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Mitchell, S. Weir (Silas Weir), 1829-1914

"Fat and Blood An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria"


May 1, 1877, Dr. Mitchell examined Mr. P.D. The patient was sallow and
emaciated, and coughed every few moments. He had night-sweats, nervous
twitching, and slight dulness on percussion at the apex of the right
lung, with prolonged expiration and roughened inspiration, and some
increase of vocal resonance.
Mr. P.D. was allowed to be out of bed once a day four hours, and to
spend one hour at his place of business. The treatment was as follows:
At 6 A.M., a tumbler of strong, hot beef-tea, made from the Australian
extract.
At 8 A.M., half a tumbler of iron-water, and breakfast, consisting of
fruit, steak, potatoes, coffee, and a goblet of milk. At 8.30 A.M., a
goblet of milk mixed with a dessertspoonful of Loefland's extract of
malt, with six grains of citrate of iron and quinine.
At 10 o'clock Dr. Keating administered the electricity.
At 12 o'clock Mr. P.D. might be dressed, making as little personal
effort as possible. The second goblet of milk and malt was administered,
and a carriage took him to his office, where he might remain till two
o'clock, when the carriage brought him for dinner, preceded by half a
tumbler of iron-water.


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