The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
When the disease comes on gradually, it seldom becomes dangerous, though
until the end of the first week there is always considerable uncertainty
on this point. The amount of diarrh[oe]a and the degree of disorder of
the brain, as shown by restlessness, delirium, and stupor are the
measure of the gravity of any case. There is, however, scarcely any
disease from which even when most severe recovery so often takes place
in childhood, and this not as persons so often imagine from some
critical occurrence but by a process of gradual amendment. The first
signs of amendment, too, may be taken as giving almost certain promise
of complete recovery; but it is well to bear in mind that there is no
disease of early life in which the mental faculties, though time brings
them back at length uninjured, remain so long in a state of feebleness
and torpor as in typhoid fever. Though the first signs of improvement,
too, are very seldom deceptive, yet the patient's convalescence is
almost always slow, and interrupted by many fluctuations.
Though contagious, still typhoid fever is far less directly contagious
than measles or scarlatina. It seems as if with this disease, just as
with cholera, the contagious element were present in its most active
form in the discharges from the bowels. These should therefore be
disinfected by carbolic acid or some other disinfectant immediately; and
should never be emptied in a closet used by other members of the family,
and more particularly by children. Special precautions also should be
taken with the bed-linen, and night-dresses of the patient; and it must
be remembered that wise precautions have nothing in common with
exaggerated alarm. One more hint will not be out of place. In typhoid
fever, and still more in the highly contagious measles and scarlatina,
the person who sleeps in the patient's room is much more likely to
contract the disease than she who sits up and watches at night keeping
wide awake. Whoever takes charge of a fever patient during the night
should therefore sit up and watch, not lie down and doze, and this not
for the patient's sake only, but for her own.
It can scarcely be necessary to say that in every, even the mildest,
attack of typhoid fever the attendance of the doctor is needed from
first to last. He may come every day, and may daily do nothing but
merely watch. The disease will run its course, the greatest skill cannot
cut it short, though now and then instead of lasting for three or even
four weeks it comes to an end spontaneously in fourteen days. Skilled
watching is what the competent doctor gives. You would not despise or
underestimate the pilot's skill, who steered your barque through a
dangerous sea in smoothest water, because he knew each hidden rock or
unseen quicksand on which but for his guidance you might have made
shipwreck.
Public-domain text, read in full here on John Shaqi.
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