Pulmonary tuberculosis; its modern and specialized treatment : with a brief account of the methods of study and treatment at the Henry Phipps Institute of Philadelphia . theblackboard the physical signs as he elicited themand the factors influencing his diagnosis. Thepathologist follows with his report of the post-mortem findings, with the morbid specimens on thetable before him. Following the report of thepathologist the bacteriologist makes his report onthe results obtained by staining methods, cultureproducts, and animal inoculation. Under micro-scopes on another table are histological sect
Pulmonary tuberculosis; its modern and specialized treatment : with a brief account of the methods of study and treatment at the Henry Phipps Institute of Philadelphia . theblackboard the physical signs as he elicited themand the factors influencing his diagnosis. Thepathologist follows with his report of the post-mortem findings, with the morbid specimens on thetable before him. Following the report of thepathologist the bacteriologist makes his report onthe results obtained by staining methods, cultureproducts, and animal inoculation. Under micro-scopes on another table are histological sectionsof the various organs and tissues. A recess is then taken to study the various ex-hibits. The meeting reconvenes, and a generaldiscussion follows, and woe to him of the staffwho has overlooked a cavity or failed to locatean empyema, or whose diagnosis may be at faultin other particulars! It is ever the tongues of ourfriends which are the most merciless and the mostpoignant. Let me add in justice to the membersthat while errors and discrepancies do occur, yetin general it is really quite remarkable how accu-rate and complete the clinical diagnoses are. The 5J. PHIPPS INSTITUTE 237 clinical diagnoses are not confined to the conditionof the lungs alone; but the heart, liver, kidneys, in-testines, and other organs are reported upon; andit is surprising how often congestion and tubercu-losis of the liver, ulceration of the intestines, ormiliary tubercles in the kidney will be diagnosti-cated correctly, when the clinical data justifyingthe diagnosis might easily have escaped lessdetailed and expert examination. THE EDUCATIONAL OE SOCIOLOGICAL SIDE. The primary purpose of the founder of the In-stitute was, of course, philanthropic; and muchattention is given not only to curing patients andalleviating human suffering, but also in thefurtherance of the crusade against wards of the Phipps in taking advanced,dying cases out of their squalid surroundings,where they are
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