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Indiana L'nh'crsity studies 



heart was found to be in a good state of compensation. Her life 

 can be practically that of a normal child so long as no new trouble 

 arises. 



CASE E.B. This winter a man was brought to the dispen- 

 sary by the Charity Organization Society. He could not work 

 on account of his heart condition and the family was dependent 

 on charity for support. The man was given a thoro physical 

 examination, advised to have his teeth all pulled, and then return 

 to work. At first this looked rather far-fetched, but when it was 

 learned that pyorrhea was the infection probably causing the 

 heart trouble, it could be seen that to stop the source of infection 

 would help. Family conditions were such that he could not have 

 the teeth removed at once, but in the course of time this was 

 done. He has been at work now for several weeks and is making 

 enough to support his family. He is not able to do as much as 

 he once could, for the heart has received a permanent injury 

 that must always be considered. The chances are that if no 

 new infection starts, he can care for his family in the future by 

 being careful. Had the cause of this trouble not been stopped, 

 several of the family might have suifered the same. As it is. 

 one of the children is very frail, but his trouble has not been 

 diagnosed. 



CASE MRS. D. A simih\r L-ase was that of an old woman, 

 who found Jier way to the hospital last winter. She had a a bad 

 heart condition. Her teeth had been removed a few weeks before. 

 She was also suffering from stomach trouble. She was treated 

 for some time and then returned home with careful directinns 

 as to diet. She followed these and was soon able to assist witli 

 the housework. A set of false teeth has been given her. and 

 unless some new troul)le st;irTs. lier old age may l)e very comfort- 

 able. She has very little income, but does not worry about it. 

 Her disease probably was the result of long-standing infection, 

 but her natural resistance had saved her u]) to that time. 



The luetic heart, or that condition caused by venereal disease, 

 is of course a certain kind of infection, but is discussed sepa- 

 rately because it is almost a certain outcome of this disease if 

 it remains unchecked. Wien it is found that a })atient has syph- 

 ilis, heart trouble is looked for. It is not always present at first, 

 but may appear later. One great calamity following this dis- 

 ease is the malformation of the heart often found in children 

 of such parents. 



