unt had attained
5,400,000, the haemoglobin remaining 35 per cent.
At the end of two weeks the haemic murmur had faded into a faint soft
bruit, though the mitral murmur was unchanged, the skin had improved in
color, the aches and weariness were gone, and the blood count had
reached nearly five million cells, with 50 per cent. of haemoglobin. The
extraordinary results of the blood examination were confirmed by
observations made by Professor Frederick P. Henry, Dr. Judson Daland,
and Dr. J.K. Mitchell, who all practically agreed. Professor Henry made
several studies and stained a number of slides, verifying in his report
the statements of the presence of megaloblasts and nucleated red cells
made above.
Owing to the necessity for an operation on the hemorrhoids, which caused
loss of blood, the patient was somewhat retarded in her progress to
recovery, but by the tenth week was so far better that the blood showed
no microscopic abnormalities, the count was full normal, and the
haemoglobin over 70 per cent. Her color and strength were good, the heart
was perfectly strong, the anaemic murmur was gone, and the oesophagus
was so much less irritable that it was possible to begin dilatation of
the stricture.
I have heard within a year that though occasionally annoyed by this last
trouble if she becomes much fatigued, she has remained in other ways
well.
Mrs. G., the daughter of nervous parents, was always a nervous,
over-sensitive, serious child, worked hard at Vassar, broke down,
recovered, returned to college, was attacked with measles, which proved
severe, and by the time she graduated had been made by her own
tendencies and the anxious attention of her family into a devoted member
of the class which I may permit myself to describe as health-maniacs.
Health-foods, health-corsets, health-boots, the deeply serious
consideration of how to eat, on which side to sleep, profound
examination of whether mutton or lamb were the more digestible
flesh,--these were her occupations,--and two or three years before her
panic about her health had been made worse by the discovery of an aortic
stenosis, of which an over-frank doctor had thought it best to inform
her. When I saw her she had been three years married, was childless,
and, between the real cardiac disease and her own anxieties about it,
had driven herself into a state of great physical debility and a mental
condition approaching delusional insanity.
A too restricted di
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