e legs, but also occur in the arms, head, loins, back, and
trunk. Then the sense of touch is partially lost. The prick of a pin may
not be felt until a few seconds after being applied. This stage may last
for years and remain at a "standstill;" but it is usually progressive, and
advances to the third stage.
3. The stage of paralysis is marked by a gradual change to the worse, and
the patient must remain in bed, because he cannot get out. The lower and
sometimes the upper extremities have lost a great deal of their power of
sensation: The joints, mostly the knee and hip joints show on both sides
of the body a painless swelling, owing to the great quantities of watery
liquid there. Dislocations and fractures occur simultaneously. Bed-sores
and peculiar ulcers on the sole of the foot also occur. The urine dribbles
away constantly, for all control of the bladder is lost. Death occurs from
exhaustion; bedsores, inflammation of the bladder, or pneumonia coming on
as a complication.
Treatment;--The only thing to do when the patient has this disease is to
make him comfortable and arrest the progress of it, if possible. It is
incurable, but treatment sometimes arrests the progress and at least
lessens the suffering and prolongs life as long as it is worth living to
them. I have given a longer description than was necessary, for I wanted
men who live such fast lives to understand what it brings them for most
cases are caused by syphilis. The description could have been made longer
and other symptoms and complications put in. I think enough has been given
and perhaps this description may deter some one from going the same road.
The Diagnosis is made at first by the fatigue, peculiar pains, loss of the
knee jerk, the peculiar pupil and history of syphilis. Later it is made
from the ataxia; the peculiar walk, etc., and the bladder disturbances.
HEREDITARY ATAXIA. Friedrich's Disease.--This peculiar disease is due to a
degenerative disease of the posterior and lateral columns (parts) of the
spinal cord, occurring in childhood, and often in several children of the
same family.
Causes.--More in boys than in girls and oftener in the country districts.
Heredity is frequently a cause and it is traced to syphilis, epilepsy,
alcoholism, and insanity in the ancestors. Several children of the same
family may have it.
Symptoms.--In very young children it is noticed that they are slow in
learning to walk; the child staggers in tr
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