Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease. — John Shaqi
Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.Wilson, John (Inspector of Naval Hospitals)
History
Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.
Wilson, John (Inspector of Naval Hospitals)
Cholera
Calomel in some shape, in various quantities, after various intervals,
alone or combined, has long been the most popular remedy for cholera;
and, from the concurrent testimony of many witnesses, it has properly
gained its reputation. The practitioner has not always, perhaps,
considered very carefully the grounds on which he prescribed, nor the
channel through which he expected its remedial agency, being satisfied
with the result. It is certain, however, that the result from it—as from
other things—has been too often the reverse of satisfactory. It is
equally certain, that if an auxiliary accelerating agent is a desideratum
in the precipitous fevers of the West Indies, it is much more so in
dealing with the yet more precipitous disease under consideration.
Looking at the matter in this light; believing that calomel, as it is
commonly administered, in the worst and most suddenly fatal cases of
cholera, seldom passes beyond the stomach; and being satisfied that to
act as a remedy it must enter the circulation, and reach secreting
extremities, the method of treatment specified above was adopted.
The results on the whole were satisfactory. Though not such as were
desired or even hoped for, they at least exhibited a full average amount
of success, inspired confidence, and tended to support the belief, that
the practice was founded on right principles.
Of 37 cases admitted 12 terminated in death, the remainder in complete
recovery. {9}
All the cases in the above number were considered to belong strictly to
the epidemic cholera of the season, characterized chiefly by depression
of vital power, suppression of biliary and urinary secretion, and great
tendency to death. Pains were taken to exclude from it allied
affections, especially bilious, or as it is sometimes called, English
cholera, of which there were many, and some grave cases. Want of care in
this respect renders useless comparisons of the respective value of
different modes of treatment; and it is suspected that it is more to such
carelessness, to use no strange word, than to superior skill in the
practitioner, that the high proportion of cures claimed in some instances
should be ascribed. This is said without meaning to insinuate that one
method of management is not better than another, or wishing to damp the
inquiry in which so many men are now anxiously engaged, as to how more
may be done than has yet been effected for choleral patients. In
attempting to balance the respective merits of different lines of
practice, it is also necessary, in order to render the comparison fair or
instructive, to know whether as a whole, the cases treated by each were
equally severe.
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