This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1905 edition. Excerpt: ...Gout, Garrod, 1876, p. 540. 2 Rheumatoid Arthritis, Bannatyne, 1898, p. 132. never possible without the full and hearty--I had almost said, enthusiastic---co-operation of the patient. More, I think, than on anything else, the prognosis depends upon the intelligence and determination of the patient. Neither quality is universal. The former, at least, is more likely to be met with in private, than in hospital, practice; and treatment in most hospital patients is apt to be discouraging. The latter quality, I find, deteriorates very rapidly under the influence of morphia. Hence, if for this reason alone, it is almost fatal to success to glide into the practice of giving hypodermic injections for the relief of pain. But I am inclined to think that opiates of any kind exercise a directly injurious influence through retarding combustion. (Compare 393.) SOME ATYPICAL JOINT CASES 857. In speaking of rheumatoid arthritis, I have had chiefly in mind cases which begin insidiously without apparent proximate cause, affect a large number of joints in succession, and tend to be chronic and progressive in their course. Such cases seem easily differentiable from gout, on the one hand, and from acute rheumatism, on the other. But there is a large residuum of cases which are atypical. Some of these are monarticular: some commence acutely or subacutely: some remain as a legacy from typical acute rheumatism; and some are found in cases which have suffered from true gout in other articulations. Here I am only referring to these indefinite cases to gain an opportunity to state that, in some, hyperpyraemic conditions, or the causes or results of these conditions, seem to enter largely into causation. For now and then--and this with increasing...