New York Medical College - Fleuroscope Yearbook (Valhalla, NY)

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The extensive use of roentgen rays may produce nausea or vomiting but this untoward effect can be easily controlled by the use of Zcc of liver extract intravenously or intramuscularly. Other studies, just as valuable as these have been made in physiotherapy but space does not permit the discussion of even of ,small amount of them. Acetyl-Beta-Methyl Choline has also been recommended in paroxysmal tachycardia which has not responded to other measures, in spastic types of peripheral vascular disease, and in post-operative abdominal pains. Its use is based on its muscarine effect and it has the added advantage of being ef- fective by mouth. The so-called muscarine effect consists of three actions: an inhibitory effect on the heart, a peripheral vaso-dilatation with accompanying' fall in blood pressue, and a stimulation of gastric and intestinal paralysis. Remarkable results have been obtained in the treatment of post-encephali- tic Parkinsonism by Italian workers. They have devised the Bulgarian Treatment which is based on the use of a SW decoction of atropa belladonna in white wine. Patients under fifteen years of age are given 5cc three times a day while those over fifteen are given l5cc doses. The patients are also en- couraged to utilize a hypo-toxic diet, a minimum of stimulants, and various orthopedic and gymnastic exercises. . Another important contribution has been made by foreign workers who have introduced a dye which is useful in the treatment of streptococcus in- fections. German investigators first studied the effects of prontosil, which is a bright red solution used hypodermically, and prontylin which is a tasteless white powder used orally. These chemicals do not kill streptococci, but merely check their growth and damage them, so that they become easily susceptible to the action of the white blood corpuscles. These chemicals are useless in patients very near death from the infection, since they must be allow- ed thirty-six hours to exert their influence, and the patients must have enough vitality to destroy the germs after the chemicals have checked the growth of the streptococci. The favorable results obtained to date warrants the careful use of prontosil in infections due to beta hemolytic streptococcus. Cobra toxin has been advanced as a possible substitute for morphine in the relief of pain due to an inoperable or relapsing carcinoma. This extract does not reduce the appetite or diminish normal defensive powers of the body. Cobra toxin is also useful in neuritis and neuritides. The proper dose must be determined for each case starting with O.5cc doses in the gluteal muscles every 3 days. ' The introduction of varostadin Clistidene monohydrochloridei was widely acclaimed by the medical profession as a cure for all gastric ulcers, but inten- sive investigations have shown that its benefits last only for six months. It may be helpful in chronic ulcer cases which do not respond to diet, alkalies and other medical treatments. Any discussion of the recent advances made by medical science could not be considered complete without any mention of the enormous amount of re- search being conducted in two very important fields of medicine, one the en- docrines and the other cancer. The amount of experimentation that has been done in these subjects in recent years has been so great that any attempt to valuate the results obtained would be foolhardy. Therefore, in closing this article reference to the proper literature is recommended since it would give more information than could possibly be derived from this resume. - l- One hundred ninety-two

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serum for protection is still in a controversial state. Some investigators claim that no protection is given while others claim that very good results were ob- tained with whole blood. The use of serum in the pre-paralytic stage of the disease is also questioned by some observers. Brodie and Park have pre- pared an inactivated vaccine from a suspension of the spinal cords of monkeys injected with poliomyelitis. As yet, nothing definite can be said concerning the protection given to children until observations are made during an epide- mic. Kolrner has prepared an attenuated virus which may be too dangerous for use. A chemical method of applying protection to poliomyelitis was recom- mended by Olitsky and Cox. They have demonstrated in experiments, with monkeys and human volunteers, that sodium alum or tannic acid when drop- ped or sprayed into the nose acts as a shield against the disease by prevent- ing the causative virus from entering the body and reaching the nerve cells in the brain and spinal cord. Another contribution in this field was the demonstration of the value of vitamin C in the treatment of poliomyelitis. Two recent contributions have been made in the treatment of hyper-ten- sion. One form of treatment involves the use of roentgen irradiation of the carotid sinus. A dose of fifty roentgen units is used, alternating sides with each treatment until three doses are applied on each side. All treatments should be given at intervals of three days. The use of sodium or potassium thiocyanate has been shown to relieve symptoms and reduce blood pressure. Some danger is attached to this form of treatment since the concentration of cyanates in the blood may reach a dangerous level. Of the two methods it appears that the use of irradiation offers a better form of treatment, with a minimum amount of discomfort to the patient. The use of various physical agents in therapeutics has been another fertile field for research. Only three of the innumerable contributions which have been made recently will be presented in this article. The first is the use of artificial fever in the treatment of gonorrheal ophthalmia. The patient is placed in a cellotex lined cabinet and exposed to ra-diant energy which is derived from carbon filament lamps placed over the eye to maintain a high temperature. During the treatment, which lasts twelve hours, at a tempera- ture of 41.50 C, the patient is given large amounts of fluid and mild sedatives. Favorable results have been abtained in all cases treated by the originator of the treatment. This treatment should not be instituted in patients, with cardio- vascular, renal or liver disease. Chronic varicose ulcers have been treated satisfactorily by acetyl-beta- methyl-choline chloride iontophoresis. Reinforced asbestos paper is satur- ated with a 0.5W solution and wrapped around the foot and leg as high as the knee, not touching the ulcerated area until a firm scab forms over it. A rnal- leable metal plate is then placed over the wet asbestos and connected to the positive pole of a galvanic machine. An inactive electrode is placed under the back. The current is turned on and off slowly, using 20-30 ma. The treatments last 20-30 minutes and are given two or three times weekly. This treatment does not require hospitalization and is rather safe. The intra-nasal ionization of zinc sulphate has given favorable results in the treatment of hay fever and vaso-motor rhinorrhea. One hundred nintey one

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OUR' PROFS AYERS You'll find romance in medicine, if you look for it, so says this prof --but -doctor, we all can't be gynecologists. TRITSCH Look at those shades-too long for the windows: windows too long for the shades: sloDDY floors: dumb internes: etc. etc. etc. WI-IATA GUY. SAFFORD lust the man for a 9:00 A. M. Monday morning class. COCHEU p Broadway Lindsley -in a broad way this, in a broad way that: with a knee bend here and a knee bend there- STANFORD Can't understand how so fine a woman should want so very much to Bleed and Blind us. FIERRO and HOTCHKISS The supereducated Garbage folk. SCHMAHI.. Indifference personified. MACADAM Good old Wally-let's have another yarn. UPHAM HOUSE CHICK Tin-type Upham-Vim, Vigor, and Vitality. Headaches, sure you get headaches, you always get headaches, but what else do you get? -that's about all you gave us doctor .... . GRISWALD Swell fellow . . but how does he manage to keep from scaring the kids to death, that's what we would like to know . . . One of the very few men who can still recall his student days an-d treats us accordingly- BERKOVSKY FOBES The less said about this Master-Mind, the better. BINGHAM Scholar and gentleman . . . loved, respected and admired by all . . CI I'I1G1'1 CIIIIOIIQ' men. I had lunch with one of the Mayo brothers at the Ritz, and I said- Now see here Charley ...... SAMWORTH Listen, doc-that's quite a douche at 15-20 feet, with 10-60 pounds pres- sure, at atemperature of 45-125 degrees . . . don't you think . . . . . . RAISBECK Here today . . . gone tomorrow. IOHNSON Quick Watson, the pillow: what is this man-pediatrician or anaesthe- tician??? WILSON It's wise to do lots of bone-ing in order to avoid pulling any boners when studying for this prof's course . . . HETRICK An impressive ear-bender. MCGAVACK A little ray of 3X from California . . . no modalities. CALVERT We'll have him straight . . . no water on the side. One hundred ninety-three