Essays In Pastoral MedicineWalsh, James J. (James Joseph)
Religion
Essays In Pastoral Medicine
Walsh, James J. (James Joseph)
First aid in illness and injury; Medicine
If you anoint a patient that has confluent smallpox you probably can
not wipe away the oil, because the skin will be pustular. Wipe the
oil-stock carefully; then all cotton used should be wrapped in paper
and burned in the paper before you leave the house. After anointing,
you had better wash your hands carefully in water in which a
bichloride of mercury tablet has been dissolved--do not use soap and
do not put the bichloride in a metal vessel. Wash your hands thus
before you leave the sick-room.
If the patient can receive the Viaticum let him lie on his back, and
you should drop the Host into his mouth without touching him with your
hand. St. Alphonsus says: "non licet tempore pestis porrigere
Eucharistiam medio aliquo instrumento . . . sed manu danda est" There
is no need of an instrument. If there are any crumbs left in the pyx
make the patient take them. St. Alphonsus says this may be done, and
it would be almost certain infection to take them yourself if you have
not had smallpox recently. Let as little ablution water as possible be
given to the patient.
When you leave the room, put the pyx, oil-stocks, corporal, and stole
in a pan of water and boil them for ten minutes. This will disinfect
them thoroughly and will not injure them in any way. Then take off the
Hawes suit as near the street-door as possible and wet it with
bichloride {179} solution. Wash your hands again in the bichloride
solution and rinse off the bichloride; take the pyx, oil-stocks,
corporal, and stole and leave immediately. Do not touch the door-knob
when going out--let some one open the door for you--and do not shake
hands with any one.
Typhus fever is now rare in America, but there was an outbreak in New
York City in 1881. This was the fever that killed multitudes of Irish
emigrants about the middle of the nineteenth century. It is called
also spotted fever, camp, jail, ship, and hospital fever, and it has
many other names. The name typhus is from [Greek text], a smoke or
fog, and it indicates the befogged, stuporous condition of the
patient. Typhoid fever is so called because it has some resemblance to
typhus.
The specific cause of typhus is unknown, but the contagion develops
and reproduces itself in the body of the patient. It is thought that
the contagion exists in the secretions and excretions of the body and
in the exhalations from the lungs and skin. The infection can
certainly be carried by clothing, dust, furniture, conveyances of all
kinds, and dead bodies, and it remains active for months. It may be
transmitted through the air for short distances, not nearly so far as
the air will carry the contagion of smallpox. In well-ventilated rooms
there is less danger of infection, and a typhus patient should have at
least 1,500 cubic feet of air space. The contagion may be transmitted
in all stages of the disease and during convalescence.
Public-domain text, read in full here on John Shaqi.
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