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
The question of prevention of T. B. must be dealt with, first, upon
educational grounds,—to educate the public and the individual to the
point where we can more or less limit the spread of the infection;
secondly, and perhaps more important,—by a campaign for the improved
living conditions of our people in general, especially in childhood.
As a matter of fact, when you get right down to it, T.B. is a social
disease; it is a social problem even more than it is a medical problem.
We know that when the good Lord made us, he put into us a certain amount
of quality which, for lack of a better term, we have called natural
resistance. If we can keep that natural resistance at a high
point,—build it up,—the infection, though it may strike us, will not
produce the clinical disease, T.B.
In the second place, we come to the actual treatment of the sick. This,
too, is largely a hygienic measure. Since time immemorial, those
interested in T.B. have been searching, have been praying for a specific
cure. Every now and then somebody bobs up with a story of how he is
going to cure T.B. overnight by this or that injection, treatment, etc.
In each of these cases there is a grain of fundamental truth. We have
got to put these things together; and when we get down to the final
conclusion we can not get away from the fact that the treatment of T.B.
is the building up, the bringing back to normal, and in fact if you can,
the reaction to the point beyond the normal, of that quality I spoke of,
natural resistance.
In order to accomplish this, I believe one of the most important points
lies in the word, morale; and to encourage your morale, it is wise to
get your classes classified, and to get your T.B. patients working
together in classes in sufficiently large numbers so that you get that
inspiration that comes from what my friend used to speak of as “the
psychology of the crowd.” The thing the soldiers know as the touch of
the elbow; there is a certain magic in it. It is easier to get farther
when you know that somebody besides yourself is going through the same
thing. I think we men in charge of hospitals feel that. That is one of
the inspirations that comes to me from meeting with such a crowd of my
fellows here. Away off there in the swamps of Louisiana there comes a
sort of feeling, “We are here alone; it is hopeless”. When we are all
here together exchanging experiences, there comes the inspiration, “We
are not alone”.
In your general hospitals you have T.B. beds; have them in sections by
themselves,—not because you are afraid of the spreading of the disease,
not because the T.B. patient is an outcast,—but because you can do more
successful work for the patient, not by segregation, but by classes.
Public-domain text, read in full here on John Shaqi.
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