Forty Years in the Wilderness of Pills and Powders: Cogitations and Confessions of an Aged PhysicianAlcott, William A. (William Andrus)
Science
Forty Years in the Wilderness of Pills and Powders: Cogitations and Confessions of an Aged Physician
Alcott, William A. (William Andrus)
Medicine -- Anecdotes
I was once called to see a young woman (in the absence of her regular
physician) who was bleeding at the lungs. She had bled occasionally
before, and was under the general care of two physicians; but a sudden
and more severe hemorrhage than usual had alarmed her friends, and, _in
the absence of better counsel_, they sought, temporarily, the advice of
a stranger.
It was a cold, spring day, and in order to keep up a proper temperature
in her room, I had no doubt that a little fire was needful. But instead
of a heat of 65° in the morning and something more in the afternoon, I
found her sitting in a temperature, at ten o'clock in the forenoon, of
not less than 75° or 80°. On inquiry, I was surprised to find that the
temperature of her room was seldom much lower than this, and that
sometimes it was much higher. I was still more surprised when I
ascertained that she slept at night in a small room adjoining her
sitting-room, and that a fire was kept all night in the latter, for her
special benefit.
No wonder her cough was habitually severe! No wonder she was subject to
hemorrhage, from the irritated vessels of the lungs! The wonder was that
she was not worse. The greatest wonder of all was, however, that two
sensible physicians should, for weeks if not for months, have
overlooked this circumstance. For I could not learn, on inquiry, that a
single word had been said by either of them on the subject.
If you should be inclined to ask whether she had no exercise in the more
open and pure air, either on horseback or in a carriage, the reply would
be, none at all. Horseback exercise was even regarded as hazardous, and
other forms of exertion had not been urged, or, that I could learn, so
much as recommended.
I was anxious to meet her physicians, that I might communicate my views
and feelings directly to them; but as this was not convenient I gave
such directions as the nature of the case seemed to require, requesting
them to follow my advice till the arrival of her physicians, and then to
lay the whole case before them. My advice was, to reduce the temperature
of the sitting-room as low as possible, and yet not produce a sensation
of chilliness, and to have her sleeping-room absolutely cold, taking
care to protect her body, however, by proper covering. I also
recommended exercise in the open air, such as she could best endure; and
withal, a plain, unstimulating diet.
What was done, I never knew for many months. At last, however, I met
with a neighbor of the family, one day, who told me that the young
woman's physicians entirely approved of my suggestions, and that by
following them out for some time, she partially recovered her wonted
measure of health.
Public-domain text, read in full here on John Shaqi.
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