The Bradshaw lecture on prognosis in relation to treatment of tuberculosis of the genito-urinary organs : Delivered before the Royal College of Surgeons of England, December 1907.

  • Godlee, Rickman John, Sir, 1849-1925.
Date:
1908
Catalogue details

Licence: In copyright

Credit: The Bradshaw lecture on prognosis in relation to treatment of tuberculosis of the genito-urinary organs : Delivered before the Royal College of Surgeons of England, December 1907. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    influenza in March, 1905, and died unex- pectedly of heart failure in June of that year —that is, nine years after he first consulted a doctor. But as a contrast take this, the last case I will inflict upon you—of a doctor, now aged 45, who is known to have had tubercle of the prostate and vesiculse seminales in 1896, and on this account was sent to South Africa. His troubles had begun four years previously, so that he probably had a tuberculous bladder fifteen years ago. I must not enter into the details of his case, his two residences in South Africa, his attacks of pyelitis, and his final setdement in 1899 (at which time tubercle bacilli were still to be obtained from the urine) in the South of England, where he is still carrying on a busy practice. Not that he is robust; but he has lost almost all his bladder symptoms, and there is no longer pus or blood in the urine. The urine, however, occasionally has an offensive smell which he subdues with urotropine. Its specific gravity is 1026. The only actual symptom is a dull ache in the right loin which does not prevent him from doing his work, and he keeps in fair general health and nutrition. I saw him on November 21 of this year, and found him well nourished