Identifier: treatmentofsyph00bake (find matches)
Title: The treatment of syphilis
Year: 1920 (1920s)
Authors: Baketel, Harrie Sheridan, 1872-
Subjects: Syphilis
Publisher: New York The Macmillan Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ot ensue. One swallow does not make a summer, but the experience hasnot been repeated lest some of the reactions we read about mightfall to our lot. In the use of neosalvarsan we formerly used the gravitymethod, giving every decigram of neosalvarsan in 20 c. c. or180 c. c. for a full dose. Added experience caused the amount tobe lessened from time to time. When the use of a dilute solutionof neosalvarsan is believed to be preferable, from 100 to 130 c. c.is deemed the proper amount. If it is felt the patient can orshould have a smaller amount of water, a concentration rangingfrom 20 to 50 c. c. is given. Full blooded persons are generallypicked for the greater concentration. As a rule, all things beingequal, 25 c. c. is the average amount of fluid utilized. Danger of too Concentrated a Solution At the instigation of a colleague, who enthusiastically relatedmarvelous serological results following 0.9 gram neosalvarsan in10 c. c. of water, this method was employed for several injections
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TECHNIC OF NEOARSPHENAMINE ADMINISTRATION 73 on four patients, all men in good general condition. After theinjections each man complained that the medicine is awfullystrong, or that shot had too much kick or otherwise expressedhis disapprobation of the method, not knowing of the undueconcentration. They experienced dizziness and in some instancesnausea, and one man felt an unpleasant tingling of the fingers.As these men had received three or more injections in concen-trations of 25 c. c. or greater, it was deemed advisable to abandonthe use of the more concentrated solutions. It is worthy of notethat the subsequent use of the usual concentration elicited nocomplaint from these patients, nor did they exhibit furtherdizziness, nausea, or other symptoms, during the remainder oftheir course of treatment. It is hardly necessary to give an abundance of evidence as tothe value of the concentrated method, on account of its wideusage. It may not be amiss, however, to quote the experience ofFav

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