Fortunately, as with its twin brother, the grip, the bark of rheumatism
is far worse than its bite; and a striking feature of the disease is its
low fatality, especially when contrasted with the fury of its onslaught
and the profoundness of the prostration which it produces. Though it
will torture its victim almost to the limits of his endurance for days
and even weeks at a stretch, it seldom kills directly. Its chief danger
lies in the legacies which it bequeaths. Though, like nearly all fevers,
it is self-limited, tends to run its course and subside when the body
has manufactured an antitoxin in sufficient amounts, it is unique in
another respect, and that is in the extraordinary variability of the
length of its "course." This may range anywhere from ten days to as many
weeks, the "average expectation of life" being about six weeks. The
agonizing intensity of the pain and acute edge of the discomfort usually
subside in from five to fifteen days, especially under competent care.
When the temperature falls, the drenching sweats cease, the joints
become less exquisitely painful, and the patient gradually begins to
pull himself together and to feel as if life were once more worth
living. He is not yet out of the woods, however, for while the pain is
subsiding in the joints which have been first attacked, another joint
may suddenly flare up within ten or twelve hours, and the whole
distressing process be repeated, though usually on a somewhat milder and
shorter scale. This uncertainty as to how many joints in the body may be
attacked, is, in fact, one of the chief elements in making the duration
of the disease so irregular and incalculable.
Public-domain text, read in full here on John Shaqi.
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