acute
illness, but for the period of at least a month after they have
apparently recovered. Several most disquieting cases are on record of
so-called "typhoid carriers," or individuals who, having recovered from
the disease itself, carried and spread the infection wherever they went
for months and even years afterward. This, however, is probably a rare
state of affairs, though a recent German health bulletin reports the
discovery of some twenty cases during the past year. The lair of the
bacilli is believed to be the gall-bladder.
As to treatment, it may be broadly stated that all authorities and
schools are for once practically agreed:--
First, that we have no known specific drug for the cure of the disease.
Second, that we are content to take a leaf out of nature's book, and
follow--so to speak--her instinctive methods: first of all, by putting
the patient to bed the moment that a reasonable suspicion of the disease
is formed; this conserves his strength, and greatly diminishes the
danger of serious complications; cases of "walking typhoid" have among
the highest death-rates; second, by meeting the great instinctive
symptom of fever patients since the world began, thirst, encouraging the
patient to drink large quantities of water, taking care, of course, that
the water is pure and sterile. The days when we kept fever patients
wrapped up to their necks in woolen blankets in hot, stuffy rooms, and
rigorously limited the amount of water that they drank--in other words,
fought against nature in the treatment of disease--have passed. A
typhoid-fever patient now is not only given all he wants to drink, but
encouraged to take more, and some authorities recommend an intake of at
least three or four quarts, and, better, six and eight quarts a day.
This internal bath helps not only to allay the temperature, but to make
good the enormous loss by perspiration from the fevered skin, and to
flush the toxins out of the body.
Third, by liberal and regular feeding chiefly with some liquid or
semi-liquid food, of which milk is the commonest form. The old attitude
of mind represented by the proverb, "Feed a cold and starve a fever,"
has completely disappeared. One of the fathers of modern medicine asked
on his death-bed, thirty years ago, that his epitaph should be, "He fed
fevers."
Fourth. We respond to the other great thirst of fever patients, for
coolness, by sponge baths and tub baths, whenever the temperature rises
abov
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