32 GLANDS IN HEALTH AND DISEASE 



(hence the name "exophthalmos," ) giving the sub- 

 ject a "startled" expression ; and this goes hand in 

 hand with his anxious, restless appearance. Very 

 often the patient suffers from profuse perspiration. 



The Komans were evidently not unfamiliar with 

 this disease, for it is stated that they refused to 

 buy a slave if he had an enlarged goiter, or if he 

 showed protruding eyeballs, on the very practical 

 grounds that he was not a fit subject for hard 

 work. 



One or more of the symptoms enumerated show 

 themselves in the individual suffering from exoph- 

 thalmic goiter; but one symptom that is always 

 present and that, so to speak, gives the clue to the 

 type of disease, is the excessive rapidity in the 

 action of the heart (tachycardia). 



Not distantly related to the physical condition 

 of the patient is his mental state. The relation of 

 the ductless glands to the general mental make-up 

 of the individual is of sufficient importance to war- 

 rant special treatment, and a chapter will be de- 

 voted to that subject later on. Here it may be 

 mentioned that the patient suffering from exoph- 

 thalmic goiter becomes, as Dr. Cobb puts it, an 

 ^intractable, selfishj__restless and inconsiderate 

 being. The medical attendant as a rule~receives 

 the full benefit of this, and can do little that is 

 right. He is either old-fashioned when he explains 

 that the reason for rest in bed, for example, is to 



