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He gave his reasons the comparatively slight progress which the sclerosis had made, and the absolute soundness of the other organs. Of course they must make allowance for what they did not and could not know, for a sudden accident was always possible.
Here there is a gradual failing of the heart muscle, with circulatory insufficiency, until the final heart pang occurs. Anginal attacks before the age of 40, presumed, from a possible narrowing of the aortic valve, to be due to coronary sclerosis, are frequently due to a long previous attack of syphilis.
The only drink should be pure water, and that never at meal times, but a cup of hot water half an hour before meals will be found of service. Tea, coffee, cream, and especially alcoholic drinks, must be absolutely avoided. Results from what is known as sclerosis, a hardening of the gray matter in the motor centres of the spinal cord.
True angina pectoris probably does not occur without some serious organic disease of the heart, mostly coronary sclerosis, fatty degeneration of the heart muscle, adherent pericarditis and perhaps some nerve degenerations.
Even under favourable conditions, and with the continuous effort at reconstruction of the bone by Nature's method, the return to normal is often far from perfect, and there usually remains a variable amount of hyperostosis and sclerosis and sometimes curving of the bone. Under less favourable conditions, the late results of osteomyelitis may be more serious.
Furthermore, the reason that many infections are followed later by arterio- sclerosis may be the fact that the suprarenals have been stimulated to hypertrophy and hypersecrete. Many persons in middle life, and especially women at the time of the menopause, show hypertension without arterial or kidney reason.
Even at a distance from the actual necrosis there is formation of new bone by the marrow; the medullary canal is often obliterated, and the bone becomes heavier and denser sclerosis; and the new bone which is deposited on the original shaft results in an increase in the girth of the bone hyperostosis.
When hyperostosis and sclerosis of the bone is attended with severe pain which does not yield to blistering, the periosteum may be incised and the sclerosed bone perforated with a drill or trephine.
"I'm absolutely within the law, and this whole affair is my picnic and your funeral. Moreover, I dare you to give me permission to circulate this story up and down California Street! Yes, sir, I dare you and you aren't game! Why, everybody would be cheering for me and laughing at you, and you'd get about as much sympathy as a rich relative with arterial sclerosis.
An important means of inhibiting disturbance from any arteriosclerosis which should be employed when possible is the climate treatment. Warm, equable climates, in which there are no sudden radical changes, are advantageous when coronary sclerosis is suspected, and warm climates are valuable in promoting the peripheral circulation and lowering the blood pressure in arteriosclerosis.
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