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Updated: May 25, 2025
Anoci. * not to venture too far in serious cases. If we believe that, in accordance with the law of phylogenetic association, a continuous stimulation of both the brain and the thyroid gland, accelerated by summation, plays a role in the establishment of the pathologic interaction seen in Graves' disease, then it is but the next step to assume that if the nerve connection between the brain and the thyroid be severed, or if the lobe be excised and the patient reinforced by a sojourn in a sanatorium or in some environment free from former noci-associations, he may be restored to normal health, provided that the brain-cells, the heart, or other essential organs have not suffered irreparable damage.
"His presence remains a discomfort. We sit and stare at each other. And I talk quietly to him. "'You are an inconsistent ass, I say. 'You were first an obvious pathologic symptom an illusory conscience born to adorn the grief of my senses that fancied they had murdered Rita, the phantom. But then when you found her alive, what did you do? Did you vanish as, in all logic, you should?
Before determining that the heart is slow, it must of course be carefully examined to determine if there are beats which are not transmitted to the wrist; also whether a slow radial rate is not due to intermitence or a heart block. While any pulse rate below 50 should be considered abnormal and more or less pathologic, still a pulse rate no lower than 60 may, be very abnormal for the individual.
Or is the exhibition a huge, mystifying blague? What, you ask, as you apply wet compresses to your weary eyeballs, blistered by dangerous proximity to so many blazing canvases, does the Autumn Salon mean to French art? There are many canvases the subjects of which are more pathologic than artistic, subjects only fit for the confessional or the privacy of the clinic.
I prefer the Klindworth editing of this rather sombre, nervous composition, which may be merely an etude, but it also indicates a slightly pathologic condition. With its breath-catching syncopations and narrow emotional range, the A minor study has nevertheless moments of power and interest. Riemann's phrasing, while careful, is not more enlightening than Klindworth's.
And against this it must be urged that the most complete honesty is no guarantee against self-deception, while ability and even genius are not at all incompatible with a pathologic strain. And in addition it must be borne in mind that these hallucinations are, after all, part of a very large class.
Neither one constitutes a disease by itself, but is a symptom of some pathologic condition. It has already been stated that the excretory organs, by constantly eliminating from the system the worn-out material, keep the machine healthy and in good working order.
And may medicine not correlate the pathologic phenomena of the sick man with the forces of evolution, as the naturalists have correlated the phenomena of the sound man, and thus may not disease, as well as health, be given its evolutionary setting?
It is seen, therefore, that when a pulse is slower than normal, even below 65 beats per minute, the cause should be sought. If no functional or pathologic excuse is discovered, it must be considered normal, for the individual, and, as stated above, even 58 or 60 beats per minute are in many instances normal for men.
Exclusive of specific or metastatic arthritis, which is seldom observed except in young animals, inflammation of the elbow joint is usually caused by injury. This articulation is not subject to pathologic changes due to concussion or sprains as occasioned by ordinary service, but is frequently injured by contusion from falls, blows from the wagon-pole and kicks.
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