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Operative Treatment. In aggravated cases, when the patient is suffering pain, when his occupation is interfered with by repeated attacks of phlebitis, or when there are large pouches on the veins, operative treatment is called for. The younger the patient the clearer is the indication to operate.
Attention must be directed towards the condition with which the phlebitis is associated. Ligation of the vein on the cardiac side of the thrombus with a view to preventing embolism is seldom feasible in the peripheral veins, although, as will be pointed out later, the jugular vein is ligated with this object in cases of phlebitis of the transverse sinus.
In that handsome house I have known in one summer three cases of hospital pyæmia, one of phlebitis, two of consumptive cough: all the immediate products of foul air. When, in temperate climates, a house is more unhealthy in summer than in winter, it is a certain sign of something wrong. Yet nobody learns the lesson. Yes, God always justifies His ways. He is teaching while you are not learning.
#Treatment of Ulcers.# An ulcer is not only an immediate cause of suffering to the patient, crippling and incapacitating him for his work, but is a distinct and constant menace to his health: the prolonged discharge reduces his strength; the open sore is a possible source of infection by the organisms of suppuration, erysipelas, or other specific diseases; phlebitis, with formation of septic emboli, leading to pyæmia, is liable to occur; and in old persons it is not uncommon for ulcers of long standing to become the seat of cancer.
#Phlebitis.# Various forms of phlebitis are met with, but for practical purposes they may be divided into two groups one in which there is a tendency to the formation of a thrombus; the other in which the infective element predominates.
These may lodge in distant parts, and give rise to secondary foci of suppuration pyæmic abscesses. Clinical Features. Infective phlebitis is most frequently met with in the transverse sinus as a sequel to chronic suppuration in the mastoid antrum and middle ear.
I was stretched once more for some months on a sick-bed, and this weakened me the more since very heroic measures were used in the treatment of the complaint, a violent attack of phlebitis. The leg was rubbed every day from the sole of the foot to the hip with mercury ointment, which could not be without its effect on my general health. Still, I kept up my spirits finely.
I had tended her day and night, and this, in addition to the grief I was suffering, made me anaemic. I was ordered to the South for two months. I promised to go to Mentone, and I turned immediately towards Brittany, the country of my dreams. I had with me my little boy, my steward and his wife. My poor Guerard, who had helped me to tend my sister, was in bed ill with phlebitis.
She had never really recovered from the birth of the child: a slight attack of phlebitis had dragged her down, and as she had to lie still for several weeks she worried and worried: she was feverish, and her mind went on and on indefinitely beating out the same monotonous deluded complaint: "I have not lived, I have not lived: and now my life is finished...."
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