Berks County Medical Society Medical Record Winter 2019 - 11

of the tonsils, the warmth and moisture of the parts favoring their
further development and progress. A dense fungoid growth is the
result, at first of limited extent but gradually encroaching upon the
surrounding healthy mucous membrane.

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Moreover, if the patient be strong and robust, some time will
elapse before constitutional symptoms will manifest themselves.
On the other hand, if the victim be weakly and in feeble health, or
if his vital energies have been laid low by breathing foul gases, the
disease will run a rapid and, in general, a fatal course. From what has
been said, it will be perceived that I conclude diphtheria to be, in its
first stage, purely a local disease. It is, therefore, in this stage of the
disease that an effectual and speedy cure can be guaranteed.
It has been my lot to treat a large number of patients suffering
from this disease, and my first consideration is to view the disease
as one entailing rapid and severe prostration. This thought impels
me to insist on plenty of nourishment in the shape of soups, jellies,
and milk, and this from the very onset of the disease. In all cases,
ice was applied night and day to the outside of the neck opposite
the inflamed glands. This will at once relieve the parts of the great
heat of the inflamed fauces and prevent the further formation of
false membrane. It is very grateful to the patient when properly
applied, and at the same time very effectual. Nor is the benefit of it
confined to the patient alone, but it extends to those around him
by preventing the generation of contagiousness. If the ice is timely

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Berks County Medical Society Medical Record Winter 2019

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