Physiology: The Science of the BodyMartin, Ernest G.
Science
Physiology: The Science of the Body
Martin, Ernest G.
Physiology
A fever is very uncomfortable to the person suffering from it, but is
not in itself particularly dangerous, unless it mounts to a very high
degree. The body wastes away rapidly, of course, because of the
increased metabolism which is usually not balanced by any taking of
food. Theoretically fever patients should eat as abundantly as laborers;
practically this is impossible of accomplishment in most cases because
of the depressed condition of mind and body of the patient. In some
particularly wasting diseases, like typhoid, feeding has been carried on
with some degree of success. The old practice with regard to fevers was
to restore the patient to comfort as quickly as possible by getting rid
of the fever, that is, by lowering his temperature to normal; at the
present time the tendency in medicine is not so much to strive with the
result of the poisoning as to seek to rid the body as quickly as
possible of the poison and of its source. For that reason modern
physicians are much less concerned with the degree of fever shown by the
patient than with the extent to which the poisons in his body are being
controlled or are becoming masters.
In all our discussion of the regulation of body temperature it is
important to remember that our feelings of cold or of warmth depend
altogether on the temperature of the outermost one-quarter inch of our
body surface. No matter how cold or how warm we may feel, as soon as we
get to that depth below the surface, we find the body temperature the
same, namely 98½ degrees. We feel cold when the skin is cool; the skin
is cool because not much blood is flowing through it; the stimulation of
the surrounding cold on the skin has aroused reflex vasoconstriction and
so diverted the blood out of the skin into other parts of the body.
This means that the mechanism for preventing loss of heat is working as
effectively as it can and, therefore, that the heat which the body
produces is being conserved. Experience shows that in reality the
feeling of cold is very largely a matter of the condition of the
extremities. If the hands and feet are warm, one rarely finds the cold
uncomfortable; on the other hand, cold extremities produce a very
general feeling of discomfort, even though the rest of the body may be
warm. The lesson to be drawn from this is to pay particular attention to
keeping the extremities warm. Where workmen are standing on a floor it
is much more important that the floor be warm than that the air of the
room as a whole be so. Of course, it must not be cold enough to allow
the fingers to be chilled and stiff where manual work is being done, but
it has been found that a considerably lower factory temperature is
endured when the floors are warm than when the floors are cold.
Public-domain text, read in full here on John Shaqi.
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