Care in Bright's Disease.

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I neglect no opportunity to present suggestions in the treatment of diabetes and Bright's disease. A writer in the Medical Times says that as a rule in Bright's disease dark meats and meat extracts should be avoided, as they are apt to contain toxic ptomaines. White meats and shell fish can be used in moderation in all simple cases, some can take milk while others cannot. When the digestive tract is in good condition eggs are well borne.

Milk will increase the urea, diminish the quantity of albumin, and will act as a diuretic. From three to four quarts should be used each day. Those who cannot take milk exclusively may take koumiss or buttermilk or skimmed milk. When the condition is acute or when there are acute exacerbations of the chronic condition the patient should be kept in bed except when there is polyuria or cardiac hypertrophy.

The physician should be very particular to impress upon these patients the positive fact that they must not become chilled, that they should reside at a temperature that must not run below sixty degrees, An average of seventy-five is the best. Warmth and a free action of the skin must be maintained.

Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.