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Thus, a careful history would be read over to him; all the certain signs of typhoid would be noted and his comment almost always was: "This case won't benefit by drugs. We will have the bed wheeled out into the sunshine." The next case would be acute lobar pneumonia and the same treatment would be adopted. "This patient needs air, gentlemen. We must wheel him out into the sunshine" and so on.
You had told them that they could count on you and I didn't want you, on my account, to be put in a position where any one could accuse you of having failed him. My own word was involved, for that matter. I told LaChaise I wouldn't put any obstacles, in your way. Of course, I didn't contract lobar pneumonia on purpose," he added with a smile.
When asked why she had not spoken, she said, “I couldn’t, I had a jumping toothache,” or she said, “Ask the nurse, she put it down in the book.” Or again she said, “Did you ever get drunk? That is the way I felt. I felt like dead.” She soon developed a lobar pneumonia and died. The following typical case of partial stupor is quoted as an example of delusions appearing only during the onset.
After some months she occasionally gazed about furtively, or later watched everything when unaware of being observed; at this time she also smiled occasionally at amusing things, or perhaps said “yes” or “no” to questions, but usually was stolid when interrogated. Then about nine months after admission, while in the condition just described, she developed a lobar pneumonia.
Acute lobar pneumonia may kill a patient in twenty-four or forty- eight hours; lie may live for a week and die of heart failure or toxemia, or he may live for several weeks and die of cardiac weakness. If he has double pneumonia be may die almost of suffocation.
Prostatic hypertrophy. Dr. A. M. Barrett found few changes in nerve cells, except fever changes. One area in left superior frontal gyrus showed superficial gliosis. Yet many of the actions which he felt he must perform were foolish actions. The patient died of pneumococcus septicemia during a lobar pneumonia. There were a few flecks of atheroma in the aorta.
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