Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis SanitariumChicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Science
Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis Sanitarium
Chicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Tuberculosis
To Villemin, a French physician, belongs the immortal fame of being the
first to show the essential distinction in tuberculosis between the virus
causing the disease and the lesion produced by it. By inoculating animals,
he demonstrated that tuberculosis is a specific disease caused by a
specific agent. His paper presented in 1865 before the Academy of Medicine
in France contained a detailed account of his experimental investigations.
This was a most remarkable contribution to scientific medicine.
It remained for Robert Koch in 1882, after years of painstaking
investigation, to announce to the world the discovery of a definite
bacillus as the causative agent in all forms of tuberculous lesions. Koch
isolated, cultivated outside the body, described and differentiated the
infective organism of tuberculosis and proved that it could continue to
produce the same lesions indefinitely. He showed the presence of the
bacilli in all known tuberculous lesions and in tuberculous expectoration,
and demonstrated the virulence in sputum which had been dried for eight
weeks.
Following directly upon the knowledge of the cause of tuberculosis came
the recognition of its curability, and the proper means of its prevention.
Although good food and fresh air have always been considered of importance
in the treatment of the disease, it was not until the middle of the
nineteenth century that anything like systematic treatment was undertaken.
Dr. George Bodingon of Sutton Coldfield, England, wrote an essay in 1840
advocating fresh air treatment. He denounced the common hospital in large
towns as a most unfit place for consumptive patients, and established a
home for their care, but met with so much opposition that it was soon
closed.
In 1856, Hermann Brehmer wrote a thesis on the subject which has been the
foundation of our modern treatment. He opened a small sanatorium in 1864.
Five years later he established the sanatorium at Goerbersdorf, in
Silesia, which eventually became the largest in the world. He advocated
life in the open air, abundant dietary and constant medical supervision.
He believed that the heart of the large majority of consumptives is small
and undeveloped, and that this predisposes them to the disease. In
accordance with this theory he put a great deal of emphasis on exercise in
the treatment of his patients. He built walks of various grades on the
grounds of his sanatorium and installed a system of walking exercise.
Patients began with the lowest grade, gradually accustoming themselves to
ascend to the highest. Brehmer was himself a consumptive, and was cured by
the method he so firmly believed in.
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