Show i io HEALTH 8 o Injection of Harden Hardening Hardening Hardening ing substance OCO causes vari varicose coso cose veins to dry up I By y Dr lamas Jamo W W. Barton Darton IT IT WOULD be safe to say that nt at least two of every five adults have varicose veins to some decree thighs degree thighs legs ankles lower bowel hemorrhoids scrotum var and elsewhere For For- Fortunately Fortunately most cases require no treatment tr as s no symptoms are re present There are me n a great number of cases of varicose veins in the legs sometimes accompanied by varicose ulcers ul ulcers cers difficult to hen heal I. I Just what should or should not be done is often a problem to those these patients As a guide to pa pu patients hoots And physicians clans In the treat trat treatment ment meat of varicose veins Doctors How Howard ard rd It Mahorner Ahorner md and Alton I I New OrleAns olTer I II I j solve sone suggestions sll In tn Annuls Ja ff of of Surgery I They Ther recommend Dr lIal ton the II tse tf lit A n tight 1 baud band or lr r tourniquet across levels vf ut the Uie thigh thigh thigh- upper tipper third the th the lower loiter third When Then the Ule patient walks I with the tourniquet Applied the varl- varl I swollen swollen twisted parts of ot veins do veins do not stand out AS ns much as when standing still or walking with with- without out the tourniquet but In certain In Instances stances there are Arc different degrees of Improvement with the tourniquet at nt different levels IC Treatment Treatment Treatment-by by Injection or opera operation tion Is tion-is Is not recommended In ad nd advanced one age lowered vitality preg pregnancy pregnancy nancy tumors or Inflammation of veins phlebitis Substance Used The Active treatment consists of Injecting the Ule veins with a hard hardening hardening ening substance which causes them to dry up liP or removing portions of the veins by operation Cases chosen for the Injection method are arc 1 t. Early cases with small vari varl varicose cose veins cf ot the calf or lower leg Ig legIn legin In which the deep veins will return the to blood to the heart when the varicose veins are arc destroyed 2 2 Certain cases which refuse op op- opera era lion 3 3 Cases where patients dislike idea of operation but are willing to undergo In l c n nl at pr prep pre eat ent time The combined Injection and sur Bur surgical treatment is used In cases with moderate or severe where there are no conditions pres present ent enl which would prevent good and safe results Where the condition of the varicose varl vari cose veins is II not considered severe sever enough to require Injection or opera operation operation tion rest keeping legs up on chair or higher as much as Oft possible and the use of elastic stockings and bandages Is recommended Appendicitis Deaths De Can Be Decreased Decre sod When the death rate for appendicitis appendicitis in one large city Is about three times that of another large city there must be some reason other than the skill of the surgeons or the staff and equipment of the hospitals Dr Mont R. R Reid Cincinnati in Surgery states that the lapse of time between the onset of the symptoms symptoms toms and operating appears to be bethe bethe bethe the important factor in determining the death rate For example in Philadelphia where the length of time between the appearance of the first symptoms and operation is 49 hours the death rate Is 11 per whereas in Cincinnati where the death rate Is over 30 per Statistics Sta also show that the tak taking ing lag of definitely In Increases creases the death rate In communities where Intensive campaigns have been conducted to educate the public P tic IC with respect to dangers of deling deft deJ rig ing operation and taking B I the death rate has hae been greatly reduced and doc doe doctors tors Cara have been f cad ced by public sen sen- sentiment sentiment to adopt of advis advising ing trig immediate consultation with a surgeon in cases cases cf if acute lured appendicitis j Early Operations ha Necessary t Just as 81 a physician would not now refuse to use antitoxin for diphtheria ria pia so should the physician In the light of knowledge the th that tha t early op op- operation operation lowers the death rate in ap up- appendicitis not neglect to advise this early operation Dr Reid also states that in his experience when he is sure an acute red appendix Is la present he advises advisee immediate surgery I have long Jong since refused the responsibility ity of observing any case of acute appendicitis In my practice this must be borne by the patient or his family Another point is that while the typical or usual signs of appen appen- appendicitis pain pain that starts in region of stomach and then shifts down to lower right side of abdomen and stays tay there together with nausea and vomiting vomiting are are found In the ma majority majority of cases the appendix may maybe maybe maybe be situated at other than its regu regular regular lar position and so not give the usual symptoms Copyright ht Service |