Clinical Manifestations

When milk sickness occurs in animals, chiefly cattle, it is called trembles. The animals suffer from anorexia, weakness, falling, stiffness, and trembling.

In humans the symptoms of milk sickness include anorexia, listlessness, severe constipation, and -

most important of all, and underlying most of the symptoms - profound acidosis; the latter, if untreated, leads to coma and death. Because of the acidosis, the breath smells of acetone, described in the past as an overpowering "fetor." The weakness is thought to be due chiefly to hypoglycemia, and death, to ketoacidosis and marked fatty degeneration of the liver, kidney, and muscles. The disease can be chronic or latent, and is likely to recur if the patient is subjected to fatigue, starvation, intercurrent infection, or vigorous exercise.

The lethargy that characterizes the patient who has not completely recovered from an attack of milk sickness helped give it the name of slows (or sloes). Abraham Lincoln knew it by that name, and, annoyed by the desultory progress of the Army of the Potomac in the early months of the Civil War, he once tartly remarked that General McClellan "seemed to have the slows."

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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