Fat and Blood by S. Weir Mitchell


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Page 39

At 8 A.M., half a tumbler of iron-water, and breakfast, consisting of
fruit, steak, potatoes, coffee, and a goblet of milk. At 8.30 A.M., a
goblet of milk mixed with a dessertspoonful of Loefland's extract of
malt, with six grains of citrate of iron and quinine.

At 10 o'clock Dr. Keating administered the electricity.

At 12 o'clock Mr. P.D. might be dressed, making as little personal
effort as possible. The second goblet of milk and malt was administered,
and a carriage took him to his office, where he might remain till two
o'clock, when the carriage brought him for dinner, preceded by half a
tumbler of iron-water. All walking was forbidden.

After dinner (which included a goblet of milk) the third goblet of milk
and malt was swallowed; then a short drive might be taken, but by four
o'clock the patient must be undressed and in bed.

At 6 P.M. the third dose of iron-water presented itself, and a light
supper of fruit, bread-and-butter, and cream, followed by the fourth
goblet of milk and malt. Two quarts of milk were thus swallowed every
day in addition to all other food.

At 9 P.M., massage one hour, with cocoa-oil, followed by beef-soup, four
ounces.

At the fourth week the soup was given up; dialyzed iron was substituted
for all other forms. June 4, electricity was given up. The malt was
continued until June 20.

May 6, Mr. D. weighed in heavy winter dress one hundred and twenty-five
pounds; June 20, in the lightest summer garb, he weighed one hundred and
thirty-three pounds; in August his weight rose to one hundred and forty
pounds, and he has continued to gain. When last I saw him, a year later,
he was strong and well, had no cough, and had ceased to be what he had
been for years--a delicate man.

I am indebted to the late Professor Goodell for the following case,
which I never saw, but which was carried on with every detail of my
treatment. As the testimony of an admirable observer, it is valuable
evidence. Professor Goodell writes as follows:

"Some four years ago, Mrs. Y., a very highly intelligent lady, from a
neighboring city, came to consult me. She suffered dreadfully at each
monthly period, and had constant ovarian pains and a wearying backache,
which kept her on a lounge most of the day. She was also barren, and
altogether in a pitiable condition. After a two months' treatment she
returned home very much better, and soon after conceived. As pregnancy
advanced, many of her old symptoms came back, but it was hoped that
maternity would rid her of them. The shock of the labor, however, proved
too great for her already shattered nervous system. She became far more
wretched than before, and again sought my advice.

"At this time I found all her old pains and aches running riot. She got
no relief from them night or day without large doses of chloral. The
slightest exertion, such as sewing, writing, and reading for a few
minutes, greatly wearied her. Even the simple mental effort of casting
up the weekly housekeeping expenses of a very small household upset her,
and she had to give it up. The act of walking one of our blocks, or of
going down a short flight of stairs, or of riding for an hour in a
well-padded carriage, gave her such 'unspeakable agony'--to use her own
words--that she would have an hysterical attack of screams and tears. So
emotional had this constant nerve-strain made her that she could not
sustain an ordinary conversation without giving way to tears. Much of
her time was spent in bed; in fact, she was practically bedridden.

"I tried in vain to wean her from her anodynes, and failed altogether in
doing her any good, although many remedies were resorted to, and various
modes of treatment adopted. Finally, in sheer despair, I put her to bed,
and began your treatment of rest, with electricity, massage, and
frequent feeding. The first trace of improvement showed itself in a
greater self-control, and in a lessening of her aches and pains. Next,
smaller doses of the anodyne were needed, until it was wholly withheld.
Then she began to pick up an appetite, which, towards the close of the
treatment, became so keen that, between three good meals every day, she
drank several goblets of milk and of beef-tea. At the outset I had
stipulated for six weeks of this treatment, and it was with reluctance
that my patient yielded to my wish. But when the time was up she had
become so impressed with the wonderful benefits she had received and was
receiving, that she begged to have the treatment continued for two weeks
more. At the end of that time she had gained at least thirty pounds in
weight, and had lost every pain and ache. Her night-terrors, which I
forgot to mention as one of her distressing symptoms, had wholly
disappeared, and she could sleep from nine to ten hours at a stretch. I
now sent her into the country, where she is continuing to mend, and is
astonishing her friends by her scrambles up and down the steep hills.

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Books | Photos | Paul Mutton | Mon 16th Feb 2026, 17:05