The Pathogenesis of the Balantidium Coli

Abstract

In that great horde of industrial accidents-especially in crushings of limbs, when the patient is admitted in the condition of grave shock-a transfusion usually rescues the patient. Transfusion should be done either jusl preceding or during the operation. Should there ho a postoperative hemorrhage in any case, transfusion renews the surgical opportunity and may convert defeat into victory.There has now been a number of strikingly successful cases, any one of which, in my opinion, compensates a thousand fold for the experimental labors and the use of animals in the development of the principles and the technic of transfusion. Applying the two great principles, that of I In-conservation of the energy by special technic during operations, and that of transferring energizing blood from the normal to the patient, vve have in our hands new powers in both attack and defense. It enables one to operate in an explosive ease of exophthalmic goiter in such a manner that, the patient at the end of the operation is approximately the same as when in hod the day before, and every ease may by this method have at least the minimum operation performed. Wo mav reclaim the starved ami bleeding abdominal cases; we may amputate the diabetic leg with confidence: besides groat control of the vital processes allows the needed time, even in the handicapped ease, for a more precise and complete technic. In more than 90 per cent. of my patients, in the routine operations, there are no unpleasant memories of the operating room, the postoperative discomforts are greatly minimized, and the mortality rate, in my own experience, is certainly reduced, as indicated by a rate of 1.9 per cent, in the 2,410 operations performed under the foregoing principle in a general surgical service. In a number of these, the operation was done with a complete exclusion of fear, under nitrous oxid anesthesia, and local anesthesia as well, thus completely protecting the brain from all harmful associations-a stale host designated by a new word, viz., anoci-associiiUoit. In this state the brain is completely isolated from operative influences and is not more affected than if the operation were performed on the clothing. This is the ideal surgical state.Against the development and the use of these methods of greater safety and efficiency in operative surgery, there may be urged the objections that these methods involve a higher training and increased labor on the part of the nursing and the operating staff, that certain new apparatus is required, and that the hospital must meet an increased cost. These easily surmountable objections must be balanced against the disappearance for good of the ether drunken patient, the freedom from postoperative nervous impairment, and the preservation of life itself.(¡20:i Euclid Avenue.Clinical and Laboratory Diagnosis.-Under present conditions of private practice crude, rough-and-ready methods of diagnosis arc in many cases the liest that can be utilized. A refined method poorly executed is worth far less than a rough method carefull...

Clinical Studies of Quinidin

“…17 Until recently, therapeutic measures have consisted mainly in the use of drugs by mouth and of enemas to rid the intestine of the parasites. From the large number of different drugs advocated for this purpose it is apparent that no single one is especially efficient.…”