The use of the Röntgen rays in
diagnosis was one of the crowning achievements of the century, and now
we seem about to enter upon a course of their successful employment in
the treatment of disease--even some forms of cancer--as well as in its
detection.
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