However valuable the knowledge of the absolute number may be for a
judgment on the course of the illness, it gives us no information about
the AMOUNT OF HAEMOGLOBIN IN THE BLOOD, which is the decisive measure of
the degree of the anaemia. A number of clinical methods are in use for
this estimation; first direct, such as the colorimetric estimation of
the amount of haemoglobin, secondly indirect, such as the determination
of the specific gravity or of the volume of the red corpuscles, and
perhaps also the estimation of the dry substance of the total blood.
Among the direct methods for haemoglobin estimation, which aim at the
measurement of the depth of colour of the blood, we wish first to
mention one, which though it lays no claim to great clinical accuracy
has often done us good service as a rapid indicator at the bedside. A
little blood is caught on a piece of linen or filter-paper, and allowed
to distribute itself in a thin layer. In this manner one can recognise
the difference between the colour of anaemic and of healthy blood more
clearly than in the drop as it comes from the finger prick. After a few
trials one can in this way draw conclusions as to the degree of the
existing anaemia. Could this simple method which is so convenient, which
can be carried out at the time of consultation, come more into vogue, it
alone would contribute to the decline of the favourite stop-gap
diagnosis, 'anaemia.' For neurasthenic patients also, who so often fancy
themselves anaemic and in addition look so, a _demonstratio ad oculos_
such as this is often sufficient to persuade them of the contrary.
Public-domain text, read in full here on John Shaqi.
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