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December 20, 1913


Author Affiliations

First Assistant Physician, State Sanatorium NORTH READING, MASS.

JAMA. 1913;61(25):2207-2210. doi:10.1001/jama.1913.04350260005003

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Hemoptysis of known pulmonary origin in tuberculosis is now treated at North Reading in a rather original manner. The plan in use was selected for its superiority after three years of gradual elimination of various forms of treatment.

Many methods commonly employed to cope with pulmonary hemorrhage were discarded after a fair trial on account of inefficiency and harmful sequelae. For instance, morphin, generally advocated and no doubt extensively used in the treatment of this complication, has fallen decidedly out of favor with us. The text-books offer it for use by reason of the indication for the depression of respiratory activity, the allaying of excitement, and the suppression of cough. The idea is that all efforts should cooperate toward quieting the patient, but this seems to be without due regard for the alleviation of the trouble which causes the disturbance. Let one who prescribes morphin in such instances remain at the patient's bedside to observe the

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