Chicago School of Medicine and Surgery - Medicos Yearbook (Chicago, IL)

Page 181 text:

.15 ',-.S ln ,,.I.- ,..- -4,v.-we--Q 'WF Y---l- - I LITERATURE X' Mfrs 0305, 9 I kallli' li RSE TKKFYOUR FE. T DFP , NAI-RAIL WE PKVIENT ,- .. MIGHT GET AW: -VL-f4,Jie...f:-N -fx fr 1 E ffh, fm- Q? xii? 2157 TET NUS 1' - '27,-.X I E, -X. 7 annulfs il-Blaswt igirh I know a little bird, And I think you know it too, i ForrI'm sure youlve seen it many times Since you have been to school. Now this little bird Is such a condescending thing With itls characteristic attitude And cane beneath it's wing. He may herald votes for women And with penant proudly stand Or with gun chase greasers Through the burning desert sand But now this little bird Has changed his habit oer True to his class he wears a gown And a cap does his head adore His b ll may be long, his knees big, His name you never heard But you have got to hand it to oseph For his Flu Flu mascot bird f K Youns F by EL NDES A BRBQQTTES 2-L ,LL 3'l.P: WRC GY-I MEJqQo BUST Page I77 CC 77 7 7- 7 ff, 582 an W, M 'E li tg 0 . 0 oo X OR ,': 0 H if Q .21-3 oi 'ii if D 6 I xff :-' f ,x - Q ,-, N I W if ..51,,A3-iff xc' Q -' E5 - 'N-'HSE

Page 180 text:

l I Page 176 LITERATURE The Stuhenfs Bilemma CWith apologies to Hamletb To study or not to study, that is the question, Whether 'tis nobler in the mind to suffer The hours of conscientious study Or pursue the delights of pleasure, And by opposing-end them. i To work, to read, No more, and by a decision we hope to end The waste of midnight oil and a thousand cares Which study demands. 'Tis a consummation Devoutly to be wished. To lie, to cheat, 'Twill doubtless help a little, ay there's the' rubg For what of the future To one who shifts this mortal toil? We must give pause, there's the respect That makes the uncertainty of a life of ease. For who will steal and cheat and waste his hours When the opportunity is his. The many failures from countless sins Will come and go and come again And fill his soul with great remorse To give place to the success that might have been Had he devoted more hours to study Instead of wasting these precious hours In useless occupations, Which bring weariness to the soul and deny dreamless sleep Our most esteemed-ye men of wisdom, hear, Such careless ways breed lives that may spoil Your neighbor's child. There was a time-now passed- You were careless of the outcome. Answer me This night, as you will have to answer when you stand Naked and alone before the great white Throne of God: Can you defend, or will you try Your habits for study while in school. T w. R. c.

Page 182 text:

LITERATURE Zimmunn- iagnustits in iinternal Mzhitinef W1L1.1AM BUTLER, A.lVI., lVI.D. Attending Physician to Cook County and Frances VVillard Hospitals, Professor and Head of Depart- ment of Medicine, Chicago College of hledicine and Surgery CMedical Department of Valparaiso Universityj CHICAGO In the presence of infection certain reaction products are developed in the infected individual. Their development is excited by the infective bacteria. This immunizing process may be due to the action of the cells or of the fluids or of both. If the process more particularly affects the cells the result is termed cellular immunity, if it affects the fluids, humoral immunity. Some of the substances formed are pro- tective to the individual, others apparently have little demonstrable protective inHuences, and still others sensitize the subject. The substances formed in humoral immunity may be divided into: CID agglutinins, Czj precipitins, C3D complement-binding substances and Q4j opsonins. The demonstration of these substances forms the basis of the serum reactions which have attained so much importance in recent years. The detection of agglutinins attained its greatest importance in the diagnosis of infections caused by typhoid, paratyphoid, and colon bacilli, in which they are specific. Strictly speaking, the latter term must be used in a relative sense, as normal serums possess a certain amount of aglutinins and it is only their demonstration in relatively high dilution that renders the reaction specific. The complement-binding principle of Bordet has received many applications to diagnosis, the most important of which is the serum diagnosis of syphilis. While numerous modifications of this method have been proposed, the original method of Wassermann still remains the most reliable. While the test requires for its proper performance the skill of a trained laboratory worker, the interpretation of the results should always be in the hands of theclinician, who should possess for this purpose a broad knowl- edge ofimmuno-diagnostics. This test is not only useful for the initial diagnosis of syphilis or for deter- mining the presence of that disease in doubtful cases, but it has many applications as an aid to prognosis and treatment during the course of the affection. It is quite remarkable that this reaction is not more frequently employed in controlling the treatmen t and management of syphilitics. One of the strongest claims for the specificity of salvarsan was the fact that it converted positive Wassermann reactions into negative ones. I am fully convinced that if syphilitics were properly managed in this age, serious recurrences and parasyphilitic diseases would be reduced to a minimum. ' ' f However, when used to control the treatment of syphilitics, this reaction should be properly under- stood. One negative reaction does not mean that the patient has been curedof syphilis. This, unfor- tunately, has been considered sufficient, especially since the introduction of salvarsan. just how often a patient should be examined after giving a negative reaction will of necessity remain more or less speculative. In the first year I should not regard a negative reaction as an indication to suspend treat- ment, but I should wish to know by an occasional examination, say every other three months, whether the reaction was still negative, in other words, whether the treatment was being pushed sufficiently. This would apply equally in the second year, with but few and short intermissions of treatment. The intermissions might be lengthened in the third and fourth years. Every time the reaction is found it means, as pointed out in my first paper, active syphilis, and calls for specific treatment. When the reaction persists under treatment over an indefinite period, it means active lues with all its possibilities and its resistance to treatment. Passing over the various applications of this and similar principles to the diagnosis of such diseases as echinococcus infection, cancer, etc., I wish to take up the consideration of the diagnosis of tuberculosis by means of immuno-reactions and particularly by an application of the complement-binding principle. Interest in the tuberculin reaction has been materially increased since the discovery of Pirquet, who found that individuals who had once suffered from a tuberculous infection or were at the time affected with tuberculosis, would react locally to the application of Old Tuberculin by the method of vaccination. 'Read in the Section on Practice of Medicine of the American Medical Association, at the Sixty-Second Annual Session, held at Los Angeles, June, 1911. I 1. Butler: Serum Diagnosis of Syphilis, New York Med. Jour., Nov. 30, 1907. Page 178