North Carolina Medical Journal. Vol. 3. No. 4. April, 1879Various
Science
North Carolina Medical Journal. Vol. 3. No. 4. April, 1879
Various
Medicine -- North Carolina -- Periodicals; Medicine -- Periodicals
_Convalescence._—The greatest care should be given to convalescents,
because relapse is often fatal. The nourishment ought to be select and
the patient should not be exposed to the sun or to the influence of the
moon. When the disease does not go beyond the first period,
convalescence is much shorter, if there is no leading organ assailed;
but if it reaches the second and third period, especially that of
hemorrhages and profound alterations of the blood, convalescence is long
and painful, and often leaves its traces during the whole life.
When restoration is complete, wine of cinchona, wine of iron, cold
baths, and sea baths are prescribed. In cases of swollen parotids,
convalescence is prolonged during many months.
Is it possible to prevent a disease, which makes such ravages? Its
entire destruction seems to me an unrealizable utopia, because we have
seen, that one of the causes of its existence is in the atmosphere: but
it is certainly possible to diminish its effects, and to avoid it, when
it exists. A well observed hygiene would give the best results, and the
government, which would attach its name to this undertaking, would
deserve well of mankind.
Besides the causes of the disease, described in the commencement of this
memoir, there is one important cause, in the collection of persons
living together under the same roof, especially in barracks. These
establishments are designed to shelter, day and night, strangers, who
expose themselves without precaution to sun and to damp, and who drink,
and eat, as if they had nothing to fear. These barracks ought to be
built on elevated places, far from the city, and from the seashore, and
especially, be well ventilated. The surgeon of the regiment, should have
a roll-call three times a day, and, on his responsibility, put in the
infirmary, and on diet, any one, who complains of the least headache.
Instead of sending to one hospital only, the sick coming from garrison
and from government ships, several military hospitals ought to be
established. Every barrack should have its infirmary, with medical
service, and the sick should not have to cross the city to obtain
treatment. There is no disease which develops contagious miasm more
suddenly than yellow fever. A large accumulation of sick in the same
place, is a certain source of disease and contagion.
On board of vessels, a good hygienic system would greatly diminish the
number of the sick. In ordinary times, government vessels should not
have full crews. The men will then have a sufficient quantity of air to
breathe. They should not be drilled in the fierce heat of the sun, or in
rain, and they should be required to go to the surgeon, for the least
pain in the head.
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