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 . m), but in the lighting up and exten-sion of the tuberculous process. Even smalloozings and the consequent contamination of ad-jacent lung tissue by the infected blood may andoften do lead to the extension of the disease down-ward into previous healthy lung tissue, or thelighting up of a chronic process. Further, thepresence of the dead blood in the tissues furnishesa fertile soil for the growth of pathogenic bacteriaand the d
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 . m), but in the lighting up and exten-sion of the tuberculous process. Even smalloozings and the consequent contamination of ad-jacent lung tissue by the infected blood may andoften do lead to the extension of the disease down-ward into previous healthy lung tissue, or thelighting up of a chronic process. Further, thepresence of the dead blood in the tissues furnishesa fertile soil for the growth of pathogenic bacteriaand the development of a septic pneumonia. Theretained clots act as a favorable culture media forthe growth of the pneumococci, streptococci andstaphylococci, and the more dead blood and themore pathogenic bacteria locked up together in thelung tissue, the worse it is for the patient. Thisin itself is a strong argument against the use ofmorphine, or drugs similar in action, which, asidefrom the depressing general effect, lock up deadblood and secretions in the lung, and by so doingdirectly increase the danger of extension of thetuberculous process, or the development of a. SYMPTOMS 155 septic pneumonia. It follows that the coughingup of redundant blood clots is a favorable featurefollowing hemorrhage, as in this way the dangerof infection and extension is materially reduced. When a patient begins to bleed in tuberculosis,be it much or little, he should be put to bed. Thisis not understood to apply to blood-streaked spu-tum,—in this circumstance it may be sufficient toconfine him to a reclining chair, provided his tem-perature warrants it. The patient should be putat absolute rest on the flat of his back, with hishead supported by one or two pillows as he pre-fers. Talking must be forbidden. No warmdrinks, alcoholic or otherwise, and no solid foodsare permitted. Cracked ice in small amounts,may be given to suck. An ice-bag should be putover the pericardium and another over the sourceof
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