File:Buffalo medical journal (1913) (14741086476).jpg

Identifier: buffalomedicaljo6919unse (find matches)
Title: Buffalo medical journal
Year: 1914 (1910s)
Authors:
Subjects: Medicine
Publisher: Buffalo, N.Y. : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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It can be understood that tlie practical value of the test depends as much upon the care with which the blood is collect-ed and the interpretation placed upon results, as the actualprocedures in the laboratory. There are many features that the clinician must constantlykeep in mind prominent among them being the fact that it hasbeen unquestionably proven (18) that blood serum from un--doubted syphilitic patients that are not undergoing any treat-ment will vary in its powers to react by the complement fixa-tion test and this variance uiay range anywhere from a nega-tive reaction to a strongly double plus within a period of a fewdays. It must likewise be remembered that the blood of personsgiving a negative result may react strongly double plus afterreceiving a treatment with salvarsan providing the case is oneof syphilis. (7 page 28). The circular of directions accompanying each outfit readsas follows: 760 Bissell: The Wasserman Test DIRECTIONS FOR COLLECTING BLOOD FORTHE WASSERMAN TEST
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DEPARTMENT OF HEALTH Francis E. Fronczak, Health Commissioner Buffalo, N. Y. Bissell: The Wasserman Test 761 To secure satisfactor)^ results, it is of the utmost importancethat the blood furnished the laboratory be collected with thegreatest care, following absolutely the directions outlined inthis circular. The best location for the blood collection is from the lobeof the right ear, and the manner of holding the Wright tubeand the ear are shown in illustration A. The procedureis as follows: A. The lobe of the ear should be clean, carefully w^ashed with ether and allowed to dry. B. The ear is rubbed with a clean, dry towel until it is decidedly hyperemic. C. Puncture the rim of the lobe with a fair size triangular needle. D. The Wright tube is held nearly horizontally in the right liand, with the curved end toward the earand slightly lower than the punctured lobe. E. Three fingers of the left hand should be in front of the ear and opposite the thumb which is behindthe lobe. F. The ear

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