Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
I would feel that I have not performed my function here as a doctor if I
did not say to you to be thus careful in your diagnosis and then help to
work out a plan whereby, if this subject cannot be made well, he can at
least be made more self-dependent. Use all of your influence to help to
cite where these men can find niches into which they can go and make it
possible through the influence you can bring to bear upon the people who
are associated and connected with them that they are better when they
really are established in their homes. There is no case in the world
that is more unfairly treated than the neuro-psychiatric case. We all
know that by many experiences and observations. So let us give
particular and special attention to this subject.
They say to us we have no specialists in this line. I am not so sure but
we are better off for that. This is what I do believe: that every man
who has broad experience of a general practice of medicine is competent
and capable of quickly developing himself to conduct these cases along
carefully.
You have no greater field, men, either for yourselves, for the patient,
or for your Government, than in this field.
Now as to the tubercular case. The error we find in the matter of the
tubercular case is this: We find a great many cases are diagnosed
tubercular when really they are not,—a very bad impression, as you can
imagine, to give to any subject. So let us be very sure, let us leave no
influence, or power, or activity unused that will help us to define the
exact attitude of these cases.
We know, as was related here yesterday, that many of the so-called cases
of shell shock are really due to other causes. This is my own
observation of those cases, we had a number immediately after the war,
at the Institution with which I am connected, and we found a most
invariably these men were the subject of the toxemias of fatigue, and by
relieving the toxemic conditions, whether it be uremic infection, or
what not, these cases soon got well and their mental symptoms soon
subsided. So be sure that you be perfectly fair with these men, and you
are never fair with them until you have exhausted every resource in
discovering whether or not, as the basis of their mental or nervous
disturbance, there may not be some physical condition.
The meeting is now in charge of Dr. White.
DR. WHITE: I hope there will be free discussion of this matter. There are a
good many men who have had charge of neuro-psychiatric hospitals, and I
hope you will feel free to get up and briefly set forth such vital
problems as you may have in mind. In order that we may cover as many
problems as possible, I will, with your permission, let you know when
the five minutes is up, so we can cover the ground as fully as possible.
Public-domain text, read in full here on John Shaqi.
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