Comments on Hegel

451

UN DIAG NOSED TUBER CULOSIS IN A GENERAL HOSPITAL is dea lillg w ith. Had iol o gi s ts n 'port ill g Oil c-lu-st x[il uol ic a p ica l sc ar fr ('qu c lltl y

ra~ put ur. -s xliuwi n t; a

ad d a ,'('assll r illg sl at ('IIH'lil t h ;l t it is "clu« to a ll o ld tul u-rc u luu x p ro C('SS w ith 110 (·, 'id( 'II('(' o f uct ivc d isl·as (·... S ut' h olcl in. u -tivt- Ic s io lls ('a ll Il.uc- lip int o a

w ith in two to 1'0111' wi -c-ks af t('r tl u-ra p v is cou sid i-re-d a u seful di a gn o sti c te-st.

tulx-rcu lou» hruu c-hopu r-uruoui u clu rim; c Ollditio lls

ACJ..::'\ O \ \"LED(; \ IE :'\T : \\ ',. a n ' ind, ·I>I<'d til D r. \ Iiltllll xv. II allll,l, ky fill' h i-, n ili"a l re-vi e-w III' till' """II'nipl. III Dr. T llllilla, Fllrsylll,· fill' all,)\,'illg " , ti"" J'('prlldlldillll III' till' \-ra y filill'.

of diminis he-d ]'('s is la IlCl' o r clu rim; ud m inis trut ion of t'or t it'os tl' ro id s. I I' :\ FB a n- 1I 0 t Iou n d on routin e

H E FEII I,::-;( :ES

sputum r-x. uni uu l io i », .u «] xonu- ot he-r pa th ogen s a rc 1'( ·('o\'( ·I'(·(\. tulx -rc-ulosis is (' ITO II I ' o us l ~ ' rul e-d o u t. Th e xituution wh e-re- a ll iucliv idu ul shows a " fib ro us scar" Oil a c h l's l\ - r a ~ ' film wit} : e-ithe-r a poxitivc- o r und c-tc -rmiur-d tulu -rc -ul in n -uv t io u I'('prc scnts a c o m 111011 p att ern of tuln -roulosi » t hat is too oft e-n so d l'ull lllstr a led on ly in rc-lroxp c ct .!" T h e cou tc- n tion is tha t lh t' m in im al in. u-tivc- le s io n is often (' ith l' r ad i\'(' now o r wi l l l x- uct iv c: soo n . \\ '!H '1l a ll a tte m p ts a t lub o rn to ry d ia gn osi s a re IlIm',, 'an lin g a n d the-re- is r(' a SOII to SUSp l'C t di ssl'lll illa tl' d tu ln -rcul o si x c u lt u re o f a n l' l'dl c h iopsv sper-inu -n [rom th e xp k -c -n. live-r or h OIl(, mnrr ow

lIla y h e d ia gn o s ti c . In t h e p re se n t se ries . ,H!/co!}(Jctcrium t ubcrcu lusis wn s iso lu tr-d fro m t h e live-r in tlm 'e caS(·S, from t h e xp lec-u in two ot h e r caSt'S an d [rom th e h on e ma rr ow in OJ H'. In I en cases of miliurv tu ln-rr-ul osi » fro m t h e lite ra ture . tlu- live r h iopsy wu s a vulu ub l« d ia gll o s ti c proce-dure ill 75 p(' r('I'llt o f t h e l'as('s .11 Fi ll all~ · .

i ll

p.u k-nts with

prol on g ed

o h sc m e

ft.\'( 'rs. one is jus t ifie d to in stitute tr ia l the rap y \\'ilh iso ni a z id. a lo lle o r c o m h ined- \\' ith P .\ S o r l'l ha m h u to l.l. li,!1 Thl'Sl' a ge n ts a d prl'sum ah ly 0 11

"Iyl' o h a l'le r ia

1'1 ' \( '1'

o n l ~ ' an d t h l'rl'fo]'( ' a r em issioll o f th e a n d impro\'( 'nH'llt in t h e p a ti l' lIt'S c Oll d it io n

Au u-ru-uu T lumu-ic- S ll"id ~ ': ( :lIid" IiIll" fill' till' g" II"ra l

I> II, pital ill lilt, adlllissi llll alld t'a n ' II! 11I1 ll'rt'IIII1I1 ' p ut ir-nt». :\ II It'r H,'" Ik , p Di, ~ )\ J : I;:; I. IDWJ .J Tu c-k .I, Tvh -r .I \! : T ilt· pn ''' 'lIt , tatlls II! till' adlll i" illll III p.u ir-u t-, wi t l: 11I1 ll'n 'lIl", i, til g" 'll'r al 1'II, pital, . Auu -r H,', H"sp Di' 101 : IOii . I!J,I I :, P" lt'r ,dlll'f Il<:. 11""' " 11 I'I \; 1:," "'1' III' 1II It'\ plai' H'd IIrig ;' t: H,'p,"t 1111 IIHI t'a" ·s. \ !"di"ill " ,Ill : I . 1 ~ J(i l ,I Trc -ip C. \ ! ~ , ' r, I) : 1: 01 101 1 t nl u-rc-u lo-,i-, ill a g" IIt'ra l 1.11' p i tu l . :\ d iagllllst i" pru h lc-ru . 1.:lIlt'd I : IIi I. l ~ r) ~ J .') BIIllig" r I. E, :'\lII'd" II, talll 111 1. \\ '" , 1< '1' ro : D i' '' 'llIillat" d tul n-n -u lo.. . is as a

(';l IlSt '

o f fl " ·l 'r o f oh"clln ' or ig- in . l .alll 't't

1:I D, IWi:2 (; Pr oud loot :\ '1', Akh tur :\.1. D"" gla' .-\ C. c-t al : \ I i l i a r~ IlIh" n 'lIl" si, ill ad lllls, Brit \ 1('d .l :2 ::2, :" ID(m 7 \l asl'1 ll' r \ \": Tu lx -rc-uloci«. :\ 11 11 H,·,' Ik sll D i' (;:):;')ll 1. ID,') I H .1 ,,11 " , 1" " H:'\, Hitc-hir- HT , \l lI r ra ~ ' II I(.': Dcx-lin im; tu lx-rc-ul in " 'II,ili,'ity wi th .u lv. u ui ui; ag(·. Brit \"'d .I :2 :7:2ll, I D(i:) D Bi,·ld .I I' : \I ilia ry IlIh('r('III" , i, . :\ 11 11'1' H,'" T u ln-rc- 7, :(lll;,), I!J,')S Ill S" 'ad \ \ .\ \ ' : Tl u- 11"\\' fa('(' III' 1111"' 1'('111" , is. I Im p I'ml'l i(',· .J: (;;2, I!J(;D II Bru m u -r J..: , lI a('II11 IH'r1 i l. 1': :'\(·" d l,· hi " p,~ , ,,! IIII' li ve-r ill tlu - " a rly d iagll" sis " I' r ll i lia r~ ' 11I!" 'r('lIl,,sis. (;" 1'11"111 \ I" d \ 1 ,,"l ld~' D::), :2, IDli,1 1:2 (; "" "11 H,\ : Cli lli"al pall, 'l'II' ,,! p ,, 11I 1l1l1 ar ~ ' trd11'1'''" I"sis, III .I " IIII' '' I1.1 E ( " d) : I{ a li,," al T llI'rap y a lld C" ntr" I ,,! '1'11 lll'r(,I1I" , i" ,( :a ;' '' ', ,'ill,'. lJn i ,, ' r, i t~ ' " I' FI" rida I'n '\\ . I ~ ) ' ll. Pll ,')11-(;:2

Comments on Hegel I Il'gl'1 ( 177()- I H:1 1) ",as a Pla to n ist ( o r ra th er a :" eoPla tollist ) of sor ts and, like Pla to , a I ll' ra d d ia n of sor ls. II I' \\'as a Plat o nist ' '''HlS(' \\'orld o f " 1<1('as " \\ 'a s l'h a llg illg, ('\ oh'illg . Pla to's .. Form s" o r " I
CHEST, VOL. 6 1, NO.5, MAY 1972

illg a lld e , 'o h' illg . Al'l'o n Jilig to I I ('gl' l. th o llg h lh e " O hjl'd i\'(' S pi rit" ( ('o m p risillg art istil' ("'I'a tioll ) a lld " Ah so lll tl' S p iri t" It-o m p r isillg phi l o s op h~ ' ) h oth ('ollsis t or l11lm a ll p rodll dio lls, m a ll is 11 01 n (·a li ",'. It is lh e h ~ 'Po st ali /( 'd " Ohjl'din' Spirit " , it is th l' di"il H' w lfl'llIIS l'illl IS II!'SS o f th l' l 'II i, '(' rs(', tha t lll""('S m all : "i ndi , 'id lIa ls a re ills ln lllH'IIts" , illSlnlllH'IIts of til!' Sp iril of Epo('h , a lld tl l!'ir \\ Ork. IIH'ir "s lIhs ta ril ia l 11lISi,ll'.ss" , is " p n ' p a rl'd a III I a p poill t('d i lldl'\ 1l' IIdl 'lil l~ ' of tlH'm " . Po p pl' r, I\:H ill (; ill. .III ( Ed) : I'lliloso p h \' To d a ~ ' :'\ 0. :2. LOlld o ll, .\ Ial'm illa n . I!Jm J