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Notes from Berlin Clinics

1891; BMJ; Volume: 1; Issue: 1567 Linguagem: Inglês

10.1136/bmj.1.1567.75

0959-8138

T. S. Wilson,

Medical History and Research

experiment.-Dr.SUTCLIFFE (Stalybridge), from personal ob- servatioii of cases, thought that the time hiad not yet arrived for formulatinig any definlite rules as to the best method of using the lymphl, or as to the results of its action.Probably the best way to treat plhthisis would be by small doses injected at intervals of a fortniglht spread over a long period of time, and conijoined witli all hIygien1ic, toniC, and climatic treatment available.Dr. Sutcliffe showed an asbestos syringe largely used in Berlin in preferenice to the one used by I)r.Koel.-Dr.BRIERLEY deprecated following a " meth1od," an1d using a preparation the composition of whichl was niot knlowin to tlie professioni, anid was of opinlioni that Eniglislh practition- ers woould be chary about putting this sensationial treatment of tuberculosis inito practice.Since the metlhod was purely experimental at present, Dr. Brierley thought the treatment slhould only be carried out in hospitals where the patients could be constanitly unlder the immediate care of skilled workers.-Dr.SIMPSON, though disliking tlle secrecy, at pre- sent perlhaps unavoidable, of Koch's preparation, considered that they wvould Inot be justified in passing it by.Its use re- quired great care anid cautionl, anid its curative value was niot as yet firmly establislhed.In. maniy advanced cases, or whlere pulmonary tubercle was exteinsively distributed, it was coIn- traindicatecd, and it could onily be used witlh the utmost pos- sible caution in any tlhreateniing of meningeal tubercle.Tllen, too, there was some evidenice that it miglht set up activity in some cases wvhere tubercle might hiave remainied.This raised the questioni, what became of the bacilli ?They did niot slhare, it seemed, in the death of the tuberculous tissue.WVere they in some cases, by tlle absorption of thlis, simply set free witlh their active?properties unimpaired?:-The P'RESIDENT anId othiers also addressed thle nmeetinig.