Long Island College Hospital - Lichonian Yearbook (Brooklyn, NY)

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iT -TTT-sl fa ' -A 31 Lf ' X ig, -1. ff 17- -Y-.1--H --- -7 --- gf -- -Y, .M ...Y ,Y,,Y Y . Y, , . .7 uw.. fa .- -4. .. Q- 1-'fr-as V-ef -- ,- '-A ,l-- e -fs , 5- , , . 1 ill?-QEAPEZXZQ-we?K+f?EE3324f5n1252f-ki? ance Fever N EFINITIGN. A dance chronic and infectious, developing as a rule, L Q without premonitory signs, and characterized by-flushed face, rapid pulse, -G Q slight fever and spasmodic contractions about the shoulder, hip andankle joints, which may recur at intervals. HISTORY. The disease was introduced in 1918, or thereabouts, in Eng- land and France largely by troops from America, and spread with startling rapidity to other parts of the globe. lt is epidemic in the United States, and endemic particularly in California, Brooklyn and New York. It prevailed in a different form and was very fatal in England in the 15th and 16th centuries, and was made the subject of an important memoir by D. Sharpe Curretter in 1552. Of late years it has been confined entirely to districts in Manhattan and Brooklyn. An epidemic of some extent occurred in Russia in 1919. Z. Quickberry gives a chronological account of 190 epidemics between 1917-22. Occasionally the disease has become widely spread. As in influenza, a large number of persons are attacked in rapid succession. ETIOLOGY. Unknown. Scientists of the Killingem and Kleenup School state that the present dry conditions of the country will decrease the virulency of the epidemic. - , No immunity is given by sex, age, or, season. lt thrives where there is a susceptible population, but is most frequently found in young adults. lt is unknown in infancy and childhood, in older persons it is not at all uncommonly rare. The author has collected one case in the literature in patients over 75. Race exerts little influence on the morbidity. It is claimed that relatively there are more infections among negroes and cabaret habitues. Various governments have become impressed with the spread of this disease. They contemplate, in the near future, legislative enactments to the end that segregation, control and treatment may become general. SYNIPTOIVIS. There are three recognized stages in the onset. The first manifests itself in the following manner :-Before, or after, the dinner hour the in- dividual becomes aware of an acute state of exhilaration, a rush of blood to the head, and an undulating sensation, ending in spasmodic contractions about the shoulder, hip, and ankle joints. Then begins an uncontrollable type of tic pedis, keeping time, so to say, with the rhythms of a telepathic song, whatever that may be. The pulse becomes rapid, the face is flushed, and there is a slight rise in temperature and blood pressure.' Sometimes the patient, if the attack is mild, obtains relief, if at home, by playing jazzy records on the phonograph. More virulent types. however, only find surcease of pain by the immediate removal of their persons to cafes, cabarets or dansantes. The exodus of thousands then starts, lured by a kind of psychic Pied Piper-from home, mart, factory, and study. The only places that seem exempt are hospitals, insane asylums and morgues. Page one lnmdrca' and ninety Um

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Page 7353252152152 EZETZEBIEIBZZZE i f7 Ae7 f' 7 Zifhvta Qlhnptrr LESTABLISHED 19205 ZHratrrn in Zlinrnltatr julian T. Rose, A.B., M.D. Samuel A. Wolfe, lVI.D. Zl1ra1rrz in Qlnllrgin CLASS OF 1923 Isador Bender Jack Blimblum David B. Blumenfeld ' Alexander Friedman Max Shevell, M.D. Louis Schlessel Robert Soslofsky Edward IVI. Tapper Abraham VVeber Abraham Nussbaum . Abraham Zelnigher CLASS OF 192-1 William Bershatslcy CLASS OF 1925 Alexander Blank Morris Bonheld Martin Friedrich Theodore Kaplan Irving L. Latter CLASS OF 1926 Alfred Angrist, B.S. Herman Ressler Morris Leibson. A B. lVIilton llflarcou, B.S. John H. Scharf Abraham I. Schmith Benjamin Zucker Harry Kaiser, BS. lsadore Aronowitz, B.S. Benjamin Konowalow, B.S. Henry Cohn one Inmdred and ninety-tliree Hyman lwillman 1 I x H1 i', M V r LH I Il J 1 1 T V g fi iii. 4, 1 1 1 1 I s 1 -Li , :li nh' l ll wh 1 I, xiii 151 QE E -1 m:,!S'10 '5!! if 'FWF trfiia..

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A ,fy H1 -- -wif-. -' --.3 -f - -- 1. :-.-aiu i .7.,:, 1 sg-.1 'wig X. fra.. -Q.,7,.-Q-1-..-ayr:q'::.-fzrexqxs -5:,a.w.qp-415-7--f-'W' - ' p-ytthfb. .fx 1 afar w.: '.11-Mai,Alai,agsibzgtl-.f:eei,Q,.f:::--'r.-Ljh1,u,:1.--.iet.sJ+4,f1:,gEg- 135,-Sw .f The second stage begins when the jazz maniac arrives at his destination. Here he falls into the hands of the slazzarimboes. These gentry, generally Eve or six mercis less young men, with shellacked or patent leather hair and complete abandon, begiif their musical inquisition on the bodies of the victims. ig Witli the lirst raucous overtones of the bassoon, and the shrill wail of the clarinet the pat1ent's extreme agitation, pulse-pressure, pulse-rate and temperature increase rapidly. y lVhen in the thraldom of his crisis, the patient rises to his feet, clasps to his fevered bosom and brow a fellow sufferer of the opposite sex and begins a mad danse, a primitive dance, expressive of joy and grief, a dance partaking of the Abyssinian with the shrug of the shoulders and the workings of the elbowg of the Hordes of Araban with their shuffling step and arms close to the bodyg of the Rajah of Gussem with their glide, and the knee much bent. ' At this stage in the patient's condition the latest researches at the John Flopkins Laboratory have shown the clinical pictures in the accompanying charts. QLack of space and money prevent us from inserting them.l ll COMPLICATIONS. 1. Hyperpyrexia. The temperature may rise rapidly in a few minutes after the onset and be associated with a mild delirium. As a rule, fatigue is extreme, and hnally stupor supervenes. in our series there was no instance of hyperpyrexia, which seems rare in Brooklyn. f , 2. Cardiac Affections. Occur in a considerable percentage of cases. The liability diminishes as age advances. lts incidence in our cases was more than doublel' DIAGNOSIS. Prevents no difficulties. Open any cabaret door, and it presents itself to view. Dementia precox and paranoic states should be excluded. in PATHCLOGY. A marked anaemia of the pocket, caused by cover charges and tips to the waiters and those who check your clothes. ,i TR EATlX'I ENT. Hopeless. l, yi- om' lllUldl'r'li and lliuvly-fit'c