Whether such patients must be put to bed or not one must judge in each
instance, taking into account the general nutrition. In my own practice
I certainly do put them to bed now much oftener than formerly. It is not
desirable to keep them there for the six or eight weeks which full
treatment would demand. Usually it will be of advantage to order, say,
two weeks of "absolute rest," observing the usual precautions about
getting the patient up, prescribing bed again when the early signs of an
attack of agitation appear, and keeping him there for a couple of days
on each occasion, during which the full schedule of treatment is to be
minutely carried out.
Goodell and, more recently, Playfair have pointed out the fact that some
cases of disease of the uterine appendages such as would ordinarily be
considered hopeless, except for surgical treatment, have in their hands
recovered to all appearances entirely; and my own list of patients
condemned to the removal of the ovaries but recovering and remaining
well has now grown to a formidable length. Playfair observes also that
he believes it possible that in even very severe and extensive disease
the health of the patient may be sufficiently improved to render
operation unnecessary.
Pages:
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52