Fat and Blood: An Essay on the Treatment of Certain Forms of Neurasthenia and HysteriaMitchell, S. Weir (Silas Weir)
Science
Fat and Blood: An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria
Mitchell, S. Weir (Silas Weir)
Hysteria; Neurasthenia; Rest
The surgeons, who once thought a floating kidney could be permanently
fixed in its place by stitching, have now concluded that this is very
doubtful, and the treatment of this displacement is never very
satisfactory by any method. Still, some success has followed long rest
in the supine position, which encourages the kidney to return to its
normal place, until careful full feeding has renewed or increased the
fatty cushions which hold it up. It is best during the first weeks of
treatment not to allow the patient to sit or stand, or if she should be
unable to avoid the occasional need for these positions, an abdominal
binder must be applied by the nurse and drawn tightly before she moves.
The masseuse is directed to avoid any movements which might further
displace the organ, and may cautiously push it upward and hold it there
with one hand while with the other the manipulation of the abdomen is
performed. However long it may require, the patient should not get up
until examinations, supine, lateral, prone, and erect, combine to assure
us that the kidney is replaced. Repeated investigation of this point
will be required,--for the kidney will sometimes be in place for a
little while and next day or even a few hours later have slipped down
again. Before any exertion is permitted, even ordinary walking, an
accurate close-fitting abdominal belt with a kidney-pad should be
applied. Those kept in stock are seldom properly adjusted, and usually
have the pad in the wrong place. If rightly made, they can be worn with
comfort and tight enough to be useful. If not rightly made, they are
useless instruments of torture.
Public-domain text, read in full here on John Shaqi.
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