Senescence, the Last Half of LifeHall, G. Stanley (Granville Stanley)
Science
Senescence, the Last Half of Life
Hall, G. Stanley (Granville Stanley)
Geriatrics
C. G. Stockton, M.D.,[156] suggests family records and pride to avoid
mixing good stock with that which decays early. He recognizes the great
contributions of the dentist and oculist, deplores the neglect of old
age, and insists that the aged do respond to treatment very readily. He
also deplores the attitude of many physicians who discourage resolute
methods of curing defects and warding off evils because the patient
is old. He stresses the value of emunctory procedures both within and
without.
* * * * *
Dr. W. G. Thompson[157] deplores the fact that physicians have given
so little attention to old age and that the medical literature upon
the subject is so meager. The very old have survived all corroborative
evidence as to their age, their failing memories confuse tradition and
fact, and they come very often to take pride in their age and so add to
it. The author’s study is based on the census statistics of 1910, which
record, from 90–94 years, 6,175 deaths; from 95–99, 1,427; 100 years
and over, 372. The respiratory diseases as a group took first rank
as the cause of death; organic heart disease, apoplexy, and Bright’s
disease occurring in frequency in the order mentioned. Among diseases
of the digestive system enteritis outranked all others.
As age advances and its activities and diversions become less and less,
locomotion is reduced, along with acuteness of sight and hearing,
and the pleasures of the table remain the only gratification of a
monotonous existence. Very many accustom themselves to the habitual
use of laxatives to counteract the effects of overeating, and often we
have obstructions, especially of the rectum or colon, that may become
fatal. This, however, is more often seen in those who eat too little
and become perhaps atrophic and marasmic. These people become careless
of matters of the toilet and obstructions often cause death. Apoplexy
is relatively rare among centenarians and carcinoma also declines as
a cause of death after the ninetieth year. Indeed, the disease that
does not develop until after the ninetieth year can scarcely be due to
hereditary factors and the infrequency of cancer in the later stages of
life emphasizes the constitutional resistance to extraneous influences
that the majority of centenarians possess in a high degree. Acute and
very quick or fatal pneumonia is not infrequent.
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