t diet
to meet the needs of the body without overburdening the digestive
apparatus or overtaxing the excretory organs. The increased metabolism
taking place in such patients, due both to the specific bacteria and
to the febrile condition, is, as far as possible, provided for.
~Schedule of Diets.~--The following dietary regime may be useful in
formulating menus for tubercular patients:
BREAKFAST
Fruits.
5 oz. cereals with cream.
1 or 2 eggs, simply prepared to prevent indigestion.
2 slices of bacon, ham; fish cake or chop.
2 slices of toast or crusty rolls with butter.
Coffee, tea, or cocoa, with or without cream.[104]
LUNCH
Vegetable or cream soups.
Cold meat, lamb chops, oysters, or fish.
Baked white or sweet potato.
1 green vegetable,--greens, cabbage, spinach, or string beans.
Stewed fruit or baked apple.
Rice or tapioca pudding.
Tea.
Bread and butter.
At the end of the meal one glass containing two-thirds milk and
one-third cream. If the latter disturbs the digestion reduce the
amount temporarily, or add one-half the contents of a tube of
peptonizing powder, or one-quarter of a glass of limewater.
DINNER
Meat, lamb, mutton, chicken, duck, game, or fish.
Mashed or creamed potatoes.
1 or 2 green vegetables.
Simple salads.
Simple desserts consisting of puddings, custards, wine or fruit
jellies, ices or ice cream, sponge cake or angel food cake.
The milk and cream is taken at the end of the meal as directed above.
LUNCHES
11 A.M., 4 P.M., 9 P.M., consisting of milk, malted milk, junket,
buttermilk, albumenized broth, albumenized fruit juices, cream, egg,
and vichy, eggnogs, served with crackers or sponge cake; cereal gruels
and raw eggs taken with water, milk, or sherry may likewise form a
part of this diet, since the nourishment in them is both concentrated
and palatable.
~Use of Eggs.~--The old method of forcing the patient to eat a dozen
or more raw eggs a day is no longer used, but three or four a day will
be of undoubted value to the patient, provided they agree. There are
patients, however, with whom eggs act almost as a poison, and in these
cases it is decidedly unwise to force them.
~Use of Milk.~--Milk is to be used abundantly. If it should disagree,
it may be peptonized or modified with limewater. At any rate, every
effort should be made to enable the patient to drink at least one
quart a day, and more, if possible.
If it fai
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