This patient developed consolidation in both lungs in spite of regular
treatment, and it precipitated on him very rapidly, partly masked by
the disturbed breathing from other sources of irritation. We put him on
hourly treatment, but after a few hours his condition from the injuries
and the pneumonia was such that his wife asked us not to treat him any
more. She put it this way, that she knew he would die in spite of all
that could be done and as long as he was going to die he might as well
die easy. Every time he was treated it had the effect of bringing him
out of his stupor, and he would complain, and she thought it would be a
kind act to let him slide off into the next world uncomplaining.
Pneumonia in a case of this sort cannot be handled with kid gloves if
we wish to save the patient. We must give firm, strong treatment. Light
treatment in this condition will do no good. Indeed light treatments in
any sort of pneumonia are of little avail. Many times I have changed
internes in a pneumonic case that was not responding and the results
were immediate. That is, the turn for the better was obvious from the
beginning of the good strong treatment.
The case above mentioned was treated a good part of each hour for
twelve hours. He had no strychnin, no oxygen, nothing but treatments,
but he got well and is now living, and aside from a limp has no
evidence of either his injury or his illness.
Some cases, in private practice, may get well on a treatment a day, but
I would hate to handle the kind of cases we get in that manner. I have
had severe cases, especially hemorrhagic cases, where the treatment was
almost continuous for hours preceding the crisis. Of course, after the
crisis we can ease up. On the other hand, it is not infrequent that
a few good strong early treatments, given at the beginning of a case
absolutely stop it. I have seen cases where a consolidation area of the
apex of the lower right lobe as large as the palm was easily outlined,
and this together with the clinical symptoms would be cleared up in two
or three days.
There is no possible medical method by which this can be done. Medical
authorities agree that under their treatment pneumonia runs an
unshortened course; in other words, a course in the individual case
that has not been affected by the medication. Medically, even where
the crisis occurs early, the consolidation persists for some time, but
I have seen it cleared up time and again under osteopathic treatment
in the length of time that could have been brought about only by
osteopathic treatment.
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