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

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g PROFESSOR MORTON and his Section in G. U

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1251. -waz- I - -x rc f. rs--m N 'Mfg lsfffgxiing .sim ri El Haj, lt Qi I LJ ni wi R All 511 Ui r LL fi in S tll lilii itqgl' S2 lt l' ll! if lfjl 52 TEL! im, :id L i l d 'Q lfu 'lf 71 1 I' its N, li! , it 23 tl H? Vrll 1 .,. lj: lfilii .. E tell s.- ily: P-. isf was ,xii M lim L6 ,LJ ily' tang: gem, . ff-.'M'.ie ii,LZ15f.,-' ' -1-5-'if 1 -- . .-,,Y an it xg., r ' iii-f H P HCHUWMMW 75,5 title if. ll N21-4 . .-. f in. .,, 11.1. f ff:-,fi f .,:'.4, e i i, 12,-1 1 , 31:17-::?'?wf R' wfrses-.Q-.ss'qfT -1 at Jfiiairsi'-,eeQEf, - ssxii-as -E - fem Leafs-A are 51 flag BIN? afsgsiftdrgsgscssm .mimics .M gsis,1sstsis2.tm .K llama- 3. at - 1 -sa-, ,img Albert Neisser, of Breslau, in 1879 and 1882, discovered and described the gonococcus. His observations were confirmed by many other bacteriologists, and this organism was then accepted as the causative factor of gonorrhea. Confirmation of these views was further made in 188+ by Bumm, who made cultures of the gonococcus and inoculations. After the discovery of the exciting cause of the disease, in order to acquire a true knowledge of the disease, it still remained to study the changes in the tissues by means of the microscope caused by the invading organism. This was done by Bumm in the conjunctiva of infants suffering from gonorrheal ophthalmiag but it remained for Finger, of Vienna, to give to the world an exact knowledge of the changes in the tissues through actual microscopic examination of autopsy specimens from the urethra removed from patients suffering from acute and chronic gonorrhea and stricture. So much for the history of the disease. Let us now glance at the early forms of treatment. The earliest rational form of treatment was discovered by Aretaeus in the second century. He used astringents in the bladder, cooling substances in the loins, embroca- tions of oil of dill or aromatic white wine, and his hygienic regulations were similar to those in use at the present day, namely, sexual abstinence and prolonged cold baths. ln the ninth century Rhazes used injections into the urethra of honeyed water or decoctions of quince seeds, and finally healed the inflammation with antimony. The pain of urination was relieved by warm vinegar or rose water, containing opium, injected into the bladder. But all the early treatment was not as logical as that which has been described, for we hear of Guy de Chauliac recommending the use of the excreta of pigeons internally, and advising applications of the flea or louse to the meatus as being of great importance! The treatment as used by Ricord and other physicians here described was prac- tically followed out by all the profession until the discovery of the albuminates of silver twenty years ago gave us a drug which fills Neisser's indications for the treat- ment of gonorrhea. The indications for the cure of this disease, as set forth by Neisser, are: First. Destroy the gonococci in all foci within reach as early and completely as possible. Second. In doing so, avoid irritation of the mucous membrane, any exacerbation of the existing inflammation, and everything else which has a caustic action on the tissues, together with the avoidance of all unnecessary pain, or, in the words of the ancients: Cito, tute et jocundef' Perhaps the greatest advance of all which has been made since the time that Ricord settled the question of the duality of gonorrhea and syphilis, is the recognition of the great principle that gonorrhea is a self-limited disease, and that the suppuration is the effort of nature to remove the invading organisms by enclosing them in pus cells and throwing them off from the body. With this in mind, and the knowledge of the pathological changes in the tissues, we stand with open minds, ready to receive new facts which the progress of biology or chemistry may bring to our aid. VVhat lines the future treatment of gonorrhea may follow, by either destroying the invading organisms directly by chemicals, by increasing the body resistance through vaccines, by direct application of heat, or by some physical, biological or chemical force which is as yet undreamed of, no man can say. We can only wait and see what the future may bring forth. ' HENRY H. MoR'roN. Page fifiy-fum

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MSG., .J -V - Y L .,. ., L, W ef,-9 W. . is , , 7 V ns. , cz -- Wg- -f ,f-4. HY. M V Z WQLQS.LBLEEELIZEAZEBIqaxmgfgznzumms v l l. ul 2541 .Ll iff. All 4 V' . .PJ lHj Hs ll Hr f l :ii . vi '-3 , Y s li.l is K llll as lil 9' H Fi, llil mi l 'N v X Sea.. 'fl I,-fe iff. -141,13 fAg-a ,- l 1 .JLICHUNIAH rliaza r-lip gif I PP 1 Ql iii! f .7 ,L H W -5 454.5 ' WILLIAM BROWNING Clinical Professor of Neurology U , . Ph.B., Yale 1876g M.D., Leipzig, 1881. Interne in German Hospital, New York, 1881-2, Neurologist L. I. C. H. Dispensary, 1884-93, State examiner in lunacy since 18933 Lecturer on Neurolcgy, L. I. C. H., 1887-9g Professor of Neurology, L. I. C. H., 1891. Attending or Consulting Neurologist Kings Co., L. I. State, Brooklyn, Sea View, Norwegian, St. john's, jewish, Eastern District, Bushwick, St. Christopher's and St. Catherine's Hospitals. On Stal? Annals of Surgery, 1885-913 Librarian of Medical Society, 1891-1900, and Directing Librarian since 19175 Co-Editor Brooklyn Medical Journal, 1891-1900, Editor of Neurographs. Mem- ber Amer. Neurol. Assn., Am. Anatomists, Assoc. Physicians of L. I. lex-pres.J, Brooklyn Inst. Arts and Sciences, L. I. Hist. Soc., A. A. A. S., Am. Soc. Naturalists, Eugenics Research Assn., ex-pres. Amer. Med. Library Assn., Brooklyn Soc. for Neurology, Kings Co., Med. Soc. Author: The Veins of the Brain and Its En- velopes, 18841 The Epileptic Interval, 18933 Circulation of the Central Nervous System, 18973 The Thymus and Stammering, 1915. Extensive contbr. to Med. Literature. Page fifty-.ri.r