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The Treatment of Diseases of Old Age
At a recent meeting of the Vienna Medical Society, Prof. D. Schlesinger discussed the treatment of diseases associated with senility. In senility anatomic changes cause alteration of function. The courses of disease vary from those in younger persons and the therapeutics must also be different. In old people, pneumonia or other acute infectious diseases often begin with collapse, a manifestation of the diminution of tonus of the vasomotor center. Hence it is necessary in pneumonia in old persons to support the heart immediately. There are, in addition, changes in the heart, lungs and vessels. Sufficient ventilation is no longer possible to the lungs and there is a tendency to catarrhal conditions of the respiratory tract. The sclerotic vessels are not able to adapt themselves to the changing requirements; the peripheral vasomotor reflexes function imperfectly and the reactions are often inverse. Medicines should be
VIENNA. JAMA. 1927;89(8):634-635. doi:10.1001/jama.1927.02690080066026