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In the alimentary apparatus there are the thymus-gland and the thyroid gland, the seat of goitre and the relic of a ciliated groove that the Tunicates and Acrania still have in the gill-pannier; there is also the vermiform appendix to the caecum.
Alcohol may be of benefit. If syphilis is a cause of the condition, iodids are always valuable. If syphilis is not a cause and arteriosclerosis is present, small doses of iodid given for a long period are beneficial, although it may not much reduce the blood pressure or decrease the plasticity of the blood. Iodid is a stimulant to the thyroid gland, and therefore it is on this account valuable.
The sternohyoid and omohyoid muscles were divided; the internal jugular vein was cut through, and its cut ends were collapsed and 3/4 inch apart; the common carotid artery was cut into, but not divided; the thyroid cartilage was notched, and the external and anterior jugular veins were severed.
A restless, inexhaustible energy makes them perpetual doers and workers, who get up early in the morning, flit about all day, retire late, and frequently suffer from insomnia, planning in bed what they are to do next day. Certain types of thyroid excess associated with the thymus dominant next to be described are peculiarly susceptible to emotional instability.
When the adrenal type has a properly co-operating pituitary and thyroid, he possesses a striking vigor, energy and persistence. With a fortunate combination, he develops into a progressive winning fighter, arriving at the top in the long run every time. Brain work is pretty well lubricated in the well-compensated adrenal type.
This is in agreement with the experimental findings that anesthetics, curare, or any break in the muscle-brain connection causes diminished muscular and heat production. The Thyroid. In myxedema one of the cardinal symptoms is a persistently subnormal temperature and, though prone to infection, subjects of myxedema show but feeble febrile response and readily succumb.
There would be the same taunts of immodesty, the same filthy songs. Since science has presumed to take the place of theology, we should talk about hysteria instead of witchcraft, and hallucination instead of demoniacal possession. Physiologists would expound her enthusiasm as functional disorder of the thyroid gland.
Thyroxin is accepted today as the purified internal secretion of the thyroid because all the effects of the whole gland may be elicited with it. Thyroxin produces results with doses amazingly minute compared with the quantity of whole gland necessary. Moreover, a dose of thyroxin appears to last an organism in need of it over a period of time; the other has to be administered continuously.
He elaborated on the discoveries and experiments of Professor Leonard Huxley in England with thyroid gland injections, of Voronoff in France with the grafting of interstitial glands of monkeys, and of Eugen Steinach in Austria and Roux in Germany, with germ glands and X-rays. Steinach, especially, he discoursed on, and drew a magazine picture of him from his Prince Albert.
Osler was able to collect 11 or 12 cases in this country. The diagnosis is all-important, as the treatment by the thyroid extract produces the most noteworthy results. There are several remarkable recoveries on record, but possibly the most wonderful is the case of J. P. West of Bellaire, Ohio, the portraits of which are reproduced in Plate 11.
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