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March 1935
INTERNATIONAL PROJECTIONIST
29
on a chair, instead of reclining, as on a couch, he uses twenty percent more oxygen and must breathe twenty percent taster or deeper in order to supply it. II he walks across the room, it takes from six to eight times as much blood in the muscles for the exercise as it does for the muscles at rest. This means more rapid or deeper respiration, and greater activity in the lungs.
From this it readily can be understood to what extent activity is forced onto a lung by the ordinary exertions of life. That is why bed rest is so valuable in checking destruction and preventing the spread of tuberculosis.
A further reason for bed rest is found in instances where the tissues are softening and giving out toxins. Increased movement of the lungs and increased flow of blood through them increases the absorption of poisons. The poisons produce harmful effects upon the body, causing nerve instability, tiredness, loss of appetite and weight; decreasing endurance and strength; producing a rise in temperature, and causing anemia. Increased movement also increases cough and expectoration.
It can now be seen that rest alone will put the patient in a favorable condition for cure. Rest, however, is only one of many important aids in cure for the patient.
Complete Rest Necessary
Brehmer, in establishing the first sanatorium, utilized all of the important principles that we use today in the treatment of tuberculosis, with the exception of rest. By removing the patients from their homes where they were surrounded by domestic and business cares; by isolating them in a special institution where a helpful atmosphere was created by the medical staff; by placing them under hygienic conditions with much time spent in the open air; and by giving them an abundance of good food and keeping them under constant medical supervision and control, he produced the best results that had heretofore been attained.
Apparently he had no conception of the value of rest, which has now become
LOCAL 380 ANNIVERSARY
The 20th anniversary of Local 380 of Oklahoma City, Okla., was observed on Feb. 15 with a banquet which was attended by representatives of the following local unions : 227, Ponca City ; 246, Muskogee, 513 and 354, Tulsa; 387, Lawton; 399, Bartlesville; 471, Okmulgee; 517, Sapulpa; and 112, Okla. City.
From out of the state were members from 414, Wichita; 641, Arkansas City; 455, Fort Smith and 673, Lubbock. At, tendance was 115. An expansive spread preceded a fine program of entertainment and dancing.
The newly formed Oklahoma State Assoc, of I. A. units is progressing very nicely, according to word from I. A. repFelix A. Snow, who is attending each session. A 100% representation throughout the State is anticipated shortly.
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the cardinal principle of modern treatment. It required fifty years of treating tuberculosis to elevate rest to the first place in therapeutic measures.
Recently we have learned that we can successfully treat many cases which formerly baffled our skill by applying local rest to the lung. This is done by keeping shot bags on the lung. Pneumothorax, phrenic operations and thoracoplasty, all these have become important parts of the modern treatment of pulmonary tuberculosis.
The application of the principles of rest, isolation and control of the patient, hygienic living, good food and intelligent medical care, fortified when necessary by the principle of local rest to the lung, should crown the early diagnosis and early treatment campaign with its fullest accomplishment. Furthermore, early diagnosis and immediate adequate treatment will bring about cure in a minimum of time, with a minimum of expense and restore the patient to society with a minimum loss of efficiency. At the same time it will serve the purpose of preventing the spread of the disease by reducing to a minimum the time and severity of exposure.
In other words, we must have early diagnosis and immediate adequate treatment to get the best of tuberculosis.
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