A Plea for the Myxœdematous

pci )C-suitl who has biacd t he l)lestisrc of tcichlillg students clillical med(liciicimutist ha(tve been StruLick bx tile dii1bCUltV thex expet jence in elicitilng a1 trLue illstorv alld al accurate aIccounlt of the patiictit s sxiliptonlis. It is obvious to tile teaciher thatt the ma1.lin easolt I0 foliis ittab'iitx to e'Xtlct in1tol-rmiattioln is thit they ar1_e to aI large ex;ten1ttinaxx\\ateba t hit ills i11-0matiottn cx sts. Long alter st udent days are over, one is apt to carrv soimie of thils earix Ifrtle of mind inito the coisultinig-i-ooimi. I hlli.s Iprobaibl\ imiore truL Vwith rc-ard(l to ceI-talin diseascs thia others. MxVN((detacm is oule ol tile I1))st typical examllples nlot me1crel-x the mild eCIses thlat llighlt pi ssil)Iv presett some ls,IbutN III (IN1-110SIS, bUt tIle actWal ful1V-tlefCdged exIIIm)le ol l th (1 Sea se. W tenlli ll\vX\ dlel.ttotis liatt i iIs ttlix c iII tilte ( sultiltt g-r1oom, thLex tae ot en surprisinglkx fex omplaintS. I hex (do no0t fCee Well, thexC 11have not 1m1LuC] clierrg-x-, thex cantil itxx wal kfa, tlhNe are ctaslix til-ted, tilix feel shorttof breatil, (i,',x\ etc. In otilrt xxot Is, tlleil Vag-tue COttIlpti;tlits mig-li,t be tilt compillints t 4 tllinost amvon0te xxmhotad l)ti l c.tdittg a Ibl lt lttoo stt 1nuLtiMIs lot theircaIabilitieC, lltvsical 01 mental Thex do Iiot tit-titio t hat titicsk iii hatsbl)cot dIr, tlielhatid(s coarse tlld(Iilet l; thex foret thIitt flticr hlair isl faIIii oLlt, atid t hat they rarelx feel wvarm. Il fact , thetarirclvxmtctit ion l att tOf tll(^ ttIss ial featUireS of Ihe listes. It is tr-uLC tilhtt lIe fc1CiCs of tlh ImlVX(U(ltiictouLs piNtitclt is mllost chiar-acteristic. If e et a discase x s x rit la-ge ttat all xxim h rillit,-l, t -cad, it is certaitilx tlti xot lenina. I lie ulifottiictte x ict ins, or, tUt(ifnote o te>oC;xtb(lkscriptiot, t Iese toadliike aitcatUre tirs of humanitV, limvtc tilcir sVillitOmrns stamiipcd on thiribroad, sxxolwcii IetLIi-es. the lx-x points t hat xxwotuldI tppl)eiar to be iluost cliai atel-istic ill StilIcl-eciS ft liil tlis distsIe rci the groxx litigxIii o-i atid tle( thiCk1 b,luisI Utld(elip. I hlis lip, is less hittic priitps ti1wan the lip) of sx ti( _e ali.tt(listSCIe, bUt atlXVt.xs thlicker. It is liot t le ittilc( of tIC le t pli tiC i (CtieS, Itbtt it (0(i1 1(10t b ( (i'tilfs(l xx itht t bluisli, patlil Iip ttf tlie sevete wttiumleias. lie xtiC is timmHisttkaitbc--it rctllIs Red Rliding II t( I's xx0f, aId CFrie.s (lold for Chlkk. ILVIItxitig tiotedl theset xxo points, if tte pat elt p)rtox-s Lo hlax itt aiddlitittt it sloxxwlx-becit lngIiertt, tlhl diagiltosis is cleat lxte ti(lk ( (jltsltloti, 'aiil the tlillniei caii tit c atylalx feel a tlit-ill 'tt th1e tliott hlt that tltis pxitlietia1xill, swxxtlletimI sstol ltiithl tlita xxxill, iti It \ci x fex xewcks, trip lig-ht l ilito tile (o01Sultinig-roomi. It is at rlotaible fart tlthtt tlec teats tiitn-c sit C x pressiotis tt grtittt(le ft-tmn these people tllati frotii tlmiost :ttv otwhit-r tv It( ol piitintlt. .\cttiolititt the llmre ttitellig-enit atlchidug it(ILx eIdttC-d iniIIortg s cs1t lll, it is iltiptssible 1forltvote xx wit h.as tiot beeCln sitilarlx affibi tedt(o itl)I) a(le tle Ifll ll il l tits of their coltlitiolt. A 'li itt v ilatllt'' is t r Ia 1' -tv dc c -s iio(tt. Sonic 1taxit(a to be1( ll thtttnit, cx en