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Updated: May 28, 2025
At the village of Huanglien-pu, where I had lunch, the landlady of the inn had a goitrous neck that was swelled out half-way to the shoulder, and her son was a slobbering-mouthed cretin with the intelligence of an animal. And among the people who gathered round me in a dull, apathetic way every other one was more or less marked with the disease and its attendant mental phenomena.
And the victims of hydrocephalus followed, with the dancers of St. Vitus, the consumptives, the rickety, the epileptic, the cancerous, the goitrous, the blind, the mad, and the idiotic.
To be a "thickneck" is no bar to marriage on either side. The goitrous intermarry, and have children who are goitrous, or, rather, who will, if exposed to the same conditions as their parents, inevitably develop goitre.
The prognosis of goitrous tumors is much better than might be expected, but evidently Aëtius saw a number of the functional disturbances and enlargements of the thyroid gland, which are so variable in character as apparently to be quite amenable to treatment. Aëtius' treatment of the subject of varicosities is quite complete in its suggestions.
He was profoundly ill-proportioned, very goitrous, and ravages of small-pox had bequeathed to him a wonderful facial ugliness. He had, however, be it written to his honor, learnt that life was no theory.
A goitrous man came to me and waxed eloquent about some uncontrollable pig which was dragging him all over the roadway as he vainly tried to get it to market. Some dozen small boys, with hatchets and scythes over their shoulders for the cutting of firewood they were looking for, laughed at me as I ploughed through the mud in my sandals.
For my chief remembrance is of the irreverent youth who summed up our daily dispute over Rodin's great melodramatic Balzac, with frowning brows and goitrous throat, wrapped in shapeless dressing-gown, that stood that spring in the centre of the sculpture court at the New Salon, and the summing up was in verse only a Frenchman could write, the satire the more bitter because the wit was so fine.
At the mission in Tali three women are employed, and of these two are goitrous; the third, a Minchia woman, is free from the disease, and I have been told that among the indigenes the disease is much less common than among the Chinese. On all sides one encounters the horrible deformity, among all classes, of all ages.
The former prevalence of the disease is abundantly suggested by the frequency of deaf-mutes, a score or more of whom live here all children of goitrous parents. Bad as was San Bartolome, it seemed to us surpassed by San Antonio, where we found the disease in an aggravated form, while at Nenton, our first point in Guatemala, every one appeared affected, although we saw no dreadful cases.
How strange, that beautifully clear and sparkling mountain water often produces actual misery among an ignorant population! Scarcely had we dismounted at our lodging place, when a man of forty, an idiot and goitrous, came to the door and with sadly imperfectly co-ordinated movements, gestured a message which he could not speak. Almost as soon as he had gone a deaf-mute boy passed.
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