. Geriatrics; the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . After the comatose stage has passed and thepatient is able to swallow the further treatment is sympto-matic. The one main precaution is the avoidance of anythingthat might produce cerebral hyperemia or increased blood pres-sure. After the comatose stage the patient should be occasion-ally moved to prevent hypostatic congestion and an air or watercushion should be provided to prevent bed-sores. If there isjnuch restlessness morphine and bromides a
. Geriatrics; the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . After the comatose stage has passed and thepatient is able to swallow the further treatment is sympto-matic. The one main precaution is the avoidance of anythingthat might produce cerebral hyperemia or increased blood pres-sure. After the comatose stage the patient should be occasion-ally moved to prevent hypostatic congestion and an air or watercushion should be provided to prevent bed-sores. If there isjnuch restlessness morphine and bromides are indicated. Forinsomnia, veronal is best. Phosphorus is of service if there isdementia. For headache, frequently a distressing after-effect,cold applications to the head can be tried. If the facial paralysis subsides within a week we can expecta subsidence of the hemiplegia. If it persists we have a difficultproblem to deal with. Under no circumstances should anyattempt be made to massage or institute other treatment of theaffected limbs within a week after the attack, and even thenonly the mildest passive motion should be attempted. There. Chronic Interstitial Neuritis, Showing Degeneration in Someof the Nerve-fibers. (From Gordons Nervous Diseases.) Theinterstitial tissue is everywhere increased and the perineurium thick-ened. The patient had arteriosclerosis. Tremorgraph—Post-hemiplegic tremor. (Neustaedter, Med. Record, July 17, 1909.) SENILE NEURITIS 203 is always the danger that rigidity and contracture of muscleswill develop if the paralysis persists, and we are sorely temptedto prevent this by motion, massage, electricity or other means,but if attempted too early there is the greater danger of a secondattack. After the second or third w^eek we can begin with moreactive treatment, using vibrators, the faradic current and mas-sage but voluntary exercise should not be permitted for severalweeks, and the patient should be constantly cautioned against at-tempting to walk
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