. Journal of radiology . n the thermome-ter. This is true in a negative as wellas in a positive way. Cases with ap-parently cardinal symptoms have showna normal metabolism, while subsequenthistory has proven them to have malig-nant or some other non-thyroidal dis-ease. The effect of x-ray or radium uponall cell activity does not need to beproven here. In proper doses its in-hibition is without exception. Thesedoses vary with different kinds of tis-sue, but the rule holds true. Becauseone operator, giving an inappropriatelysmall dose of x-ray, stimulates an epi-thelioma, while another destroys
. Journal of radiology . n the thermome-ter. This is true in a negative as wellas in a positive way. Cases with ap-parently cardinal symptoms have showna normal metabolism, while subsequenthistory has proven them to have malig-nant or some other non-thyroidal dis-ease. The effect of x-ray or radium uponall cell activity does not need to beproven here. In proper doses its in-hibition is without exception. Thesedoses vary with different kinds of tis-sue, but the rule holds true. Becauseone operator, giving an inappropriatelysmall dose of x-ray, stimulates an epi-thelioma, while another destroys witha proper dosage, the rule of inhibitionis not disproved. The same is true inthyroid cases; there is a proper doseand it must be given if one is to suc- 83 HYPERTHYROIDISM, BASAL METABOLISM AND RADIOGRAPHY—VAN ALLEN Case No 321 Rqe3l Diaq. Exophthalmic Golfer Duration 1 Year Date cr July7 - I5C I3C120 lot9080706050 r QtD 100 go 807060SO403020fo — 6o58Sfa5452So48 ■ or , .._ V 4& 4442 — M X X X X i 1. Figure I—Case No. 329. Exopthalmic goishowing- chan<re occurring1 in the basalpulse. X-ray treatment indicated at the ceed. Many combinations of the vari-able elements of technique of radiumor x-ray treatments will succeed. Aspractical workers, we like to know justhow the other man, who claims success,treats his cases. I will give my techniqueas one of the satisfactory combinations:Three and one-half milliamperes,fifteen minutes, four and one-halfmm. aluminum filter, eight andone-half inch spark gap, sixteeninch distance, six treatments oneach side of neck (twelve treat-ments in all) given twice a will note this is the old fractionalmethod. It has served me well formany years. I believe this methodcauses less disturbance during theperiod of treatment; the permanency ofthe effect is better and there is almostno danger of skin reactions. A few ofmy cases, during the last fifteen yearshave been re-trcated. I do not look ter. Graphic chartmetabolic rate
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