| 13
| | |
12 M. |Milk | 4 oz. | 78
|Cream | 2 oz. | 76
|Lactose |20 gm. | 80
| | |
3 A.M. |Milk or | 4 oz. | 78
|Malted milk | 1 tbs. | 58
|Cream | 2 oz. | 76
|Lactose |20 gm. | 80
| | | ____
| | Total calories 3145
=========+============================+=================+===========

~Advantages of Newer Treatment.~--A marked difference is noticed in
the patients treated by the old starvation diets and those given the
high calorie diet. Dr. Coleman states[102] that while the range of
temperature is apparently unaffected, the total duration of the
disease is shortened in some instances by months through the
shortening of convalescence. He further states that certain symptoms
which have hitherto been attributed to the specific action of the
typhoid bacillus have been discovered to be due to faulty methods of
treatment, particularly to an inadequate or improperly balanced diet.
The various investigators who have made the study and treatment of
this disease a lifework claim that the mortality from this disease has
been tremendously reduced by the use of the high calorie diets which
maintain the nutrition of the patient throughout the disease, thus
eliminating the horrors of the long, tedious convalescence which tried
the nerves and patience of the patient, the nurse, and the physician.
There is no doubt that so far as the administering of this diet is
concerned it requires more effort on the part of the nurse than the
old treatment of a glass of milk every two or three hours. It is
necessary for the nurse to be able to carry out the orders as
expressed in the diet lists, to be able to compute the proteins
(nitrogen), fats, and carbohydrates in a food or recipe. But this is
readily done by studying the tables given in the first section of this
text. She must likewise be able to recognize the symptoms as they
arise. In hospitals, the urinalysis is made as a routine procedure. In
private cases t