must be made with great care
in order to prevent a relapse. Following the high calorie diet the
increase is simple. The patient passes from the prescribed foods to
meat with apparently no effort. The increase should not be made,
however, until convalescence is firmly established.

~Reenforcing the Diet.~--On account of the great increase in the rate
of metabolism and because of the difficulty of furnishing the
requisite number of calories in the diet, reenforcing agents such as
lactose, eggs, some forms of casein, or beef preparations are used.

~Idiosyncrasies~ against certain foods are, at times, manifested by
patients. Efforts must be made to determine whether they are real or
imaginary before eliminating any food which may be of importance to
their future welfare.

PROBLEMS

(a) Give a sample diet order, using liquids only. Raise the fuel value
of the diet from 2000 to 3000 calories.

(b) Formulate a diet order, using the high calorie diet, fuel value
3500 calories.

FOOTNOTES:

[96] Warren Coleman, University and Bellevue Hospital Medical College,
Visiting Physician, Bellevue Hospital, New York City.

[97] "Diet in Typhoid Fever," by Warren Coleman, "Journal of American
Medical Association," Oct. 9, 1909, Vol. LIII.

[98] "Diet in Typhoid Fever," by Warren Coleman, reprint from "Journal
of American Medical Association," June 9, 1909.

[99] Determined by calorimeter observation from the Russell Sage
Institute of Pathology in affiliation with the Medical Division of
Bellevue Hospital, under Warren Coleman and Eugene DuBois.

[100] "American Journal of Medical Sciences," January, 1912, by Warren
Coleman.

[101] F. P. Kinnicut, "Diets Used in the Presbyterian Hospital," New
York City.

[102] "Journal of American Medical Association," Aug. 4, 1917.

[103] See urinalysis, p. 323.

CHAPTER XV

DISEASES OF THE RESPIRATORY TRACT

TUBERCULOSIS, PNEUMONIA, AND TONSILLITIS

TUBERCULOSIS

The dietetic treatment for tuberculosis must, as in any other
pathological condition, depend largely upon the general condition of
the patient, and the symptoms manifested at the time.

~Character of Disease.~--The disease may have reached an acute stage
in which the rise of temperature is marked and the progress of the
tuberculous symptoms rapid, or it may be found to be an old chronic
condition in which the progress is slow.

Again, the patient may be found to be suffering from a tuberculosis
which