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Show Dy DUrsOI'JIIA BRUX SON depths, complaining of air sorts of aches and pains. It is no wonder if some of them become neurasthenics. They get discouraged dis-couraged from their long search for health without finding it. Some of these poor sufferers have been sent to psychiatrists, when they really needed a correct cor-rect diagnosis of their trouble. It is hard for them to describe their symptoms accurately for they are so variable. The patients pa-tients are up one day, maybe feeling fairly well, and the next I are in the slough of despond. Undulant Fever No. 1 Comparatively speaking, a few i years ago undulant fever was considered a very rare disease in the United States. Osier was an authority on medicine. He said that "the greater part of our knowledged of this remarkable remark-able disease we owe to the work of British army surgeons stationed sta-tioned at Gibraltar and Malta It prevailed extensively in Mediterranean Med-iterranean regions, hence was known as Malta or Mediterranean Mediterran-ean fever. In 1906 Osier wrote, "Only imported cases have been recognized in the United States " Among the physicians who did extensive work on undulant fever was a Dr. Bruce. Hi found the germ that caused the disease, hence it is known as Brucellosis. From being almost unknown in this country in 1906, it has become be-come one of our own most common com-mon and crippling maladies. It is now known as our fourth most important disease. Only about 4000 cases are reported re-ported annually in the United States. This country is full of ' chronic cases. It is estimated I that the annual rate of infection , may run as high as 40,000. I In general practice the patients pa-tients are not often seen until the disease has become chronic. Most of these cases present similar sim-ilar characteristics, all of which vary from time to time. As a rule, . the patients suffer from extreme fatigue and exhaustion. They feel worse in warm weather weath-er than in cold. They suffer greatly from nervousiness and depression. They get very hot at times. The palms of their hands burn and feel very hot, even to people. This sometimes occurs when their temperature is below normal. There is a curious likeness between the symptoms of tuberculosis tuber-culosis and those of undulant fever. In both diseases there is fever, sweating, and general lassitude. las-situde. There is profound exhaustion ex-haustion and fatigue. Most patients suffer from rheumatism and arthritis, loss of weight, loss of appetite, and indigestion. As a rule these patients pa-tients are considered neurotic. They seem quite well one day and the next may be down in the |