Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
History
Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
During my intercourse with the sick, I felt the miasmata of the fever
operate upon my system in the most sensible manner. It produced languor,
a pain in my head, and sickness at my stomach. A sighing attended me
occasionally, for upwards of two weeks. This symptom left me suddenly,
and was succeeded by a hoarseness, and, at times, with such a feebleness
in my voice as to make speaking painful to me. Having observed this
affection of the trachea to be a precursor of the fever in several cases,
it kept me under daily apprehensions of being confined by it. It
gradually went off after the first of October. I ascribed my recovery
from it, and a sudden diminution of the effects of the miasmata upon my
system, to a change produced in the atmosphere by the rain which fell on
that day.
The peculiar matter emitted by the breath or perspiration of persons
affected by this fever, induced a sneezing in Dr. Dobell, every time he
went into a sick room. Ambrose Parey says the same thing occurred to
him, upon entering the room of patients confined by the plague.
The gutters emitted, in many places, a sulphureous smell during the
prevalence of the fever. Upon rubbing my hands together I could at any
time excite a similar smell in them. I have taken notice of this effect
of the matters which produced the disease upon the body, in the year
1794.
In order to prevent an attack of the fever, I carefully avoided all its
exciting causes. I reduced my diet, and lived sparingly upon tea, coffee,
milk, and the common fruits and garden vegetables of the season, with a
small quantity of salted meat, and smoked herring. My drinks were milk
and water, weak claret and water, and weak porter and water. I sheltered
myself as much as possible from the rays of the sun, and from the action
of the evening air, and accommodated my dress to the changes in the
temperature of the atmosphere. By similar means, I have reason to
believe, many hundred people escaped the disease, who were constantly
exposed to it.
The number of deaths by the fever, in the months of August, September,
and October, amounted to between ten and eleven hundred. In the list of
the dead were nine practitioners of physic, several of whom were
gentlemen of the most respectable characters. This number will be thought
considerable when it is added, that not more than three or four and
twenty physicians attended patients in the disease. Of the survivors of
that number, eight were affected with the fever. This extraordinary
mortality and sickness among the physicians must be ascribed to their
uncommon fatigue in attending upon the sick, and to their inability to
command their time and labours, so as to avoid the exciting causes of the
fever.
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