that the new rays might be a means of destroying the microbes
of consumption and other diseases in the living body. Delepine, Park,
and others have investigated this with a good deal of care. A dozen
different varieties of bacteria have been exposed to the Roentgen rays
for over an hour, but cultures made from the tubes after this exposure
have shown not only that they were not destroyed, but possibly they were
more vigorous than before.
The facts above stated seem to warrant the following conclusions as to
the present value of the method:
_First_.--That deformities, injuries, and diseases of bone can be
readily and accurately diagnosticated by the Roentgen rays; but that the
method at present is limited in its use to the thinner parts of the
body, especially to the hands, forearms, and feet.
_Second_.--That foreign bodies which are opaque to the rays, such
as needles, bullets, and glass, can be accurately located and their
removal facilitated by this means; but that a zeal born of a new
knowledge almost romantic in its character, should not lead us to do
harm by attempting the indiscriminate removal of every such foreign
body. _Non nocere_ (to do no harm) is the first lesson a surgeon
learns.
_Third_.--That at present the internal organs are not accessible to
examination by the X rays for two reasons: First, because many of them
are enclosed in more or less complete bony cases, which cut off the
access of the rays; and, second, because even where not so enclosed, the
thickness of the body, even though it consists only of soft parts, is
such that the rays have not sufficient power of penetration to give us
any information.
_Fourth_.--Even if the rays can be made to permeate the thicker
parts of the body, it is doubtful whether tumors, such as cancers,
sarcoma, fatty tumors, etc., which are as permeable to the rays as the
normal soft parts, can be diagnosticated. Bony tumors, however, can be
readily diagnosticated; and possibly fibrous tumors, by reason of their
density, may cast shadows.
_Fifth_.--That stones in the kidney, bladder, and gall bladder
cannot be diagnosticated, either (1) because they are embedded in such
parts of the body as are too thick to be permeable by the rays, or (2)
are surrounded by the bones of the pelvis, or (3) are, in the case of
gall stones, themselves permeable to the Roentgen rays.
_Sixth_.--That with the improvements which will soon be made in our
methods, and with a bett
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