Tuberculin treatment / by Clive Riviere and Egbert Morland.

Date:
1912
Catalogue details

Licence: In copyright

Credit: Tuberculin treatment / by Clive Riviere and Egbert Morland. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    98/308 (page 78)
    It remains to be seen how far he should undertake the primary tuberculin treatment of patients remaining at home and at work. This is discussed in more detail under the subsequent heading “ ambulant treatment ” (p. 157). As early diagnosis becomes the rule, the number of such cases not requiring preliminary sana- torium treatment will increase. In any case the sana- torium is only an incident in the treatment of these cases, a period of instruction and training, in which nutrition is raised to a higher level and the best line of treatment worked out. The time available will never suffice for complete arrest of the disease while in the sanatorium, nor is this necessary if the practitioner will acquire the necessary technical knowledge to carry on thef treatment at home. CONTRA-INDICATIONS After what has been said, it is impossible to exclude from tuberculint reatment a certain class of case because it will recover without ; or another because no improvement is possible. In practice such classes cannot be defined, and those whose experience of tuber- culin is the greatest (e.g. Bandelier and R5pke, Sahli, Pottenger, Citron) do not draw up lists of contra-indi- cations, but decide from case to case on grounds of expediency. Meissen has in fact reproached those who employ specific treatment for their attitude of insisting that tuberculin must succeed if given properly, and of attributing their failures to faulty method and not to the futility of the remedy itself. But it is natural