Dostinex (Cabergoline)

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Dostinex (Cabergoline)
HEALTHY KIDNEYS: SALT AND SALT-FREE DIETS
If it were possible to list the more important ingredients in the body, certainly water would come first and probably salt second. Salt is so easy for us to get in this part of the world that we ignore it, but that is not so everywhere. I heard a young man tell of his experiences as an airplane observer in India, near the Himalayas. The local chieftain had no use for money, but the United States Air Force paid rent to him in salt. Some of the Roman legions took part of their pay in salt (sal, Latin for salt), that is why the white-collar worker is said to receive a salary.
The amount of salt that a normal healthy individual eats varies with his taste, and it seems perfectly safe to regulate it in this way when things are going along well. Dr. Oliver Wendell Holmes has been quoted, possibly apocryphally as wanting enough food on his salt to give it a flavor. In extremely hot weather or in places such as foundries it is advisable to take large amounts of salt to compensate for that lost in sweat. All the bodily excretions have much salt.
It has long been known that persons with dropsy, that is, swelling of the body with fluid, resulting from certain diseases of the kidneys or heart, cannot excrete enough sodium chloride. Therefore, salt-free diets have been used. One of the best known has been the rice diet. As this consists practically of rice, fruit, and sugar, it soon becomes monotonous to the point of disgust.
A friend told a story illustrating the difficulty of keeping a patient on a salt-free diet. At his place on Charlestown Pond he was visited one day by an elderly friend, accompanied by a trained nurse. After a bit the visitor prevailed on the nurse to let him gently paddle a skiff about in the shallow water. Soon the host noticed that the boat had drifted over to some rocks where the occupant seemed to find much of interest. There were oysters clinging here and there, and under the eyes of the unsuspecting nurse he was enjoying the most delicious salty snack that he had had in months.
In dropsy it is the sodium that is preventing the excretion of fluid. Of course the largest amount of sodium is in salt but many foods have some and other interesting parts of the ordinary diet are free of it. It also should be noted that potassium seems to favor the excretion of fluid as sodium inhibits it. Incidentally this is the first suggestion of an argument I have ever heard for the hard red corned beef prepared with saltpeter that is potassium nitrate, which has replaced the lovely brown succulent beef treated with common salt in better days.
The taking of a sodium-free diet is not simple, and not everybody with kidney or heart disease or high blood pressure is necessarily a candidate for this treatment. Nor is it a panacea; digitalis or drugs to promote the flow of urine are still valuable. In the last century and occasionally in this, patients with great accumulations of fluid in the tissues have been treated with Southey’s tubes. These are lovely little silver pipes stuck through the skin into the water-logged tissues. Perhaps Dr. Southey drove through the mountains in the days of horse and carriage when leisurely progress allowed an opportunity to observe the sides of the road. One might see a pipe stuck into the hillside and a steady stream of water flowing from it. In the same way actually gallons of fluid might pour from Southey’s tubes, relieving the kidneys of this work and certainly giving the patient great relief – temporarily at least.
*39/276/5*

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