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KIDNEY DISEASES: NEPHRITIS
From the point of view of medicine the urinary system is an all or none proposition. A healthy kidney can take care of itself better than any other organ in the body in the ordinary routine of life, always excepting the heart. Bones are forever being broken, joints dislocated, muscles and tendons torn; the digestive apparatus suffers greatly from abuse; the nervous system is sadly injured by tobacco, alcohol, and popular drugs. None of these things bothers the kidney, although the drinking fraternity used to assert solemnly that “gin is good for the kidneys” while whiskey isn’t. Of course swallowing a large amount of corrosive sublimate will ruin the kidneys, but that is as far removed from ordinary routine as possible.
Congenital defects of the kidney are not too uncommon. Tumors occur here at all ages. But when we speak of kidney disease, we usually mean nephritis. This was formerly more often spoken of as Bright’s disease as an Englishman named Bright wrote a classical description of it over a century ago. We do not know what causes it, and we have no cure for it, but it is fair to say that we can care for it better now than we used to.
Nephritis may be acute or chronic. People suffering from the former type are usually very sick but still the majority of cases get well. The chronic never recover, but with careful attention often live to a ripe old age. These may well have been in Dr. Holmes’ mind when he said that nothing was more conducive to longevity than a chronic disease. Chronic nephritis is frequently associated with heart disease – cardio-renal disease – and with hypertension, that is, high blood pressure. The kidney is a wonderful organ; especially in the way that it can survive disease.
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