The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical AssociationsVarious
Science
The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical Associations
Various
Medicine -- Periodicals
I would classify eggs and egg albumin as proteins, and therefore
not digestible until the beginning of the third year: but, over and
above this, there is danger of anaphylaxis from the absorption of the
unchanged egg albumin into the blood-stream.
What Dr. Weston says of the feeding intervals is very interesting. I
do not want to be considered an enemy of the four-hour feeding, for I
use it wherever possible, and I think it the best interval; but when
the infant cannot get enough in that period, we have to choose between
two evils. I think the lesser evil is to give the child more milk at
shorter intervals, and take the risk of a slightly poorer digestion.
We should, also, wherever possible, control the amount of breast-milk
by weighing the child before and after nursing. It is highly important
to determine whether the baby is getting too much or too little.
As to Dr. Green’s statement, “Modified milk” is a very general term.
What is usually meant is milk with a high percentage of fat and a
low percentage of sugar, while malted and condensed milk have a high
percentage of carbohydrate. In my opinion, if he had used cow’s milk
without the addition of cream and with large amounts of cane sugar, he
would not have had this trouble. But a large number of children will
not do well on this diet. We have special rules for abnormal children
with exudative and nervous diathesis.
In reply to Dr. Fleming’s question regarding the mother’s diet and
its effect on her milk: What the mother eats has absolutely no effect
on the composition of the milk in any way whatever, except perhaps
in the percentage of fat. Now-a-days we do not advise any particular
foods for the mother’s diet,--anything she likes, and can digest, plus
large quantities of fluid;--otherwise there is no single food we
advocate--none that will make the milk richer or better, or increase
the quantity.
I cannot agree with Dr. Jensen that raw milk is so far superior
to boiled milk. Of course, wherever it is possible, we should use
certified milk, which does not require boiling; but, if we have
inferior cow’s milk contaminated with bacteria, we can boil the milk
with very little harm. It is just as well digested, and the food value
just as great. There is of course slight danger of scurvy; but that is
very easily diagnosed, and very easily cured by a little fresh milk or
small doses of orange juice. Where we have inferior milk, it should be
boiled in every case.
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