G4 ii r.i i;< i i < >sis vs \ DISI \H < >i nil. M \- 



may at times be observed, tliis is by no means a rule. ( )ne 

 occasionally sees tuberculous patient- who a relatively 



good appearance during 11 1 -tage of the disease, I' 



ness of tin- skin, at times, with bright red cheek-, i-. however, a 

 rather common early BlglL A marked inclination to frequent 

 catarrh is often promt, and the character and disposition .f 

 the individual may change when the d an out- 



H a di>like to work, also to the pleasures and 

 cupations which the invalid formerly loved top He will 



probably also complain of getting tired easily. In the after- 

 noon hours he will have a light and a haeki; h in 

 the morning or evening. In the morning he may have a chill, 

 Bcxnetimes there are streaks of blood in the sputum, but neither 



tlie patient nor hi> friends should l>e alarmed at the sight of a 

 little blood in the expectoration. This is not nearly BO dan- 

 gerous a symptom as is usually supposed by the laity, and 

 a hemorrhage do< s not by any m* the chance 



recovery. Dyspepsia and loss of appetite, palpitation of the 

 = rt and pains in the chest, are also symptoms of importance. 

 Of course, some or BeveraJ of thesn signs and symptoms may 

 also be the indication of the approach of other diseases than 

 tuberculosis or the lungs. The presence of such symptoms 

 should, however, serve to all, whether predisposed to tuber- 

 culosis or not, as a warning to seek medical advi ally 

 persons who cough more or less continually should Mil 

 themselves to a thorough examination. Tin science of medi- 

 cine has made such progress that the recognition of a begin- 

 ning tulH-rculosis of the lungs no longer presents any difficulty; 

 therefore, whenever there is a suspicion of the bogi ni ling f con- 

 sumption, the calling in of a physician may assure cure and 

 restoration to health, and if no tuhercnloM- i- pre>mt the medi- 

 cal examination will <juiet unnecessary fears. 



The careful microsn ruination for the presence of tin- 



bacilli of tuberculosis in the spittle of a pei>oii su 

 having pulmonary tuberculosis is of the greatest value. Hut 

 it must be borne in mind that the patient may be afflicted with 

 this disease even though no germs are found in the > pit tie. 

 It is best and safest to observe all the precautionary m< 

 whether bacilli are found or not. 



